nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2024-13-2-247-257nmp-1887Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSПредоперационное планирование с применением 3D-печати как способ улучшить результаты хирургического лечения переломов дистального отдела большеберцовой костиPreoperative Planning Using 3D Printing as a Way to Improve the Outcomes of Surgical Treatment for Pilon Fractureshttps://orcid.org/0000-0002-7616-2255КошкинА. Б.KoshkinA. B.

Арсентий Борисович Кошкин, врач травматолог-ортопед

Научно-образовательный институт клинической медицины им. Н.А. Семашко; Университетская клиника; Хирургический госпиталь; отделение сочетанной травмы № 4; Кафедра травматологии, ортопедии и медицины катастроф

127006;  ул. Долгоруковская, д. 4; Москва

Arsenty B. Koshkin, Traumatologist Orthopedist

N.A. Semashko Scientific and Educational Institute of Clinical Medicine; University Clinic; Surgical Hospital; Department of Combined Trauma No. 4; Department of Traumatology, Orthopedics and Disaster Medicine

127006; Dolgorukovskaya Str. 4; Moscow

febris@mail.ruhttps://orcid.org/0000-0003-4201-4577ПаршиковМ. В.ParshikovM. V.

Михаил Викторович Паршиков, доктор медицинских наук, профессор, профессор кафедры, заслуженный изобретатель РФ

Кафедра травматологии, ортопедии и медицины катастроф

127006;  ул. Долгоруковская, д. 4; Москва

Mikhail V. Parshikov, Doctor of Medical Sciences, Full Professor, Professor, Honored Inventor of the Russian Federation

Department of Traumatology, Orthopedics and Disaster Medicine

127006; Dolgorukovskaya Str. 4; Moscow

parshikovmikhail@gmail.comhttps://orcid.org/0000-0002-5667-5184НовиковС. В.NovikovS. V.

Сергей Викторович Новиков, кандидат медицинских наук, заведующий отделением

отделение травматологии № 2

109472; Волгоградский проспект, д. 168; Москва

Sergey V. Novikov, Candidate of Medical Sciences, Head at the Department

Department of Traumatology No. 2

109472; Volgogradskiy Ave. 168; Moscow

nadin-79@bk.ruhttps://orcid.org/0000-0002-4130-1307ПрохоровА. А.ProkhorovA. A.

Андрей Алексеевич Прохоров, врач травматолог-ортопед

отделение травматологии № 27

125284; 2-й Боткинский пр., д. 5; Москва

Andrey A. Prokhorov, Traumatologist Orthopedist

Traumatology Department No. 27

125284; 2nd Botkinskiy drive 5; Moscow

dr.prohorov.aa@yandex.ruhttps://orcid.org/0000-0001-8616-920XФайнА. М.FaiA. M.

Алексей Максимович Файн, доктор медицинских наук, заведующий отделением

Кафедра травматологии, ортопедии и медицины катастроф; научное отделение неотложной травматологии опорно-двигательного аппарата

127006;  ул. Долгоруковская, д. 4; 129090; Б. Сухаревская пл., д. 3; Москва

Alexey M. Fain, Doctor of Medical Sciences, Head at the Department

Department of Traumatology, Orthopedics and Disaster Medicine; Scientific Department of Emergency Traumatology of the Musculoskeletal System

127006; Dolgorukovskaya Str. 4; 129090; Bolshaya Sukharevskaya Sq. 3; Moscow

finn.loko@mail.ruФГБОУ ВО «Российский университет медицины» МЗ РФРоссияRussian University of MedicineRussian FederationГБУЗ «Госпиталь для ветеранов войн № 2 ДЗМ»РоссияHospital for War Veterans No. 2Russian FederationГБУЗ «Городская клиническая больница им. С.П. Боткина ДЗМ»РоссияBotkin City Clinical HospitalRussian FederationФГБОУ ВО «Российский университет медицины» МЗ РФ; ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияRussian University of Medicine; N.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202404092024132247257Copyright © Кошкин А.Б., Паршиков М.В., Новиков С.В., Прохоров А.А., Файн А.М., 20242024Кошкин А.Б., Паршиков М.В., Новиков С.В., Прохоров А.А., Файн А.М.Koshkin A.B., Parshikov M.V., Novikov S.V., Prokhorov A.A., Fai A.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1887   АКТУАЛЬНОСТЬ

   АКТУАЛЬНОСТЬ. Проблема лечения переломов дистального метаэпифиза большеберцовой кости остается актуальной, несмотря на развитие современных методов диагностики, инструментария для остеосинтеза и средств реабилитации ввиду большого количества осложнений, приводящих к стойкой утрате трудоспособности, таких как проблемы с заживлением мягких тканей, инфекционные осложнения, посттравматический артроз голеностопного сустава. Эти проблемы связаны с высокой частотой высокоэнергетических травм, особенностями мягкотканного футляра и большой подвижностью голеностопного сустава. При этом при лечении многооскольчатых внутрисуставных переломов пилона отсутствует четко прописанный алгоритм операции: выбор доступа, фиксатора, техники репозиции. В последнее время при планировании остеосинтеза все более широкое распространение получают аддитивные технологии, в частности, 3D-печать полноразмерных прототипов перелома.

   ЦЕЛЬ ИССЛЕДОВАНИЯ

   ЦЕЛЬ ИССЛЕДОВАНИЯ. Провести анализ методов предоперационного планирования остеосинтеза переломов большеберцовой кости при помощи программного обеспечения и оценить возможности 3D-печати для улучшения результатов хирургического лечения переломов дистального отдела большеберцовой кости.

   МАТЕРИАЛ И МЕТОДЫ

   МАТЕРИАЛ И МЕТОДЫ. Поиск источников проводили с использованием электронных баз научной литературы PubMed, eLibrary, Cyberleninka. Использовали следующие ключевые слова: pilon fractures, osteosynthesis, preoperative planning, 3D-printing, 3D-model и соответствующие им термины на русском языке.

   РЕЗУЛЬТАТЫ

   РЕЗУЛЬТАТЫ. Согласно данным различных авторов, применение 3D-печати для предоперационного планирования улучшает показатели времени операции, качества репозиции, функционального результата, интраоперационной кровопотери и снижения количества осложнений.

   ВЫВОДЫ

   ВЫВОДЫ. Оценка отдаленных результатов применения 3D-печати для предоперационного планирования остеосинтеза переломов пилона продолжается. Но уже сейчас можно сделать выводы о перспективности метода и рекомендовать для широкого применения в рутинной практике травматолога-ортопеда.

   RELEVANCE

   RELEVANCE. Despite the development of modern diagnostic methods, osteosynthesis instruments and rehabilitation, surgical management of distal tibia fractures remains a great problem due to the high complication rate leading to permanent disability, such as problems with soft tissue healing, infectious complications, post-traumatic arthrosis of the ankle joint. These complications are associated with the high incidence of high-energy injuries, soft-tissue envelope features, and the wide range of movements in the ankle joint. At the same time, in the treatment for comminuted intra-articular pilon fractures, there is no clearly defined operation algorithm: choice of access, reduction and fixation techniques. Recently, when planning osteosynthesis, additive technologies have become increasingly widespread, in particular, 3D printing of full-size fracture prototypes.

