■三维打印已发展成为一种具有成本效益且易于使用的工具。在骨科手术中,创建患者特定的解剖模型和仪器提高了可视化和手术准确性。在儿科骨科,三维打印减少了操作时间,辐射暴露,和失血,提高手术疗效。这篇综述比较了三维打印辅助手术与传统手术在上下肢儿科手术中的效果。
■使用OvidMedline对截至2023年8月的医学文献进行完整搜索,EMBASE,Scopus,WebofScience,Cochrane图书馆按照系统评价和荟萃分析指南的首选报告项目进行。广泛的搜索术语包括“儿科,\"\"骨科,\"和\"3D打印。“符合条件的研究评估了术中时间,失血,和透视曝光。
■在最初确定的3299篇文章中,14篇文章符合纳入标准。这些研究包括409名儿科患者,平均年龄9.51岁.大多数是回顾性研究(九项),四个前瞻性研究和一个实验研究。研究主要利用三维打印导航模板和植入物。结果显示手术时间显著缩短,失血,和三维打印的辐射曝光。三维打印手术并发症发生率普遍较低,但没有统计学意义。
■三维打印是骨科领域的新兴技术,主要用于术前规划。对于小儿上肢和下肢手术,三维打印导致手术室时间减少,术中失血减少,减少辐射暴露。三维打印的其他用途包括教育,患者沟通,创建特定于患者的仪器和植入物。
■三级。
UNASSIGNED: Three-dimensional printing has evolved into a cost-effective and accessible tool. In orthopedic surgery, creating patient-specific anatomical models and instrumentation improves visualization and surgical accuracy. In pediatric orthopedics, three-dimensional printing reduces operating time, radiation exposure, and blood loss by enhancing surgical efficacy. This
review compares outcomes of three-dimensional printing-assisted surgeries with conventional surgeries for upper and lower extremity pediatric surgeries.
UNASSIGNED: A complete search of medical literature up to August 2023, using Ovid Medline, EMBASE, Scopus, Web of Science, and Cochrane Library was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Broad search terms included \"pediatrics,\" \"orthopedic,\" and \"3D-printing.\" Eligible studies were assessed for intraoperative time, blood loss, and fluoroscopy exposure.
UNASSIGNED: Out of 3299 initially identified articles, 14 articles met inclusion criteria. These studies included 409 pediatric patients, with ages averaging 9.51 years. The majority were retrospective studies (nine), with four prospective and one experimental study. Studies primarily utilized three-dimensional printing for navigation templates and implants. Results showed significant reductions in operative time, blood loss, and radiation exposure with three-dimensional printing. Complication occurrences were generally lower in three-dimensional printing surgeries, but there was no statistical significance.
UNASSIGNED: Three-dimensional printing is an emerging technology in the field of orthopedics, and it is primarily used for preoperative planning. For pediatric upper and lower extremity surgeries, three-dimensional printing leads to decreased operating room time, decreased intraoperative blood loss, and reduced radiation exposure. Other uses for three-dimensional printing include education, patient communication, the creation of patient-specific instrumentation and implants.
UNASSIGNED: Level III.