Evidence map›Paper›PMID 39843654›Full record

SynthesisJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2025

Comparing the efficacy of 3D-printing-assisted surgery with traditional surgical treatment of fracture: an umbrella review.

Lin Xiao, Peiyuan Tang, Shengwu Yang, Jingyue Su, Wenbo Ma, Han Tan, Ying Zhu, Wenfeng Xiao, Ting Wen, Yusheng Li and 2 more

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Antibiofilm-coated intramedullary nailing for tibial and femoral diaphyseal fractures at high-risk infection: outcomes of 103 consecutive patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Observational
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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

12 authors.

Lin Xiao *Deparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Peiyuan Tang *Deparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Shengwu YangDepartment of Orthopedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jingyue SuDepartment of Orthopedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Wenbo MaDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Han TanDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Ying ZhuDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wenfeng XiaoDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Ting WenDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yusheng LiDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Shuguang LiuDepartment of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China. Orth_shuguang@163.com.
Zhenhan DengDepartment of Orthopedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. dengzhenhan@wmu.edu.cn.ORCID http://orcid.org/0000-0003-0522-8269

Funding

Hunan Provincial Science Fund for Distinguished Young Scholars 2024JJ2089National Clinical Research Center for Geriatric Disorders 2021KFJJ02National Clinical Research Center for Geriatric Disorders 2021LNJJ05National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation 2021-NCRC-CXJJ-PY-40National Key R&D Program of China 2019YFA0111900National Key R&D Program of China 2023YFC3603400National Natural Science Foundation of China 82272611National Natural Science Foundation of China 82472495National Natural Science Foundation of China 882072506National Natural Science Foundation of China 92268115Science and Technology Innovation Program of Hunan Province 2021JJ31105
6 · The paper itself

Abstract

backgroundThe objective of this review is to evaluate the methodological quality of meta-analyses and observe the consistency of the evidence they generated to provide comprehensive and reliable evidence for the clinical use of three-dimensional (3D) printing in surgical treatment of fracture.

methodsWe searched three databases (PubMed, Embase, and Web of Science) up until August 2024. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were adhered to in this review. The Measurement Tool to Assess Systematic Reviews (AMSTAR) 2 was used to rate the quality and reliability of the meta-analyses (MAs), and Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to grade the outcomes. Furthermore, Graphical Representation of Overlap for Overviews (GROOVE) was employed to examine overlap, and the resulting evidence was categorized into four groups according to established criteria for evidence classification.

resultsResults from 14 meta-analyses were combined. AMSTAR 2 gave six meta-analyses a high rating, six MAs a moderate rating, and two MAs a low rating. Three-dimensional printing shows promising results in fracture surgical treatment, significantly reducing operation time and loss of blood for tibial plateau fracture. For acetabular fracture, apart from the positive effects on operation time (ratio of mean (ROM) = 0.74, 95% confidence interval (CI), 0.66-0.83, I

conclusionsCompared with traditional fracture surgical treatment, 3D-printing-assisted surgery has significant advantages and great effectiveness in terms of operation time, loss of blood, and postoperative complications in the treatment of many different types of fractures, with less harm to patients.

Indexed as

Fracture FixationFractures, BonePrinting, Three-DimensionalHumansOperative TimeTreatment Outcome3D printingFractureTraditional fracture surgeryUmbrella review

Identifiers

PMID39843654
PMCPMC11754758

What OpenQuestion holds

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LicenceCC BY
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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.