Evidence map›Paper›PMID 40182876›Full record

ArticleJournal of hand surgery global online2025

A Patient-Specific Three-Dimensional-Printed Surgical Guide for Dorsal Scaphoid Fracture Fixation: A Comparative Cadaver Study.

Grayson A Wagner, Alyssa Glennon, Johannes M Sieberer, Steven M Tommasini, Lisa L Lattanza

Abstract read
In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Grayson A WagnerYale University School of Engineering & Applied Science, New Haven, CT.
Alyssa GlennonDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Johannes M SiebererDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Steven M TommasiniDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Lisa L LattanzaDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.

Funding

Translational SPECT/CT Imaging SystemS10OD032277 · OD · YALE UNIVERSITY · PI SINUSAS, ALBERT J · 2022 to 2022
$1.6M
NIH HHS S10 OD032277
6 · The paper itself

Abstract

Purpose: This study proposes a patient-specific three-dimensional (3D)-printed surgical guide designed for scaphoid fracture fixation through a limited dorsal approach. Methods: Computed tomography scans of five cadaveric wrists were modeled in 3D segmentation software and cannulated screw guidewire trajectory was planned. Custom 3D-printed surgical guides for guidewire insertion were designed for each scaphoid. Guidewire placement was performed with and without the surgical guide through a dorsal approach. Postoperative scans were overlaid with the planned trajectory and compared. Five variables were measured: angular deviation, distance between entry points, distance between exit points, embedded guidewire length, and number of attempts. Results: Mean angular deviation from the planned trajectory was 10.80 ± 6.72° for the guided and 14.08 ± 4.65° for the freehand group. The offset between entry and exit for the guided group was 2.22 ± 1.04 and 3.52 ± 2.80 mm and for the freehand group 2.95 ± 1.31 and 4.91 ± 2.37 mm, respectively. The mean length for the guided group was 23.25 ± 3.33 mm and 23.31 ± 3.07 mm for the freehand group. All guided cases took one attempt and the freehanded cases 2.0 ± 1.0 attempts. A significant positive correlation was found between trajectory and exit. No significance between groups was found between any of the measured variables. A minimum sample size of 28 was determined for follow-up studies. Conclusions: The use of a custom surgical guide improved guidewire placement in four of five specimens when compared with a freehand approach. Specifically, the trajectory was closer to the planned trajectory. All guidewire placements were clinically acceptable. Therefore, we consider the use of this surgical guide for the dorsal approach feasible to be used in clinical practice. Clinical relevance: This device could be used to treat nondisplaced scaphoid fractures. The use of a custom surgical guide could allow for accurate and efficient screw placement as well as reduced operating time and fluoroscopy exposure.

Indexed as

3D printingCustom surgical guidePatient-specificScaphoid fixationScaphoid fracture

Identifiers

PMID40182876
PMCPMC11963113

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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.