   AIM OF STUDY

   AIM OF STUDY. To analyze preoperative planning methods of osteosynthesis in pilon fractures and evaluate 3D-printing for the improvement of surgical treatment of pilon fractures.

   MATERIAL AND METHODS

   MATERIAL AND METHODS. The literature search was carried out in the databases of medical publications: PubMed, eLibrary, Cyberleninka. The search was performed using the following terms: pilon fractures, osteosynthesis, preoperative planning, 3D-printing, 3D-model, and the corresponding terms in Russian.

   RESULTS

   RESULTS. According to various authors, the use of 3D printing in preoperative planning improves the parameters of operative duration, reduction quality, functional outcome, intraoperative blood loss, and reduces the number of complications.

   CONCLUSIONS

   CONCLUSIONS. Evaluation of the long-term results of using 3D printing in preoperative planning for osteosynthesis in pilon fractures is ongoing. But even now we can draw conclusions about the prospects of the method and recommend it for widespread use in the routine practice of the orthopedic traumatologist.

переломы пилонаостеосинтезпредоперационное планирование3D-печать3D-моделированиеpilon fracturesosteosynthesispreoperative planning3D-printing3D-modelИсследование не имеет спонсорской поддержкиThe study has no sponsorshipReferencesMauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures : a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg. 2011;77(4):432–440. PMID: 21954749Mauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures : a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg. 2011;77(4):432–440. PMID: 21954749Beaman DN, Gellman R. Fracture reduction and primary ankle arthrodesis: a reliable approach for severely comminuted tibial pilon fracture. Clin Orthop Relat Res. 2014;472(12):3823–3834. PMID: 24844887 doi: 10.1007/s11999-014-3683-xBeaman DN, Gellman R. Fracture reduction and primary ankle arthrodesis: a reliable approach for severely comminuted tibial pilon fracture. Clin Orthop Relat Res. 2014;472(12):3823–3834. PMID: 24844887 doi: 10.1007/s11999-014-3683-xDestot EAJ. Traumatismes du pied et rayons X: Malleoles-Astragale-Calcaneum-Avant-pied. Paris: Masson; 1911.Destot EAJ. Traumatismes du pied et rayons X: Malleoles-Astragale-Calcaneum-Avant-pied. Paris: Masson; 1911.Carter TH, Duckworth AD, Oliver WM, Molyneux SG, Amin AK, White TO. Open Reduction and Internal Fixation of Distal Tibial Pilon Fractures. JBJS Essent Surg Tech. 2019;9(3):e29. PMID: 32021729 doi: 10.2106/JBJS.ST.18.00093Carter TH, Duckworth AD, Oliver WM, Molyneux SG, Amin AK, White TO. Open Reduction and Internal Fixation of Distal Tibial Pilon Fractures. JBJS Essent Surg Tech. 2019;9(3):e29. PMID: 32021729 doi: 10.2106/JBJS.ST.18.00093Saad BN, Yingling JM, Liporace FA, Yoon RS. Pilon Fractures: Challenges and Solutions. Orthop Res Rev. 2019;11:149–157. PMID: 31576179 doi: 10.2147/ORR.S170956Saad BN, Yingling JM, Liporace FA, Yoon RS. Pilon Fractures: Challenges and Solutions. Orthop Res Rev. 2019;11:149–157. PMID: 31576179 doi: 10.2147/ORR.S170956Rüedi T. Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation. Injury. 1973;5(2):130–134. PMID: 4774764 doi: 10.1016/s0020-1383(73)80089-0Rüedi T. Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation. Injury. 1973;5(2):130–134. PMID: 4774764 doi: 10.1016/s0020-1383(73)80089-0Müller ME. Müller AO Classification of Fractures-Long Bones. Berlin, Germany: Springer-Verlag; 2010.Müller ME. Müller AO Classification of Fractures-Long Bones. Berlin, Germany: Springer-Verlag; 2010.Dirschl DR, Adams GL. A critical assessment of factors influencing reliability in the classification of fractures, using fractures of the tibial plafond as a model. J Orthop Trauma. 1997;11(7):471–476. PMID: 9334947 doi: 10.1097/00005131-199710000-00003Dirschl DR, Adams GL. A critical assessment of factors influencing reliability in the classification of fractures, using fractures of the tibial plafond as a model. J Orthop Trauma. 1997;11(7):471–476. PMID: 9334947 doi: 10.1097/00005131-199710000-00003Ramappa M, Bajwa A, Singh A, Mackenney P, Hui A, Port A. Interobserver and intraobserver variations in tibial pilon fracture classification systems. Foot (Edinb). 2010;20(2-3):61–63. PMID: 20609577 doi: 10.1016/j.foot.2010.06.002Ramappa M, Bajwa A, Singh A, Mackenney P, Hui A, Port A. Interobserver and intraobserver variations in tibial pilon fracture classification systems. Foot (Edinb). 2010;20(2–3):61–63. PMID: 20609577 doi: 10.1016/j.foot.2010.06.002Martin JS, Marsh JL, Bonar SK, DeCoster TA, Found EM, Brandser EA. Assessment of the AO/ASIF fracture classification for the distal tibia. J Orthop Trauma. 1997;11(7):477–483. PMID: 9334948 doi: 10.1097/00005131-199710000-00004Martin JS, Marsh JL, Bonar SK, DeCoster TA, Found EM, Brandser EA. Assessment of the AO/ASIF fracture classification for the distal tibia. J Orthop Trauma. 1997;11(7):477–483. PMID: 9334948 doi: 10.1097/00005131-199710000-00004Swiontkowski MF, Sands AK, Agel J, Diab M, Schwappach JR, Kreder HJ. Interobserver variation in the AO/OTA fracture classification system for pilon fractures: is there a problem? J Orthop Trauma. 1997;11(7):467–470. PMID: 9334946 doi: 10.1097/00005131-199710000-00002Swiontkowski MF, Sands AK, Agel J, Diab M, Schwappach JR, Kreder HJ. Interobserver variation in the AO/OTA fracture classification system for pilon fractures: is there a problem? J Orthop Trauma. 1997;11(7):467–470. PMID: 9334946 doi: 10.1097/00005131-199710000-00002Cole PA, Mehrle RK, Bhandari M, Zlowodzki M. The pilon map: fracture lines and comminution zones in OTA/AO type 43C3 pilon fractures. J Orthop Trauma. 