Application of three-dimensional printing technology in bone tumor surgery_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XU Leilei , TIAN Zheng , Akbar·Yunus , WANG Xiaoshuai , CHEN Jiangtao , WANG Chong ,  SONG Xinghua

Department of Bone Tumor Surgery, Orthopedics Center, the First Affiliated Hospital of Xinjiang Medical University, Urumchi Xinjiang, 830054, P.R.China;

Corresponding?author：

SONG Xinghua, Email: songxinghua19@163.com

Keywords：

Three-dimensional printing technology; bone tumor; individualized treatment

DOI：

10.7507/1002-1892.201703088

Video：

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Objective To discuss the effect of three-dimensional (3D) printing individualized model and guide plate in bone tumor surgery. Methods Between October 2015 and December 2016, 3D printing individualized model and guide plate for making preoperative surgical planning and intraoperative treatment were used in 5 patients of bone tumor. All the patients were male, with a median age of 32 years (range, 9-58 years). There were 1 case of cystic echinococcosis at left pelvis and pathological fracture of the proximal femur; 1 case of left iliac bone osteoblastoma associated with aneurysmal bone cyst; 1 case of fibrous dysplasia of the left femur (sheep horn deformity) with pathological fracture; 1 case of metastatic carcinoma of right calcaneus (tumor staging was T₂N₀M₀); and 1 case of Ewing sarcoma of left femur (tumor staging was T₂N₀M₀). The disease duration ranged from 1 month to 10 years (mean, 2.25 years). Results The operation was completed successfully. The operation time was 2.6-7.5 hours (mean, 4.9 hours). The intraoperative blood loss was 200-2 500 mL (mean, 1 380 mL). The intraoperative fluoroscopy times was 1-6 times (mean, 3.8 times). There was no infection after operation, and the blood supply and nerve function were good. All the patients were followed up 3-16 months (mean, 5.4 months). No loosening or breaking of the internal fixator occurred. According to Enneking scoring system, the limb function score was 15-26 (mean, 21); and the results were excellent in 2 cases, good in 2 cases, and fair in 1 case. Conclusion 3D printing technology can make the implementation of the better preoperative planning and evaluation in bone tumor surgery, and it provides a new reference for individualized treatment in patients with bone tumor.

Citation： XU Leilei, TIAN Zheng, Akbar·Yunus, WANG Xiaoshuai, CHEN Jiangtao, WANG Chong, SONG Xinghua. Application of three-dimensional printing technology in bone tumor surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(9): 1069-1072. doi: 10.7507/1002-1892.201703088 Copy

1.	付軍, 王臻, 郭征, 等. 數字化結合 3D 打印個體化導板的設計加工及其在骨腫瘤手術的應用. 中華創傷骨科雜志, 2015, 17(1): 50-54.
2.	劉琨, 趙汝剛, 張強. 3D 打印技術在骨科的應用研究進展. 中華創傷骨科雜志, 2015, 17(1): 63-65.
3.	Berman B. 3-D printing: The new industrial revolution. Business Horizons, 2012, 55(2): 155-162.
4.	Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res, 1993, (286): 241-246.
5.	鮑立杰, 張志平, 吳培斌. 3D 打印技術在骨科的研究及應用進展. 中國矯形外科雜志, 2015, 23(4): 325-327.
6.	穆衛廬, 常軍英, 賈東昭, 等. 3D 打印手術導板引導骶髂螺釘置入的手術技術介紹. 中華骨科雜志, 2015, 35(7): 767-773.
7.	馬立敏, 張余, 周燁, 等. 3D 打印技術在股骨遠端骨腫瘤的應用. 中國數字醫學, 2013, 8(8): 70-72.
8.	韓娟, 楊明, 歐麗影, 等. 3D 打印技術輔助兒童脛骨遠端骨軟骨瘤的應用. 中國數字醫學, 2015, 10(7): 30-32.
9.	胡堃, 李路海, 余均武, 等. 3D 打印技術在骨科個性化治療中的應用. 高分子通報, 2015, (9): 61-70.
10.	章瑩, 李寶豐, 王新宇, 等. 術前 3D 打印技術模擬復雜骨盆骨折手術提高療效的可行性研究. 中華創傷骨科雜志, 2015, 17(1): 29-33.
11.	姜雨晨, 陳雁西. 3D 打印技術在足踝外科的應用價值. 國際骨科學雜志, 2015, 36(1): 15-17.
12.	楊晶, 程奎, 倪鵬輝, 等. 數字化快速成型技術在骨折畸形愈合個體化治療的應用研究. 中國骨與關節損傷雜志, 2015, 30(7): 727-729.
13.	楊晶. 計算機輔助設計 3D 打印技術在復雜跟骨骨折治療中的應用. 國際骨科學雜志, 2017, 38(1): 51-54.
14.	高宗強, 張格林, 吳瑋, 等. 3D 打印技術在骨科中的應用及展望. 中國醫學教育技術, 2016, 30(3): 252-255.
15.	孫濤, 崔林江, 竇超超. 3D 打印技術在骨腫瘤手術術前規劃中的初步應用. 中國數字醫學, 2016, 11(9): 74-76.
16.	亞穆罕默德·阿力克, 阿依古麗·喀斯木, 阿里木江·阿不來提, 等. 3D 打印骨水泥塑型器在四肢骨缺損修復中的應用. 中國修復重建外科雜志, 2016, 30(12): 1447-1451.
17.	湯嘯天, 王燎. 3D 打印技術與骨科植入物研發現狀及其瓶頸突破思路. 醫學與法學, 2015, 7(6): 66-73.
18.	Malik HH, Darwood AR, Shaunak S, et al. Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res, 2015, 199(2): 512-522.
19.	Kim HN, Liu XN, Noh KC. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fracture. J Orthop Surg Res, 2015, 10: 91.
20.	付軍, 郭征, 王臻, 等. 多種 3-D 打印手術導板在骨腫瘤切除重建手術中的應用. 中國修復重建外科雜志, 2014, 28(3): 304-308.

