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Application of three-dimensional printing for pre-operative planning in hip preservation surgery

机译:三维打印在髋关节保存术前计划中的应用

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摘要

Three-dimensional printing is a valuable modality with broad clinical applications. Hip preservation surgery outcomes are dependent on correction of morphological abnormalities that may be optimally visualized with three-dimensional models. To assess the efficacy of three-dimensional models for patient and trainee education and to determine its benefits during pre-operative planning in hip preservation surgery. Sixteen patients with hip pathology were selected. Computed tomography was utilized to generate three-dimensional models. Customized Likert-style questionnaires were given to 10 hip preservation surgeons, 11 orthopedic surgery residents and 10 patients. All residents strongly agreed or agreed that the three-dimensional hip models helped them to understand patients’ pathology. All but one patient agreed that the models assisted in their understanding of the treatment plan. Surgeons concurred that although they do not routinely order three-dimensional models, their use would improve trainee and patient education, especially when treating atypical osseous pathomorphologies. Three-dimensional models are tools that can help surgeon, trainee and patient understanding and participation in treatment of complex hip disorders. Patients and trainees agree that the prototypes enhanced their educational experience, as the surgeon can directly demonstrate complex morphological abnormalities. Trainees can therefore gain a better understanding of hip pathologies and treatment. As patients better understand their hip disorder, they can more fully participate in shared treatment decision-making.
机译:三维打印是一种有价值的方法,具有广泛的临床应用。髋关节保留手术的结果取决于形态异常的纠正,而形态异常可以通过三维模型最佳地可视化。评估三维模型对患者和受训者的教育效果,并确定其在髋关节保留手术的术前计划中的益处。选择了16例髋关节病理患者。利用计算机断层扫描来生成三维模型。向10名髋关节保存外科医师,11名整形外科住院医师和10名患者提供了定制的李克特式问卷。所有居民都强烈同意或同意三维髋关节模型有助于他们了解患者的病理状况。除一名患者外,所有患者均同意该模型有助于他们理解治疗计划。外科医生同意,尽管他们不按常规订购三维模型,但它们的使用将改善受训者和患者的教育,尤其是在治疗非典型性骨病理形态学时。三维模型是可以帮助外科医生,受训者和患者了解和参与复杂髋部疾病治疗的工具。患者和受训人员都同意,原型可以增强他们的教育经验,因为外科医生可以直接展示出复杂的形态异常。因此,学员可以更好地了解髋关节的病理学和治疗方法。随着患者更好地了解髋关节疾病,他们可以更充分地参与共同的治疗决策。

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