2013;27(7):e152–e156. PMID: 23360909 doi: 10.1097/BOT.0b013e318288a7e9Cole PA, Mehrle RK, Bhandari M, Zlowodzki M. The pilon map: fracture lines and comminution zones in OTA/AO type 43C3 pilon fractures. J Orthop Trauma. 2013;27(7):e152–e156. PMID: 23360909 doi: 10.1097/BOT.0b013e318288a7e9Topliss CJ, Jackson M, Atkins RM. Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br. 2005;87(5):692–697. PMID: 15855374 doi: 10.1302/0301-620X.87B5.15982Topliss CJ, Jackson M, Atkins RM. Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br. 2005;87(5):692–697. PMID: 15855374 doi: 10.1302/0301-620X.87B5.15982Tang X, Tang PF, Wang MY, Lü DC, Liu MZ, Liu CJ, et al. Pilon fractures: a new classification and therapeutic strategies. Chin Med J (Engl). 2012;125(14):2487–2492. PMID: 22882927Tang X, Tang PF, Wang MY, Lü DC, Liu MZ, Liu CJ, et al. Pilon fractures: a new classification and therapeutic strategies. Chin Med J (Engl). 2012;125(14):2487–2492. PMID: 22882927Leonetti D, Tigani D. Pilon fractures: A new classification system based on CT-scan. Injury. 2017;48(10):2311–2317. PMID: 28774706 doi: 10.1016/j.injury.2017.07.026Leonetti D, Tigani D. Pilon fractures: A new classification system based on CT-scan. Injury. 2017;48(10):2311–2317. PMID: 28774706 doi: 10.1016/j.injury.2017.07.026White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA, et al. The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study. J Orthop Trauma. 2010;24(12):757–763. PMID: 21076248 doi: 10.1097/BOT.0b013e3181d04bc0White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA, et al. The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study. J Orthop Trauma. 2010;24(12):757–763. PMID: 21076248 doi: 10.1097/BOT.0b013e3181d04bc0Keiler A, Riechelmann F, Thöni M, Brunner A, Ulmar B. Three-dimensional computed tomography reconstruction improves the reliability of tibial pilon fracture classification and preoperative surgical planning. Arch Orthop Trauma Surg. 2020;140(2):187–195. PMID: 31529150 doi: 10.1007/s00402-019-03259-8Keiler A, Riechelmann F, Thöni M, Brunner A, Ulmar B. Three-dimensional computed tomography reconstruction improves the reliability of tibial pilon fracture classification and preoperative surgical planning. Arch Orthop Trauma Surg. 2020;140(2):187–195. PMID: 31529150 doi: 10.1007/s00402-019-03259-8Byun SE, Choi W, Choi Y, Ahn T-K, Kim HK, Yoon S, et al. Impact of two-and three-dimensional computed tomography use on intraobserver and interobserver reliabilities of pilon fracture classification and treatment recommendation. Orthop Traumatol Surg Res. 2019;105(7):1407–1412. PMID: 31542310 doi: 10.1016/j.otsr.2019.07.011Byun SE, Choi W, Choi Y, Ahn T-K, Kim HK, Yoon S, et al. Impact of two-and three-dimensional computed tomography use on intraobserver and interobserver reliabilities of pilon fracture classification and treatment recommendation. Orthop Traumatol Surg Res. 2019;105(7):1407–1412. PMID: 31542310 doi: 10.1016/j.otsr.2019.07.011Palma J, Villa A, Mery P, Abarca M, Mora A, Peña A, et al. A New Classification System for Pilon Fractures Based on CT Scan: An Independent Interobserver and Intraobserver Agreement Evaluation. J Am Acad Orthop Surg. 2020;28(5):208–213. PMID: 31800439 doi: 10.5435/JAAOS-D-19-00390Palma J, Villa A, Mery P, Abarca M, Mora A, Peña A, et al. A New Classification System for Pilon Fractures Based on CT Scan: An Independent Interobserver and Intraobserver Agreement Evaluation. J Am Acad Orthop Surg. 2020;28(5):208–213. PMID: 31800439 doi: 10.5435/JAAOS-D-19-00390Qiu XS, Li XG, Qi XY, Wang Z, Chen YX. What Is the Most Reliable Classification System to Assess Tibial Pilon Fractures? J Foot Ankle Surg. 2020;59(1):48–52. PMID: 31882147 doi: 10.1053/j.jfas.2019.07.002Qiu XS, Li XG, Qi XY, Wang Z, Chen YX. What Is the Most Reliable Classification System to Assess Tibial Pilon Fractures? J Foot Ankle Surg. 2020;59(1):48–52. PMID: 31882147 doi: 10.1053/j.jfas.2019.07.002Tomás-Hernández J. High-energy pilon fractures management: State of the art. EFORT Open Rev. 2017;1(10):354–361. PMID: 28461913 doi: 10.1302/2058-5241.1.000016Tomás-Hernández J. High-energy pilon fractures management: State of the art. EFORT Open Rev. 2017;1(10):354–361. PMID: 28461913 doi: 10.1302/2058-5241.1.000016dʼHeurle A, Kazemi N, Connelly C, Wyrick JD, Archdeacon MT, Le TT. Prospective Randomized Comparison of Locked Plates Versus Nonlocked Plates for the Treatment of High-Energy Pilon Fractures. J Orthop Trauma. 2015;29(9):420–423. PMID: 26165256 doi: 10.1097/BOT.0000000000000386dʼHeurle A, Kazemi N, Connelly C, Wyrick JD, Archdeacon MT, Le TT. Prospective Randomized Comparison of Locked Plates Versus Nonlocked Plates for the Treatment of High-Energy Pilon Fractures. J Orthop Trauma. 2015;29(9):420–423. PMID: 26165256 doi: 10.1097/BOT.0000000000000386Lomax A, Singh A, Jane M N, Senthil K C. Complications and early results after operative fixation of 68 pilon fractures of the distal tibia. Scott Med J. 2015;60(2):79–84. PMID: 25630506 doi: 10.1177/0036933015569159Lomax A, Singh A, Jane M N, Senthil K C. Complications and early results after operative fixation of 68 pilon fractures of the distal tibia. Scott Med J. 2015;60(2):79–84. PMID: 25630506 doi: 10.1177/0036933015569159Zhao L, Li Y, Chen A, Zhang Z, Xi J, Yang D. Treatment of type C pilon fractures by external fixator combined with limited open reduction and absorbable internal fixation. Foot Ankle Int. 2013;34(4):534–542. PMID: 23447509 doi: 10.1177/1071100713480344Zhao L, Li Y, Chen A, Zhang Z, Xi J, Yang D. Treatment of type C pilon fractures by external fixator combined with limited open reduction and absorbable internal fixation. Foot Ankle Int. 2013;34(4):534–542. PMID: 23447509 doi: 10.1177/1071100713480344Артемьев, А. А., Загородний, Н. В., Ивашкин, А. Н., Абакиров, М. Д., Плетнев, В. В. Внешний остеосинтез по Илизарову как метод окончательной фиксации сложных переломов голеностопного сустава. Клиническая практика. 