[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460541-105":59,"doc-detail-460541-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","3d-printing-and-three-column-concept-in-surgical-treatment-of-tibial-plateau-fracture","3D printing and three column concept in surgical treatment of tibial plateau fracture","","Study evaluates the efficacy of patient-specific 3D printing models for preoperative planning in tibial plateau fracture treatment and examines how 3D printing affects doctor–patient communication. Thirty-three patients were enrolled from March 2022 to July 2023. CT-derived models were printed and used with the Three-Column classification to plan surgery, while operative time and blood loss were primary outcomes. Rasmussen scores and radiological assessment were secondary outcomes, with patient satisfaction measured by questionnaires. Complex cases required longer print times and provided more surgical-team information. Infection rate was 3%, and knee function at 6 months was good.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/3d-printing-and-three-column-concept-in-surgical-treatment-of-tibial-plateau-fracture/460541/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/3d-printing-and-three-column-concept-in-surgical-treatment-of-tibial-plateau-fracture/460541.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the primary goal of using 3D printing in this study?","Question",{"text":113,"@type":114},"To evaluate whether 3D printing models improve preoperative planning for tibial plateau fracture surgery.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were the 3D models created and used during planning?",{"text":118,"@type":114},"CT scans were used to construct a 3D digital model for each fracture, which was printed as a solid model and used with the Three-Column classification for operative planning.",{"name":120,"@type":111,"acceptedAnswer":121},"What outcomes were measured to assess surgical and clinical results?",{"text":122,"@type":114},"Operative time and blood loss were recorded as primary outcomes, while surgical outcomes were assessed using Rasmussen scores and radiological evaluation; patient satisfaction was measured with questionnaires.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},460541,1791032479,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","[www. nature.com/scientificreports](www. nature.com/scientificreports)  \nOPEN  \n3D printing and three column concept in surgical treatment of tibial plateau fracture  \nHuu Dung Tran1,2􀀍, Quoc Sang Nguyen1􀀍 & Nghi Thanh Nhan Le1,2  \nThe aim of study was to evaluate the efficacy of the use of three-dimensional (3D) printing model for preoperative planning in treatment of tibial plateau fracture. Besides, we also investigated the effect of 3D printing technology on the communication between doctors and patients. Thirty-three patients with tibial plateau fractures were enrolled in the study from March 2022 to July 2023. A 3D digital model of each tibial plateau fracture was constructed, and the individual model was exported to a 3D printer for the construction of a full solid model. This 3D-printing model, along with the Three-Column classification, was utilized to plan the operation. During each operation, the operative time and amount of blood loss were recorded as primary outcome measures. Patients were followed to evaluate surgical outcomes using Rasmussen scores and radiological evaluation, which served as secondary outcome measures. Additionally, satisfaction for patients was assessed using questionnaires developed by Yiting Lou. Two-column fractures accounted for the highest proportion at 45.5% . Isolated posterior column fractures constituted 9.1%. The average 3D printing time was 7.1 ± 0.9 h; a material cost of 1 USD per model. Complex fracture cases had significantly longer 3D printing times (p = 0.001) and provided more information to the surgical team than simple fractures. Patient satisfaction with 3D models was rated at 7.4 ± 0.7 out of 10 points. Malalignment and gap width were not correlated with surgical time (p = 0.3 and 0.2). The infection rate was 3%, and the rate of secondary loss of reduction at six months was 25%, with no correlation with Rasmussen scores (P > 0.05, Fisher’s test). Our study revealed that 3D printing models effectively assist the surgeons in planning operations, especially in complex cases, and may enhances communication between surgeons and patients. Follow-up 6 months after surgery showed good knee function.  \nKeywords 3D printing, Tibial plateau fracture, Surgery simulation  \nTibial plateau fractures are peri-articular knee fractures ofthe proximal tibia. They comprise approximately 8% of all fractures among those aged over 55 years1 .The presentation is dependent on the mechanism of injury and is usually from either very high-energy trauma (typically younger men) or low-energy trauma (typically older women, as a fragility fracture)2. The treatment of tibial plateau fractures remains a challenge in many respects. Historically, the Schatzker and AO/OTA classifications, based on radiographic assessment of fracture patterns, have been widely used to guide treatment decisions. Limitations of these classifications include identifying the integrity of the posterior articular surface or posterior column. Therefore, Three-Column Classification based on CT imaging has been introduced for improved assessment of tibial plateau fracture, especially the posterior column which is higher rate than expected in complex tibial plateau fracture according to recent studies3,4. Nowadays, accurate and individualized surgery is becoming more and more essential in fracture fixations, so that, many studies have described the use of 3D printing model in the treatment of tibial plateau fracture. 3D printing technology allows clinicians to accurately design surgical approaches for fracture treatment to allow for more accurate surgical outcomes and to improve the quality of reduction and operational reliability. Thanks to 3D printing technology, the fracture morphology can be recreated as a physical model, allowing clinicians to observe the degree of tibial plateau injury and the planar fracture collapse position5. 3D modeling can allow surgeons to observe fracture morphology and collapse more intuitively, to design ","cbCaiiSohMAZjywv","https://ap.wps.com/l/cbCaiiSohMAZjywv","pdf",2158319,"English","# Materials and methods\n## Patients\n## Printing the 3D model","[{\"question\":\"What was the primary goal of using 3D printing in this study?\",\"answer\":\"To evaluate whether 3D printing models improve preoperative planning for tibial plateau fracture surgery.\"},{\"question\":\"How were the 3D models created and used during planning?\",\"answer\":\"CT scans were used to construct a 3D digital model for each fracture, which was printed as a solid model and used with the Three-Column classification for operative planning.\"},{\"question\":\"What outcomes were measured to assess surgical and clinical results?\",\"answer\":\"Operative time and blood loss were recorded as primary outcomes, while surgical outcomes were assessed using Rasmussen scores and radiological evaluation; patient satisfaction was measured with questionnaires.\"}]","3D printing and three column concept in surgical treatment of tibial plateau fracture | PDF",1790758738,25]