Evidence map›Paper›PMID 40923871›Full record

SynthesisJournal of surgical oncology2025

Enhanced Functional and Surgical Outcomes With 3D Printing in Orthopedic Oncology: A Comparative Meta-Analysis Against Conventional Techniques.

Peter Joseph Mounsef, Benjamin Blackman, Ojasvi Sharma, Ahmed Aoude, Anthony Bozzo

Abstract readMeta-AnalysisComparative Study
In one paragraph

Synthesis in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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.

Peter Joseph MounsefFaculty of Medicine and Health Science, McGill University, Montreal, Québec, Canada.ORCID https://orcid.org/0009-0002-0155-6329
Benjamin BlackmanSchool of Medicine, University of Limerick, Limerick, Ireland.
Ojasvi SharmaFaculty of Medicine and Health Science, McGill University, Montreal, Québec, Canada.
Ahmed AoudeDepartment of Orthopedic Surgery, McGill University Health Centre, Montreal, Québec, Canada.
Anthony BozzoDepartment of Orthopedic Surgery, McGill University Health Centre, Montreal, Québec, Canada.ORCID https://orcid.org/0000-0001-8195-2086

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

introductionThree-dimensional printing (3DP) technology has increasingly gained attention in orthopedic oncology, where complex tumor resections and reconstructions demand high precision. 3DP enables the creation of patient-specific models and prostheses, which can improve postoperative quality of life for patients while assisting surgeons in preoperative planning, enhancing surgical accuracy, and improving outcomes in complex oncologic cases. Despite its potential, comprehensive data on the effectiveness and applications of 3DP in orthopedic oncology are limited. This paper assesses whether using 3DP compared to conventional techniques results in better outcomes in orthopedic oncology.

methodsA comprehensive search of Ovid MEDLINE, Embase, Scopus, and Web of Science was conducted until November 2024. Studies comparing 3D printing to conventional methods in orthopedic oncology and reporting outcomes such as operative time, blood loss, recurrence rates, or functional scores were included. Weighted means and meta-analyses were conducted to compare these outcomes. Statistical heterogeneity was adjusted by using a random-effects model.

resultsFourteen studies comprising 478 patients met the inclusion criteria. Our primary findings were improved MSTS scores (mean difference [MD]: 2.17, p = 0.00) and decreased blood loss (MD: -69.8 mL, p = 0.00) in the 3D printing groups. There was no significant difference in operative time between 3D printing and conventional techniques (MD: -12.2 min, p = 0.32). Tumor recurrence rates did not differ significantly between groups (relative risk: 0.88, p = 0.50). Subgroup analyses indicated that 3D-printed implants showed the greatest benefit in reducing OR time and blood loss, with the other subgroups showing no significant difference in OR time, blood loss, or recurrence rate.

conclusionThe findings suggest that 3D printing in orthopedic oncology may enhance surgical precision by reducing OR time, intraoperative blood loss, and improving postoperative function, without affecting recurrence rates. Substantial heterogeneity limits confidence in these findings. LEVEL OF EVIDENCE: Level III.

Indexed as

Bone NeoplasmsOrthopedic ProceduresPrinting, Three-DimensionalHumansTreatment Outcome3D printingmusculoskeletal tumorsorthopedic oncologypatient‐specific implantssurgical guides

Identifiers

PMID40923871
PMCPMC12514427

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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.