2015;(1):10–16.Artem’ev AA, Zagorodniy NV, Ivashkin AN, Bytdaev ZM, Abakirov MD. Challenges and perspeсtives of aesthetiс surgery of low limbs. Journal of Clinical Practice. 2015;6(1):4–9. (in Russ.) doi: 10.17816/clinpract614-9Giannoudis VP, Ewins E, Taylor DM, Foster P, Harwood P. Clinical and Functional Outcomes in Patients with Distal Tibial Fracture Treated by Circular External Fixation: A Retrospective Cohort Study. Strategies Trauma Limb Reconstr. 2021;16(2):86-95. PMID: 34804224 doi: 10.5005/jp-journals-10080-1516Giannoudis VP, Ewins E, Taylor DM, Foster P, Harwood P. Clinical and Functional Outcomes in Patients with Distal Tibial Fracture Treated by Circular External Fixation: A Retrospective Cohort Study. Strategies Trauma Limb Reconstr. 2021;16(2):86–95. PMID: 34804224 doi: 10.5005/jp-journals-10080-1516Helfet DL, Koval K, Pappas J, Sanders RW, DiPasquale T. Intraarticular “pilon” fracture of the tibia. Clin Orthop Relat Res. 1994;(298):221–228. PMID: 8118979Helfet DL, Koval K, Pappas J, Sanders RW, DiPasquale T. Intraarticular “pilon” fracture of the tibia. Clin Orthop Relat Res. 1994;(298):221–228. PMID: 8118979Patterson MJ, Cole JD. Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999;13(2):85–91. PMID: 10052781 doi: 10.1097/00005131-199902000-00003Patterson MJ, Cole JD. Two-staged delayed open reduction and internal fixation of severe pilon fractures. J Orthop Trauma. 1999;13(2):85–91. PMID: 10052781 doi: 10.1097/00005131-199902000-00003Sirkin M, Sanders R, DiPasquale T, Herscovici D Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 1999;13(2):78–84. PMID: 10052780 doi: 10.1097/00005131-199902000-00002Sirkin M, Sanders R, DiPasquale T, Herscovici D Jr. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma. 1999;13(2):78–84. PMID: 10052780 doi: 10.1097/00005131-199902000-00002Stillhard PF, Frima H, Sommer C. Pilonfrakturen – Überlegungen zur Versorgung und Zugänge. Oper Orthop Traumatol. 2018;30(6):435–456. PMID: 30334079 doi: 10.1007/s00064-018-0570-8Stillhard PF, Frima H, Sommer C. Pilonfrakturen – Überlegungen zur Versorgung und Zugänge. Oper Orthop Traumatol. 2018;30(6):435–456. PMID: 30334079 doi: 10.1007/s00064-018-0570-8Tornetta P 3<sup>rd</sup>, Gorup J. Axial computed tomography of pilon fractures. Clin Orthop Relat Res. 1996;(323):273–276. PMID: 8625591 doi: 10.1097/00003086-199602000-00037Tornetta P 3rd, Gorup J. Axial computed tomography of pilon fractures. Clin Orthop Relat Res. 1996;(323):273–276. PMID: 8625591 doi: 10.1097/00003086-199602000-00037Calori GM, Tagliabue L, Mazza E, de Bellis U, Pierannunzii L, Marelli BM, et al. Tibial pilon fractures: which method of treatment? Injury. 2010;41(11):1183–1190. PMID: 20870227 doi: 10.1016/j.injury.2010.08.041Calori GM, Tagliabue L, Mazza E, de Bellis U, Pierannunzii L, Marelli BM, et al. Tibial pilon fractures: which method of treatment? Injury. 2010;41(11):1183–1190. PMID: 20870227 doi: 10.1016/j.injury.2010.08.041Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993;(292):108–117. PMID: 8519097Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993;(292):108–117. PMID: 8519097Manegold S, Springer A, Märdia S, Tsitsilonis S. Treatment Algorithm for Pilon Fracture – Clinical and Radiological Results. Algoritmus léčby zlomenin pilonu – klinické a radiologické výsledky. Acta Chir Orthop Traumatol Cech. 2019;86(1):11–17. PMID: 30843508Manegold S, Springer A, Märdia S, Tsitsilonis S. Treatment Algorithm for Pilon Fracture - Clinical and Radiological Results. Algoritmus léčby zlomenin pilonu – klinické a radiologické výsledky. Acta Chir Orthop Traumatol Cech. 2019;86(1):11–17. PMID: 30843508Duckworth AD, Jefferies JG, Clement ND, White TO. Type C tibial pilon fractures: short- and long-term outcome following operative intervention. Bone Joint J. 2016;98-B(8):1106–1111. PMID: 27482025 doi: 10.1302/0301-620X.98B8.36400Duckworth AD, Jefferies JG, Clement ND, White TO. Type C tibial pilon fractures: short- and long-term outcome following operative intervention. Bone Joint J. 2016;98-B(8):1106–1111. PMID: 27482025 doi: 10.1302/0301-620X.98B8.36400Pollak AN, McCarthy ML, Bess RS, Agel J, Swiontkowski MF. Outcomes after treatment of high-energy tibial plafond fractures. J Bone Joint Surg Am. 2003;85(10):1893–1900. PMID: 14563795 doi: 10.2106/00004623-200310000-00005Pollak AN, McCarthy ML, Bess RS, Agel J, Swiontkowski MF. Outcomes after treatment of high-energy tibial plafond fractures. J Bone Joint Surg Am. 2003;85(10):1893–1900. PMID: 14563795 doi: 10.2106/00004623-200310000-00005Ware J, Snow KK, Kosinski M, Gandek B. SF36 Health Survey: Manual and Interpretation Guide. Lincoln, RI: Quality Metric, Inc; 1993. p. 30.Ware J, Snow KK, Kosinski M, Gandek B. SF36 Health Survey: Manual and Interpretation Guide. Lincoln, RI: Quality Metric, Inc; 1993. p.30.Cutillas-Ybarra MB, Lizaur-Utrilla A, Lopez-Prats FA. Prognostic factors of health-related quality of life in patients after tibial plafond fracture. A pilot study. Injury. 2015;46(11):2253–2257. PMID: 26115581 doi: 10.1016/j.injury.2015.06.025Cutillas-Ybarra MB, Lizaur-Utrilla A, Lopez-Prats FA. Prognostic factors of health-related quality of life in patients after tibial plafond fracture. A pilot study. Injury. 