1. 付軍, 王臻, 郭征, 等. 數字化結合 3D 打印個體化導板的設計加工及其在骨腫瘤手術的應用. 中華創傷骨科雜志, 2015, 17(1): 50-54.
2. 劉琨, 趙汝剛, 張強. 3D 打印技術在骨科的應用研究進展. 中華創傷骨科雜志, 2015, 17(1): 63-65.
3. Berman B. 3-D printing: The new industrial revolution. Business Horizons, 2012, 55(2): 155-162.
4. Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res, 1993, (286): 241-246.
5. 鮑立杰, 張志平, 吳培斌. 3D 打印技術在骨科的研究及應用進展. 中國矯形外科雜志, 2015, 23(4): 325-327.
6. 穆衛廬, 常軍英, 賈東昭, 等. 3D 打印手術導板引導骶髂螺釘置入的手術技術介紹. 中華骨科雜志, 2015, 35(7): 767-773.
7. 馬立敏, 張余, 周燁, 等. 3D 打印技術在股骨遠端骨腫瘤的應用. 中國數字醫學, 2013, 8(8): 70-72.
8. 韓娟, 楊明, 歐麗影, 等. 3D 打印技術輔助兒童脛骨遠端骨軟骨瘤的應用. 中國數字醫學, 2015, 10(7): 30-32.
9. 胡堃, 李路海, 余均武, 等. 3D 打印技術在骨科個性化治療中的應用. 高分子通報, 2015, (9): 61-70.
10. 章瑩, 李寶豐, 王新宇, 等. 術前 3D 打印技術模擬復雜骨盆骨折手術提高療效的可行性研究. 中華創傷骨科雜志, 2015, 17(1): 29-33.
11. 姜雨晨, 陳雁西. 3D 打印技術在足踝外科的應用價值. 國際骨科學雜志, 2015, 36(1): 15-17.
12. 楊晶, 程奎, 倪鵬輝, 等. 數字化快速成型技術在骨折畸形愈合個體化治療的應用研究. 中國骨與關節損傷雜志, 2015, 30(7): 727-729.
13. 楊晶. 計算機輔助設計 3D 打印技術在復雜跟骨骨折治療中的應用. 國際骨科學雜志, 2017, 38(1): 51-54.
14. 高宗強, 張格林, 吳瑋, 等. 3D 打印技術在骨科中的應用及展望. 中國醫學教育技術, 2016, 30(3): 252-255.
15. 孫濤, 崔林江, 竇超超. 3D 打印技術在骨腫瘤手術術前規劃中的初步應用. 中國數字醫學, 2016, 11(9): 74-76.
16. 亞穆罕默德·阿力克, 阿依古麗·喀斯木, 阿里木江·阿不來提, 等. 3D 打印骨水泥塑型器在四肢骨缺損修復中的應用. 中國修復重建外科雜志, 2016, 30(12): 1447-1451.
17. 湯嘯天, 王燎. 3D 打印技術與骨科植入物研發現狀及其瓶頸突破思路. 醫學與法學, 2015, 7(6): 66-73.
18. Malik HH, Darwood AR, Shaunak S, et al. Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res, 2015, 199(2): 512-522.
19. Kim HN, Liu XN, Noh KC. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fracture. J Orthop Surg Res, 2015, 10: 91.
20. 付軍, 郭征, 王臻, 等. 多種 3-D 打印手術導板在骨腫瘤切除重建手術中的應用. 中國修復重建外科雜志, 2014, 28(3): 304-308.

Chinese Journal of Reparative and Reconstructive Surgery

Application of three-dimensional printing technology in bone tumor surgery

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