original Open Access

Novel Three-Dimensional Printed Patient-Specific Surgical Guides for Complex Pelvic Fracture Fixation

Christopher J. Hayes, MD; Amanda S. Liu, MD, PhD; Michael B. Torres, MD, FACS

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA; Department of Biomedical Engineering, Cornell University, Ithaca, NY, USA

Corresponding Author: Christopher J. Hayes (hayesc@hss.edu)

Received: October 10, 2024 Accepted: January 5, 2025 Published: February 1, 2025

DOI: 10.XXXXX/ajoams.2025.0105

Abstract

Background: Complex pelvic fractures present significant surgical challenges due to irregular anatomy and limited visualization. This study evaluates the feasibility and accuracy of three-dimensional (3D) printed patient-specific surgical guides for percutaneous screw placement in complex pelvic fractures. Methods: Twenty-four patients with complex pelvic fractures were prospectively enrolled. Patient-specific guides were designed from CT data using computer-aided design software and manufactured using selective laser sintering. Results: All screws were placed successfully using the 3D printed guides. Mean angular deviation was 2.1° ± 0.8° and mean entry point deviation was 1.4 ± 0.6 mm. No neurovascular complications were observed. Conclusions: 3D printed patient-specific surgical guides provide a safe and accurate method for percutaneous screw placement in complex pelvic fractures.

Keywords: 3D printing pelvic fracture surgical guide patient-specific percutaneous fixation orthopedic surgery

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Introduction

Complex pelvic fractures remain among the most challenging injuries in orthopedic trauma surgery. The complex three-dimensional anatomy of the pelvis, combined with the proximity of critical neurovascular structures, demands precise surgical planning and execution.

References

1. Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br. 1988;70(1):1-12. 2. Letournel E, Judet R. Fractures of the Acetabulum. 2nd ed. Berlin: Springer-Verlag; 1993.

How to Cite

APA Style

Christopher J. Hayes, MD; Amanda S. Liu, MD, PhD; Michael B. Torres, MD, FACS (2025). Novel Three-Dimensional Printed Patient-Specific Surgical Guides for Complex Pelvic Fracture Fixation. American Journal of Advanced Medical and Surgical Sciences, 2(1), 59-71. https://doi.org/10.XXXXX/ajoams.2025.0105

Vancouver Style

Christopher J. Hayes, MD; Amanda S. Liu, MD, PhD; Michael B. Torres, MD, FACS. Novel Three-Dimensional Printed Patient-Specific Surgical Guides for Complex Pelvic Fracture Fixation. Am J Adv Med Surg Sci. 2025;2(1):59-71. doi:10.XXXXX/ajoams.2025.0105

License: This article is published under the CC BY 4.0 license. Authors retain copyright while allowing anyone to read, download, and share the article, provided the original work is properly cited.