2015;46(11):2253–2257. PMID: 26115581 doi: 10.1016/j.injury.2015.06.025Harris AM, Patterson BM, Sontich JK, Vallier HA. Results and outcomes after operative treatment of high-energy tibial plafond fractures. Foot Ankle Int. 2006;27(4):256–265. PMID: 16624215 doi: 10.1177/107110070602700406Harris AM, Patterson BM, Sontich JK, Vallier HA. Results and outcomes after operative treatment of high-energy tibial plafond fractures. Foot Ankle Int. 2006;27(4):256–265. PMID: 16624215 doi: 10.1177/107110070602700406Boraiah S, Kemp TJ, Erwteman A, Lucas PA, Asprinio DE. Outcome following open reduction and internal fixation of open pilon fractures. J Bone Joint Surg Am. 2010;92(2):346–352. PMID: 20124061 doi: 10.2106/JBJS.H.01678Boraiah S, Kemp TJ, Erwteman A, Lucas PA, Asprinio DE. Outcome following open reduction and internal fixation of open pilon fractures. J Bone Joint Surg Am. 2010;92(2):346–352. PMID: 20124061 doi: 10.2106/JBJS.H.01678van den Berg J, Monteban P, Roobroeck M, Smeets B, Nijs S, Hoekstra H. Functional outcome and general health status after treatment of AO type 43 distal tibial fractures. Injury. 2016;47(7):1519-1524. PMID: 27129909 doi: 10.1016/j.injury.2016.04.009van den Berg J, Monteban P, Roobroeck M, Smeets B, Nijs S, Hoekstra H. Functional outcome and general health status after treatment of AO type 43 distal tibial fractures. Injury. 2016;47(7):1519–1524. PMID: 27129909 doi: 10.1016/j.injury.2016.04.009Marsh JL, Weigel DP, Dirschl DR. Tibial plafond fractures. How do these ankles function over time? J Bone Joint Surg Am. 2003;85(2):287–295. PMID: 12571307Marsh JL, Weigel DP, Dirschl DR. Tibial plafond fractures. How do these ankles function over time? J Bone Joint Surg Am. 2003;85(2):287–295. PMID: 12571307Bonato LJ, Edwards ER, Gosling CM, Hau R, Hofstee DJ, Shuen A, et al. Patient reported health related quality of life early outcomes at 12 months after surgically managed tibial plafond fracture. Injury. 2017;48(4):946–953. PMID: 28233519 doi: 10.1016/j.injury.2016.11.012Bonato LJ, Edwards ER, Gosling CM, Hau R, Hofstee DJ, Shuen A, et al. Patient reported health related quality of life early outcomes at 12 months after surgically managed tibial plafond fracture. Injury. 2017;48(4):946–953. PMID: 28233519 doi: 10.1016/j.injury.2016.11.012Zeng J, Xu C, Xu G, Zhang W, Wang D, Li H, et al. Evaluation of Ankle Fractures in 228 Patients from a Single Center Using Three-Dimensional Computed Tomography Mapping. Front Bioeng Biotechnol. 2022;10:855114. PMID: 35372321 doi: 10.3389/fbioe.2022.855114Zeng J, Xu C, Xu G, Zhang W, Wang D, Li H, et al. Evaluation of Ankle Fractures in 228 Patients from a Single Center Using Three-Dimensional Computed Tomography Mapping. Front Bioeng Biotechnol. 2022;10:855114. PMID: 35372321 doi: 10.3389/fbioe.2022.855114Leslie M. Pilon Fractures. C C V5. 2021. https://ota.org/sites/files/2021-06/LE%20F%26A1%20Pilon%20Fractures.pdf [Accessed May 16, 2024].Leslie M. Pilon Fractures. C C V5. 2021. https://ota.org/sites/files/2021-06/LE%20F%26A1%20Pilon%20Fractures.pdf [Accessed May 16, 2024].Hak DJ, Rose J, Stahel PF. Preoperative planning in orthopedic trauma: benefits and contemporary uses. Orthopedics. 2010;33(8):581–584. PMID: 20704156 doi: 10.3928/01477447-20100625-21Hak DJ, Rose J, Stahel PF. Preoperative planning in orthopedic trauma: benefits and contemporary uses. Orthopedics. 2010;33(8):581–584. PMID: 20704156 doi: 10.3928/01477447-20100625-21Pilson HT, Reddix RN Jr, Mutty CE, Webb LX. The long lost art of preoperative planning--resurrected? Orthopedics. 2008;31(12): orthosupersite.com/. PMID: 19226056 doi: 10.3928/01477447-20081201-19Pilson HT, Reddix RN Jr, Mutty CE, Webb LX. The long lost art of preoperative planning-resurrected? Orthopedics. 2008;31(12): orthosupersite.com/. PMID: 19226056 doi: 10.3928/01477447-20081201-19Galán-Olleros M, García-Coiradas J, Llanos S, Valle-Cruz JA, Marco F. Fracture planning is easy: Development of a basic method of digital planning based on the traditional pencil and paper technique. Planificar fracturas es sencillo: desarrollo de un método básico de planificación digital basado en la técnica tradicional con lápiz y papel. Rev Esp Cir Ortop Traumatol. 2022;66(5):328–340. PMID: 34366259 doi: 10.1016/j.recot.2021.05.002Galán-Olleros M, García-Coiradas J, Llanos S, Valle-Cruz JA, Marco F. Fracture planning is easy: Development of a basic method of digital planning based on the traditional pencil and paper technique. Planificar fracturas es sencillo: desarrollo de un método básico de planificación digital basado en la técnica tradicional con lápiz y papel. Rev Esp Cir Ortop Traumatol. 2022;66(5):328–340. PMID: 34366259 doi: 10.1016/j.recot.2021.05.002Ordas-Bayon A, Cabrera Ortiz D, Logan K, Pesantez R. Enhancing Preoperative Planning in Orthopedic Trauma Surgery Using a Presentation Software. Rev Bras Ortop (Sao Paulo). 2021;56(4):517–522. PMID: 34602675. doi: 10.1055/s-0040-1721833Ordas-Bayon A, Cabrera Ortiz D, Logan K, Pesantez R. Enhancing Preoperative Planning in Orthopedic Trauma Surgery Using a Presentation Software. Rev Bras Ortop (Sao Paulo). 