Evidence map›Paper›PMID 34222465›Full record

ArticleBioMed research international2021

A Novel 3D-Printed Device for Precise Percutaneous Placement of Cannulated Compression Screws in Human Femoral Neck Fractures.

Cheng Long, Jin-Hai Liu, Xiang-Ping Chai, Xiang-Feng Liu, Zhi-Xi Duan

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Cheng LongDepartment of Orthopedics, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha 410008, China.ORCID https://orcid.org/0000-0002-9062-5930
Jin-Hai LiuDepartment of Orthopedics, Qingdao Chengyang Guzhen Orthopedic Hospital, No. 518 Yinhe Road, Chengyang District, Qingdao 266107, China.ORCID https://orcid.org/0000-0002-9153-1952
Xiang-Ping ChaiDepartment of Emergency Medicine, Trauma Center, The Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Changsha, 410011 Hunan, China.ORCID https://orcid.org/0000-0002-3575-2646
Xiang-Feng LiuDepartment of Emergency Medicine, Trauma Center, The Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Changsha, 410011 Hunan, China.
Zhi-Xi DuanDepartment of Emergency Medicine, Trauma Center, The Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Changsha, 410011 Hunan, China.ORCID https://orcid.org/0000-0002-8487-3671
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the application of computer-aided design and 3D printing technology for percutaneous fixation of femoral neck fractures using cannulated compression screws.

methodsUsing computed tomography data, an individualized proximal femur model was created with a 3D printer. The reduction of the femoral neck fracture and the placement of the cannulated compression screws were simulated on a computer. A 3D printing guide plate was designed to match the proximal femur. After demonstrating the feasibility of the 3D model before the surgical procedure, the guide needles and cannulated compression screws were inserted with the aid of the 3D-printed guide plate.

resultsDuring the procedure, the 3D-printed guide plate for each patient matched the bone markers of the proximal femur. With the aid of the 3D-printed guide plate, three cannulated compression screws were accurately inserted into the femoral neck to treat femoral neck fractures. After screw placement, intraoperative X-ray examination showed results that were consistent with the preoperative design. The time taken to complete the procedure in the guide plate group was 35.3 ± 2.1 min, the intraoperative blood loss was 6.3 ± 2.8 mL, and X-ray fluoroscopy was only performed 9.1 ± 3.5 times. Postoperative radiographs showed adequate reduction of the femoral neck fractures. The entry point, entry direction, and length of the three cannulated compression screws were consistent with the preoperative design, and the screws did not penetrate the bone cortex.

conclusionUsing computer-aided design and 3D printing technology, personalized and accurate placement of cannulated compression screws can be realized for the treatment of femoral neck fractures. This technique can shorten the time required for the procedure and reduce damage to the femoral neck cortex, intraoperative bleeding, and the exposure of patients and healthcare staff to radiation.

Indexed as

Bone ScrewsPrinting, Three-DimensionalSurgical InstrumentsBone and BonesCompressive StrengthComputer-Aided DesignDiagnosis, Computer-AssistedFemaleFemoral Neck FracturesFemur NeckFluoroscopyFollow-Up StudiesFracture Fixation, InternalHumansImaging, Three-DimensionalMale

Identifiers

PMID34222465
PMCPMC8213462
OpenAlexW3171450448

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Registered trials

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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.