Evidence map›Paper›PMID 32192482›Full record

Trial reportJournal of orthopaedic surgery and research2020

Clinical application of individualized 3D-printed navigation template to children with cubitus varus deformity.

Xinyue Hu, Meiling Zhong, Yue Lou, Peng Xu, Bo Jiang, Fengyong Mao, Dan Chen, Pengfei Zheng

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  9. [Biomechanical characteristics and clinical application of three-dimensional printed osteotomy guide plate combined with Ilizarov technique in treatment of rigid clubfoot].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Xinyue Hu
Meiling Zhong
Yue LouDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China.
Peng XuDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China.
Bo JiangDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China.
Fengyong MaoDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China.
Dan ChenDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China. chend0329@163.com.
Pengfei ZhengDepartment of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210000, Jiangsu Province, China. sunyuezpf@gmail.com.
Second Affiliated Hospital of Nanjing Medical University · CNNanjing Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCubitus varus deformity is a common sequela of elbow fractures in children. Cubitus varus deformity treatment is tending toward 3D correction, which is challenging for orthopedic surgeons. This study aims to explore whether individualized 3D-printed navigation templates can assist with accurate and effective corrective treatment of children with cubitus varus deformity.

methodsThirty-five patients were treated for cubitus varus deformity from June 2015 to April 2017, including 21 boys and 14 girls, aged 4.6-13.2 years (average, 7.5 years). Of these cases, 17 deformities were on the left side and 18 were on the right side. All were treated with wedge osteotomy of the lateral distal humerus. 3D-printed navigation templates were used in 16 cases, while traditional surgery was used in 19 cases. All patients underwent computed tomography scans before surgery. Computer software was used to analyze the measurements and design and print individualized navigation templates. The navigation templates were matched, and surgery was initially simulated. Intraoperative individualized navigation templates were used to assist with accurate osteotomy and Kirschner wire fixation. Operation times were recorded in all cases, the carrying angles before and after surgery were assessed by computer, and postoperative elbow joint function was evaluated using Bellemore criteria. All measurement data were presented as means ± SD, and Student's t test was used to examine differences between groups. All count data between both groups were compared using the chi-square test or Fisher's exact test analysis.

resultsAll individualized navigation templates matched well with the corresponding anatomical markers and were consistent with preoperative planning, simulated surgery, and intraoperative procedures. Average operation times from clear exposure to fixed Kirschner wire were 11.69 min (9.6-13.5 min) for the individualized navigation template group and 22.89 min (17.7-26.8 min) for the traditional operation group (p < 0.001). Average differences in postoperation carrying angles between affected and healthy sides were 1.13° (0-2.0°) and 4.21° (0-7.5°), respectively (p < 0.001). Follow-up 6-12 months postoperation showed that elbow function did not differ significantly between groups using the Bellemore criteria (p > 0.05).

conclusionsIndividualized navigation templates simplify procedures, reduce operation time, and improve accuracy when used in orthopedic surgery to treat children with cubitus varus deformity.

Indexed as

Printing, Three-DimensionalAdolescentChildChild, PreschoolFemaleFollow-Up StudiesForearmHumansImaging, Three-DimensionalMaleNeuronavigationProspective Studies3D-printing technologyChildrenCubitus varus deformityIndividualized navigation template

Identifiers

PMID32192482
PMCPMC7081535
OpenAlexW3012572649

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.