2021;56(4):517–522. PMID: 34602675. doi: 10.1055/s-0040-1721833Steinberg EL, Segev E, Drexler M, Ben-Tov T, Nimrod S. Preoperative Planning of Orthopedic Procedures using Digitalized Software Systems. Isr Med Assoc J. 2016;18(6):354–358. PMID: 27468530Steinberg EL, Segev E, Drexler M, Ben-Tov T, Nimrod S. Preoperative Planning of Orthopedic Procedures using Digitalized Software Systems. Isr Med Assoc J. 2016;18(6):354–358. PMID: 27468530Benum P, Aamodt A, Nordsletten L. Customised femoral stems in osteopetrosis and the development of a guiding system for the preparation of an intramedullary cavity: a report of two cases. J Bone Joint Surg Br. 2010;92(9):1303–1305. PMID: 20798453 doi: 10.1302/0301-620X.92B9.24415Benum P, Aamodt A, Nordsletten L. Customised femoral stems in osteopetrosis and the development of a guiding system for the preparation of an intramedullary cavity: a report of two cases. J Bone Joint Surg Br. 2010;92(9):1303–1305. PMID: 20798453 doi: 10.1302/0301-620X.92B9.24415Davidovitch RI, Weil Y, Karia R, Forman J, Looze C, Liebergall M, et al. Intraoperative syndesmotic reduction: three-dimensional versus standard fluoroscopic imaging. J Bone Joint Surg Am. 2013;95(20):1838–1843. PMID: 24132357 doi: 10.2106/JBJS.L.00382Davidovitch RI, Weil Y, Karia R, Forman J, Looze C, Liebergall M, et al. Intraoperative syndesmotic reduction: three-dimensional versus standard fluoroscopic imaging. J Bone Joint Surg Am. 2013;95(20):1838–1843. PMID: 24132357 doi: 10.2106/JBJS.L.00382Chana-Rodríguez F, Mañanes RP, Rojo-Manaute J, Gil P, Martínez-Gómiz JM, Vaquero-Martín J. 3D surgical printing and pre contoured plates for acetabular fractures. Injury. 2016;47(11):2507–2511. PMID: 27599393 doi: 10.1016/j.injury.2016.08.027Chana-Rodríguez F, Mañanes RP, Rojo-Manaute J, Gil P, Martínez-Gómiz JM, Vaquero-Martín J. 3D surgical printing and pre contoured plates for acetabular fractures. Injury. 2016;47(11):2507–2511. PMID: 27599393 https://doi.org/10.1016/j.injury.2016.08.027Bai J, Wang Y, Zhang P, Liu M, Wang P, Wang J, et al. Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2018;13(1):283. PMID: 30419933 doi: 10.1186/s13018-018-0976-xBai J, Wang Y, Zhang P, Liu M, Wang P, Wang J, et al. Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2018;13(1):283. PMID: 30419933 doi: 10.1186/s13018-018-0976-xMeng M, Wang J, Sun T, Zhang W, Zhang J, Shu L, et al. Clinical applications and prospects of 3D printing guide templates in orthopaedics. J Orthop Translat. 2022;34:22–41. doi: 10.1016/j.jot.2022.03.001Meng M, Wang J, Sun T, Zhang W, Zhang J, Shu L, et al. Clinical applications and prospects of 3D printing guide templates in orthopaedics. J Orthop Translat. 2022;34:22–41. doi: 10.1016/j.jot.2022.03.001Chepelev L, Wake N, Ryan J, Althobaity W, Gupta A, Arribas E, et al. Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios. 3D Print Med. 2018;4(1):11. PMID: 30649688 doi: 10.1186/s41205-018-0030-yChepelev L, Wake N, Ryan J, Althobaity W, Gupta A, Arribas E, et al. Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios. 3D Print Med. 2018;4(1):11. PMID: 30649688 doi: 10.1186/s41205-018-0030-yAuricchio F, Marconi S. 3D printing: clinical applications in orthopaedics and traumatology. EFORT Open Rev. 2017;1(5):121–127. PMID: 28461938 doi: 10.1302/2058-5241.1.000012Auricchio F, Marconi S. 3D printing: clinical applications in orthopaedics and traumatology. EFORT Open Rev. 2017;1(5):121–127. PMID: 28461938 doi: 10.1302/2058-5241.1.000012Skelley NW, Smith MJ, Ma R, Cook JL. Three-dimensional Printing Technology in Orthopaedics. J Am Acad Orthop Surg. 2019;27(24):918–925. PMID: 31268868 doi: 10.5435/JAAOS-D-18-00746Skelley NW, Smith MJ, Ma R, Cook JL. Three-dimensional Printing Technology in Orthopaedics. J Am Acad Orthop Surg. 2019;27(24):918–925. PMID: 31268868 doi: 10.5435/JAAOS-D-18-00746Alemayehu DG, Zhang Z, Tahir E, Gateau D, Zhang DF, Ma X. Preoperative Planning Using 3D Printing Technology in Orthopedic Surgery. Biomed Res Int. 2021;2021:7940242. PMID: 34676264 doi: 10.1155/2021/7940242Alemayehu DG, Zhang Z, Tahir E, Gateau D, Zhang DF, Ma X. Preoperative Planning Using 3D Printing Technology in Orthopedic Surgery. Biomed Res Int. 2021;2021:7940242. PMID: 34676264 doi: 10.1155/2021/7940242Pal AK, Bhanakar U, Ray B. Three-dimensional (3D) printing: A potentially versatile tool in the field of medicine. Indian J Clin Anat Physiol. 2022;9(2):78–84. doi: 10.18231/j.ijcap.2022.020Pal AK, Bhanakar U, Ray B. Three-dimensional (3D) printing: A potentially versatile tool in the field of medicine. Indian J Clin Anat Physiol. 2022;9(2):78–84. doi: 10.18231/j.ijcap.2022.020Morgan C, Khatri C, Hanna SA, Ashrafian H, Sarraf KM. Use of three-dimensional printing in preoperative planning in orthopaedic trauma surgery : A systematic review and meta-analysis. World J Orthop. 2020;11(1):57–67. PMID: 31966970 doi: 10.5312/wjo.v11.i1.57Morgan C, Khatri C, Hanna SA, Ashrafian H, Sarraf KM. Use of three-dimensional printing in preoperative planning in orthopaedic trauma surgery : A systematic review and meta-analysis. World J Orthop. 2020;11(1):57–67. PMID: 31966970 doi: 10.5312/wjo.v11.i1.57Ertürk C, Ayyıldız S, Erdöl C. Orthopedics and 3D technology in Turkey: A preliminary report. Jt Dis Relat Surg. 2021;32(2):279–289. PMID: 34145802 doi: 10.52312/jdrs.2021.20Ertürk C, Ayyıldız S, Erdöl C. Orthopedics and 3D technology in Turkey: A preliminary report. Jt Dis Relat Surg. 2021;32(2):279–289. PMID: 34145802 doi: 10.52312/jdrs.2021.20Zheng W, Su J, Cai L, Lou Y, Wang J, Guo X, et al. Application of 3D-printing technology in the treatment of humeral intercondylar fractures. Orthop Traumatol Surg Res. 2018;104(1):83–88. PMID: 29248764 doi: 10.1016/j.otsr.2017.11.012Zheng W, Su J, Cai L, Lou Y, Wang J, Guo X, et al. Application of 3D-printing technology in the treatment of humeral intercondylar fractures. Orthop Traumatol Surg Res. 2018;104(1):83–88. PMID: 29248764 doi: 10.1016/j.otsr.2017.11.012Zheng W, Tao Z, Lou Y, Feng Z, Li H, Cheng L, et al. Comparison of the Conventional Surgery and the Surgery Assisted by 3d Printing Technology in the Treatment of Calcaneal Fractures. J Invest Surg. 2018;31(6):557–567. PMID: 28925760 doi: 10.1080/08941939.2017.1363833Zheng W, Tao Z, Lou Y, Feng Z, Li H, Cheng L, et al. Comparison of the Conventional Surgery and the Surgery Assisted by 3d Printing Technology in the Treatment of Calcaneal Fractures. J Invest Surg. 2018;31(6):557–567. PMID: 28925760 doi: 