Evidence map›Paper›PMID 40420305›Full record

SynthesisJournal of orthopaedic surgery and research2025

Efficacy and safety of three-dimensional printing technology assisted open reduction and internal fixation versus conventional surgery in the treatment of acetabular fractures: a meta-analysis of randomized controlled trials.

Wenzheng Liu, Chaoyi Zhang, Jixi Liu, Pengrui Feng, Ping Yi, Zhencheng Xiong, Guanglin Wang

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 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
  2. Article
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

7 authors.

Wenzheng Liu *Department of Orthopedic Surgery, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China.
Chaoyi Zhang *Department of Orthopedic Surgery, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China.
Jixi Liu *Department of Orthopedic Surgery, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China.
Pengrui FengDepartment of Orthopedic Surgery, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China.
Ping YiDepartment of Orthopaedic Surgery, China-Japan Friendship Hospital, Beijing, 100029, China. 13811758985@139.com.
Zhencheng XiongDepartment of Thoracic Surgery, Peking University Third Hospital, Beijing, 100191, China. xiongzc0527@163.com.
Guanglin WangDepartment of Orthopedic Surgery, West China Hospital, Orthopedic Research Institute, Sichuan University, Chengdu, 610041, China. wgllfrank@163.com.

Funding

National High Level Hospital Clinical Research Funding 2024-NHLHCRF-YXHZ-MS-10Natural Science Foundation of Sichuan 2024NSFSC1507, 2023NSFSC1835
6 · The paper itself

Abstract

purposeThe objective of this meta-analysis was to assess the influence of three-dimensional (3D) printing technology on open reduction and internal fixation (ORIF) of acetabular fractures from current randomized controlled trials (RCTs).

methodsA structured meta-analysis was conducted, and we searched online databases for published RCTs related to 3D printing and acetabular fracture, including PubMed, Cochrane Library, ScienceDirect, Wan fang, and CNKI up to November 2024. The outcome data of intraoperative blood loss, operation time, hip function (Harris score), quality of fracture reduction (Matta score) and incidence of complications were extracted. Stata16.0 and RevMan5.3 were used for our meta-analysis.

results19 RCTs met our inclusion criteria and a total of 1046 patients were included in this meta-analysis. The meta-analysis showed significant difference in intraoperative blood loss (WMD = -274.65, 95% CI [-326.47, -222.83]), operation time (WMD = -53.26, 95% CI [-63.72, -42.80]), intraoperative fluoroscopy (WMD = -5.24, 95% CI [-6.57, -3.91]), instrumentation time (WMD = -35.31, 95% CI [-53.42, -17.21]), and post-surgery Matta score (RR = 1.17, 95% CI [1.09, 1.25]), incidence rate of complications (RR = 0.34, 95%CI [0.22, 0.52]). There is no significant difference in time from injury to operation (WMD=-0.06, 95%CI [-0.36, 0.24]) and Harris score (RR = 1.22, 95%CI [0.83, 1.79]) between two groups.

conclusion3D printing group showed reduced intraoperative blood loss, shorter operation time, faster instrumentation, less intraoperative fluoroscopy, better post-surgery reduction, and reduced incidence rate of complications. Therefore, based on existing research, ORIF guided by 3D printing technology should be a more effective method for treating acetabular fractures.

Indexed as

AcetabulumFracture Fixation, InternalFractures, BoneOpen Fracture ReductionPrinting, Three-DimensionalBlood Loss, SurgicalHumansOperative TimeRandomized Controlled Trials as TopicTreatment Outcome3D printing technologyAcetabular fracturesComplicationsIntraoperative blood lossMeta-analysisOpen reduction and internal fixation

Identifiers

PMID40420305
PMCPMC12107959

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.