Our experience in 3D-modelling in pilon (distal tibial plafond) fractures

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Abstract

BACKGROUND: Internal fixation of pilon fractures remains challenging despite the development of new technologies in medical imaging and implant design and various scientific investigations on this problem. A key point in therapeutic strategy is preoperative planning. Since the beginning of the twenty-first century, the procedure has changed dramatically from plain radiograph drawing to 3D models and internal fixation simulation in vitro.

AIM: This study aimed to evaluate 3D modeling in pilon fracture osteosynthesis preoperative planning.

MATERIALS AND METHODS: The study used open, prospective, randomized, and comparative analysis. We analyzed the data of 60 patients with pilon fractures who had undergone surgical treatment for pilon fractures between July 1, 2020, and December 12, 2021, in Moscow City Hospital No. 17. In 30 patients, 3D models were used in preoperative planning, and in another 30 patients, the traditional planning method was performed. The operation time, intraoperation, X-ray dosage, blood loss, fracture reduction quality, and long-term results were analyzed. Additionally, the surgeon’s comfort in applying the 3D model and ease of doctor–patient communication were assessed using questionnaires.

RESULTS: Results showed that 3D modeling in pilon fracture osteosynthesis preoperative planning has advantages over traditional preoperative planning.

CONCLUSION: Therefore, 3D planning is a promising novel method for distal tibial fracture internal fixation preoperative planning, which provides significant higher degree of fracture anatomy comprehension and facilitates reduction maneuvers and implant positioning.

About the authors

Mikhail V. Parshikov

Moscow State University of Medicine and Dentistry

Email: parshikovmikhail@gmail.com
ORCID iD: 0000-0003-4201-4577
SPIN-code: 5838-4366

MD, Dr. Sci. (Med.), professor

Russian Federation, Moscow

Arsenty B. Koshkin

Moscow State University of Medicine and Dentistry; City Clinical Hospital № 17

Author for correspondence.
Email: febris@mail.ru
ORCID iD: 0000-0002-7616-2255
SPIN-code: 4561-6000
Russian Federation, Moscow; Moscow

Nikolay V. Yarigin

Moscow State University of Medicine and Dentistry

Email: dom1971@yandex.ru
ORCID iD: 0000-0003-4322-6985
SPIN-code: 3258-4436

MD, Dr. Sci. (Med.), professor, corresponding member of the Russian Academy of Sciences

Russian Federation, Moscow

Sergey V. Novikov

City Clinical Hospital № 17

Email: nadin-79@bk.ru
ORCID iD: 0000-0002-5667-5184

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Andrey A. Prokhorov

Botkin City Clinical Hospital

Email: dr.prokhorov.aa@yandex.ru
ORCID iD: 0000-0002-4130-1307
Russian Federation, Moscow

Mikhail V. Govorov

Moscow State University of Medicine and Dentistry

Email: svgovorova2011@yandex.ru
ORCID iD: 0000-0003-4873-3230
SPIN-code: 5444-1777

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Rasul N. Aliev

Peoples’ Friendship University of Russia named after Patrice Lumumba

Email: rasulmed@yandex.ru
ORCID iD: 0000-0002-0876-1301
SPIN-code: 1263-7372

MD, Cand. Sci. (Med.), assistant professor

Russian Federation, Moscow

Vladimir V. Guriev

Moscow State University of Medicine and Dentistry

Email: drguriev@mail.ru
ORCID iD: 0009-0008-0842-5739
SPIN-code: 8987-2622

MD, Dr. Sci. (Med.), professor

Russian Federation, Moscow

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