10.1080/08941939.2017.1363833Xie L, Chen C, Zhang Y, Zheng W, Chen H, Cai L. Three-dimensional printing assisted ORIF versus conventional ORIF for tibial plateau fractures : A systematic review and meta-analysis. Int J Surg. 2018;57:35–44. PMID: 30081183 doi: 10.1016/j.ijsu.2018.07.012Xie L, Chen C, Zhang Y, Zheng W, Chen H, Cai L. Three-dimensional printing assisted ORIF versus conventional ORIF for tibial plateau fractures : A systematic review and meta-analysis. Int J Surg. 2018;57:35–44. PMID: 30081183 doi: 10.1016/j.ijsu.2018.07.012Wong RMY, Wong PY, Liu C, Chung YL, Wong KC, Tso CY, et al. 3D printing in orthopaedic surgery : a scoping review of randomized controlled trials. Bone Joint Res. 2021;10(12):807–819. PMID: 34923849 doi: 10.1302/2046-3758.1012.BJR-2021-0288.R2Wong RMY, Wong PY, Liu C, Chung YL, Wong KC, Tso CY, et al. 3D printing in orthopaedic surgery: a scoping review of randomized controlled trials. Bone Joint Res. 2021;10(12):807–819. PMID: 34923849 doi: 10.1302/2046-3758.1012.BJR-2021-0288.R2Moya D, Gobbato B, Valente S, Roca R. Uso de planificación preoperatoria e impresión 3D en ortopedia y traumatología: ingresando en una nueva era [Use of preoperative planning and 3D printing in orthopedics and traumatology: entering a new era]. Acta Ortop Mex. 2022;36(1):39–47. PMID: 36099572Moya D, Gobbato B, Valente S, Roca R. Uso de planificación preoperatoria e impresión 3D en ortopedia y traumatología: ingresando en una nueva era [Use of preoperative planning and 3D printing in orthopedics and traumatology: entering a new era]. Acta Ortop Mex. 2022;36(1):39–47. PMID: 36099572Hull CW. Apparatus for production of three-dimensional objects by stereolithography. Patent Number: 4575330. United States; 1986.Hull CW. Apparatus for production of three-dimensional objects by stereolithography. Patent Number: 4575330. United States; 1986.Zhuang Y, Cao S, Lin Y, Li R, Wang G, Wang Y. Minimally invasive plate osteosynthesis of acetabular anterior column fractures using the two-incision minimally invasive approach and a preshaped three dimension plate. Int Orthop. 2016;40(10):2157–2162. PMID: 26768591 doi: 10.1007/s00264-015-3111-1Zhuang Y, Cao S, Lin Y, Li R, Wang G, Wang Y. Minimally invasive plate osteosynthesis of acetabular anterior column fractures using the two-incision minimally invasive approach and a preshaped three dimension plate. Int Orthop. 2016;40(10):2157–2162. PMID: 26768591 doi: 10.1007/s00264-015-3111-1Yang L, Shang XW, Fan JN, He ZX, Wang JJ, Liu M, et al. Application of 3D Printing in the Surgical Planning of Trimalleolar Fracture and Doctor-Patient Communication. Biomed Res Int. 2016;2016:2482086. PMID: 27446944 doi: 10.1155/2016/2482086Yang L, Shang XW, Fan JN, He ZX, Wang JJ, Liu M, et al. Application of 3D Printing in the Surgical Planning of Trimalleolar Fracture and Doctor-Patient Communication. Biomed Res Int. 2016;2016:2482086. PMID: 27446944 doi: 10.1155/2016/2482086Zheng W, Chen C, Zhang C, Tao Z, Cai L. The Feasibility of 3D Printing Technology on the Treatment of Pilon Fracture and Its Effect on Doctor-Patient Communication. Biomed Res Int. 2018;2018:8054698. PMID: 29581985 doi: 10.1155/2018/8054698Zheng W, Chen C, Zhang C, Tao Z, Cai L. The Feasibility of 3D Printing Technology on the Treatment of Pilon Fracture and Its Effect on Doctor-Patient Communication. Biomed Res Int. 2018;2018:8054698. PMID: 29581985 doi: 10.1155/2018/8054698Burwell HN, Charnley AD. The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. J Bone Joint Surg Br. 1965;47(4):634–660. PMID: 5846764Burwell HN, Charnley AD. The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. J Bone Joint Surg Br. 1965;47(4):634–660. PMID: 5846764Li Y, Yuan Z. Application of rapid prototype and 3D printing in therapy of complex pilon fractures. Chin J Orthop Trauma. 2016;18(1):42–46.Li Y, Yuan Z. Application of rapid prototype and 3D printing in therapy of complex pilon fractures. Chin J Orthop Trauma. 2016;18(1):42–46.Gu H, Zhang Y, Lv X, Zhao A, Zhu M, Zhang J, et al. 3D printing technology in applicatoin of tibial PILON fractures. Chin J Trauma Disabil Med. 2017;24:8–10.Gu H, Zhang Y, Lv X, Zhao A, Zhu M, Zhang J, et al. 3D printing technology in applicatoin of tibial PILON fractures. Chin J Trauma Disabil Med. 2017;24:8–10.Ou Yang HW, Zhao XD, Shi KM. Clinical application of 3D printing technique in the treatment of high energy Pilon fracture. Chin Cont Med Edu. 2017;9(17):130–131.Ou Yang HW, Zhao XD, Shi KM. Clinical application of 3D printing technique in the treatment of high energy Pilon fracture. Chin Cont Med Edu. 2017;9(17):130–131.Huang J, Wang XP, Deng ZC, Wu W-W, Chen L-Y, Hu S-Q, et al. Application of three-dimensional reconstruction using mimics software to repair of pilon fracture. J Clin Tis Eng Res. 2015;19(44):7167–7171.Huang J, Wang XP, Deng ZC, Wu W-W, Chen L-Y, Hu S-Q, et al. Application of three-dimensional reconstruction using mimics software to repair of pilon fracture. J Clin Tis Eng Res. 2015;19(44):7167–7171.Yang S, Lin H, Luo C. Meta-Analysis of 3D Printing Applications in Traumatic Fractures. Front Surg. 2021;8:696391. PMID: 34532337 doi: 10.3389/fsurg.2021.696391Yang S, Lin H, Luo C. Meta-Analysis of 3D Printing Applications in Traumatic Fractures. Front Surg. 2021;8:696391. PMID: 34532337 doi: 10.3389/fsurg.2021.696391Jiang M, Chen G, Coles-Black J, Chuen J, Hardidge A. Three-dimensional printing in orthopaedic preoperative planning improves intraoperative metrics : a systematic review. ANZ J Surg. 2020 Mar;90(3):243–250. PMID: 31701621 doi: 10.1111/ans.15549Jiang M, Chen G, Coles-Black J, Chuen J, Hardidge A. Three-dimensional printing in orthopaedic preoperative