ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Development of patient-specific osteosynthesis including 3D-printed drilling guides for medial tibial plateau fracture surgery.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 11 citations in OpenAlex.
- Assessment of accuracy and efficiency of guided fixation of customized 3D miniplates vs Champy's technique in stabilization of mandibular angle fractures: A randomized controlled trial.Clinical oral investigations · 2026Trial
- Experience with patient-specific guides, insteatientad of general surgical experience, improves the accuracy of 3D-guided corrective osteotomies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biomechanical Stability of Tibia Plateau Fracture Treatment: Conventional vs. Finite Element-Based Preoperative Planning.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Additive Manufacturing in Orthopaedic Trauma: Current Evidence and Applications.Medicina (Kaunas, Lithuania) · 2026Review
- Can FEM-based preoperative planning for complex tibial plateau fractures improve surgical skills? A cadaver study.Journal of orthopaedic surgery and research · 2026Article
- Medial Tibial Plateau Fractures and Fracture-Dislocations: A Mechanism-Based Narrative Review of Instability Patterns, Imaging, and Contemporary Management.Orthopedic reviews · 2026Article
- Combining 3D printing technology with customized metal plates for the treatment of long segment femoral shaft comminuted fractures.Frontiers in surgery · 2026Article
- Preliminary exploration of finite element biomechanical preoperative planning for complex tibial plateau fractures.Scientific reports · 2025Article
- Advances of 3D printing technologies in orthopaedic trauma and surgical training: a transformative approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- 3D-assisted corrective osteotomies of the distal radius: a comparison of pre-contoured conventional implants versus patient-specific implants.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA substantial proportion of conventional tibial plateau plates have a poor fit, which may result in suboptimal fracture reduction due to applied -uncontrolled- compression on the bone. This study aimed to assess whether patient-specific osteosyntheses could facilitate proper fracture reduction in medial tibial plateau fractures.
methodsIn three Thiel embalmed human cadavers, a total of six tibial plateau fractures (three Schatzker 4, and three Schatzker 6) were created and CT scans were made. A 3D surgical plan was created and a patient-specific implant was designed and fabricated for each fracture. Drilling guides that fitted on top of the customized plates were designed and 3D printed in order to assist the surgeon in positioning the plate and steering the screws in the preplanned direction. After surgery, a postoperative CT scan was obtained and outcome was compared with the preoperative planning in terms of articular reduction, plate positioning, and screw direction.
resultsA total of six patient-specific implants including 41 screws were used to operate six tibial plateau fractures. Three fractures were treated with single plating, and three fractures with dual plating. The median intra-articular gap was reduced from 6.0 (IQR 4.5-9.5) to 0.9 mm (IQR 0.2-1.4), whereas the median step-off was reduced from 4.8 (IQR 4.1-5.3) to 1.3 mm (IQR 0.9-1.5). The median Euclidean distance between the centre of gravity of the planned and actual implant was 3.0 mm (IQR: 2.8-3.7). The lengths of the screws were according to the predetermined plan. None of the screws led to screw penetration. The median difference between the planned and actual screw direction was 3.3° (IQR: 2.5-5.1).
conclusionThis feasibility study described the development and implementation of a patient-specific workflow for medial tibial plateau fracture surgery that facilitates proper fracture reduction, tibial alignment and accurately placed screws by using custom-made osteosynthesis plates with drilling guides.
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