planning improves intraoperative metrics : a systematic review. ANZ J Surg. 2020 Mar;90(3):243–250. PMID: 31701621 doi: 10.1111/ans.15549Xiong L, Li X, Li H, Chen Z, Xiao T. The efficacy of 3D printing-assisted surgery for traumatic fracture: a meta-analysis. Postgrad Med J. 2019;95(1126):414–419. PMID: 31324729 doi: 10.1136/postgradmedj-2019-136482Xiong L, Li X, Li H, Chen Z, Xiao T. The efficacy of 3D printing-assisted surgery for traumatic fracture: a meta-analysis. Postgrad Med J. 2019;95(1126):414–419. PMID: 31324729 doi: 10.1136/postgradmedj-2019-136482Kang HJ, Kim BS, Kim SM, Kim YM, Kim HN, Park JY, et al. Can Preoperative 3D Printing Change Surgeon’s Operative Plan for Distal Tibia Fracture? Biomed Res Int. 2019;2019:7059413. PMID: 30886862 doi: 10.1155/2019/7059413Kang HJ, Kim BS, Kim SM, Kim YM, Kim HN, Park JY, et al. Can Preoperative 3D Printing Change Surgeon’s Operative Plan for Distal Tibia Fracture? Biomed Res Int. 2019;2019:7059413. PMID: 30886862 doi: 10.1155/2019/7059413Oki S, Kobayashi H, Kubota H, Umezu T, Nagasaki M, Iwabu S. A Pilon Fracture With Fibular Head Dislocation Treated With the Use of 3D Preoperative Planning : A Case Report and Literature Review. J Foot Ankle Surg. 2021;60(2):404–407. PMID: 33423890 doi: 10.1053/j.jfas.2020.09.014Oki S, Kobayashi H, Kubota H, Umezu T, Nagasaki M, Iwabu S. A Pilon Fracture With Fibular Head Dislocation Treated With the Use of 3D Preoperative Planning : A Case Report and Literature Review. J Foot Ankle Surg. 2021;60(2):404–407. PMID: 33423890 doi: 10.1053/j.jfas.2020.09.014Merema BJ, Kraeima J, Ten Duis K, Wendt KW, Warta R, Vos E, et al. The design, production and clinical application of 3D patient-specific implants with drilling guides for acetabular surgery. Injury. 2017;48(11):2540–2547. PMID: 28899562 doi: 10.1016/j.injury.2017.08.059Merema BJ, Kraeima J, Ten Duis K, Wendt KW, Warta R, Vos E, et al. The design, production and clinical application of 3D patient-specific implants with drilling guides for acetabular surgery. Injury. 2017;48(11):2540–2547. PMID: 28899562 doi: 10.1016/j.injury.2017.08.059Stockmans F, Dezillie M, Vanhaecke J. Accuracy of 3D Virtual Planning of Corrective Osteotomies of the Distal Radius. J Wrist Surg. 2013;2(4):306–314. PMID: 24436834 doi: 10.1055/s-0033-1359307Stockmans F, Dezillie M, Vanhaecke J. Accuracy of 3D Virtual Planning of Corrective Osteotomies of the Distal Radius. J Wrist Surg. 2013;2(4):306–314. PMID: 24436834 doi: 10.1055/s-0033-1359307Cho W, Job AV, Chen J, Baek JH. A Review of Current Clinical Applications of Three-Dimensional Printing in Spine Surgery. Asian Spine J. 2018;12(1):171–177. PMID: 29503698 doi: 10.4184/asj.2018.12.1.171Cho W, Job AV, Chen J, Baek JH. A Review of Current Clinical Applications of Three-Dimensional Printing in Spine Surgery. Asian Spine J. 2018;12(1):171–177. PMID: 29503698 doi: 10.4184/asj.2018.12.1.171Coakley M, Hurt DE. 3D Printing in the Laboratory: Maximize Time and Funds with Customized and Open-Source Labware. J Lab Autom. 2016;21(4):489–495. PMID: 27197798 doi: 10.1177/2211068216649578Coakley M, Hurt DE. 3D Printing in the Laboratory: Maximize Time and Funds with Customized and Open-Source Labware. J Lab Autom. 2016;21(4):489–495. PMID: 27197798 doi: 10.1177/2211068216649578Buijze GA, Leong NL, Stockmans F, Axelsson P, Moreno R, Ibsen Sörensen A, et al. Three-Dimensional Compared with Two-Dimensional Preoperative Planning of Corrective Osteotomy for Extra-Articular Distal Radial Malunion: A Multicenter Randomized Controlled Trial. J Bone Joint Surg Am. 2018;100(14):1191–1202. PMID: 30020124 doi: 10.2106/JBJS.17.00544Buijze GA, Leong NL, Stockmans F, Axelsson P, Moreno R, Ibsen Sörensen A, et al. Three-Dimensional Compared with Two-Dimensional Preoperative Planning of Corrective Osteotomy for Extra-Articular Distal Radial Malunion: A Multicenter Randomized Controlled Trial. J Bone Joint Surg Am. 2018;100(14):1191–1202. PMID: 30020124 doi: 10.2106/JBJS.17.00544Pehde CE, Bennett J, Lee Peck B, Gull L. Development of a 3-D Printing Laboratory for Foot and Ankle Applications. Clin Podiatr Med Surg. 2020;37(2):195–213. PMID: 32146978 doi: 10.1016/j.cpm.2019.12.011Pehde CE, Bennett J, Lee Peck B, Gull L. Development of a 3-D Printing Laboratory for Foot and Ankle Applications. Clin Podiatr Med Surg. 2020;37(2):195–213. PMID: 32146978 doi: 10.1016/j.cpm.2019.12.011Pugliese R, Regondi S. Artificial Intelligence-Empowered 3D and 4D Printing Technologies toward Smarter Biomedical Materials and Approaches. Polymers (Basel). 2022;14(14):2794. PMID: 35890571 doi: 10.3390/polym14142794Pugliese R, Regondi S. Artificial Intelligence-Empowered 3D and 4D Printing Technologies toward Smarter Biomedical Materials and Approaches. Polymers (Basel). 2022;14(14):2794. PMID: 35890571 doi: 10.3390/polym14142794Mondal K, Tripathy PK. Preparation of Smart Materials by Additive Manufacturing Technologies : A Review. Materials (Basel). 2021;14(21):6442. PMID: 34771968 doi: 10.3390/ma14216442Mondal K, Tripathy PK. Preparation of Smart Materials by Additive Manufacturing Technologies : A Review. Materials (Basel). 2021;14(21):6442. PMID: 34771968 doi: 10.3390/ma14216442Vasiliadis AV, Koukoulias N, Katakalos K. From Three-Dimensional (3D)- to 6D-Printing Technology in Orthopedics: Science Fiction or Scientific Reality? J Funct Biomater. 2022;13(3):101. PMID: 35893469 doi: 10.3390/jfb13030101Vasiliadis AV, Koukoulias N, Katakalos K. From Three-Dimensional (3D)- to 6D-Printing Technology in Orthopedics: Science Fiction or Scientific Reality? J Funct Biomater. 2022;13(3):101. PMID: 35893469 doi: 10.3390/jfb13030101

The authors declare that there are no conflicts of interest present.