3D PRINTED ORTHOPEDIC PROSTHESES: APPLICATIONS AND RECOMMENDATIONS IN ORTHOPEDIC TRAUMA

• DOI: 10.22533/at.ed.1593282318045

• Palavras-chave: prótese, 3d, trauma, orthopedics, printing.

• Keywords: prótese, 3d, trauma, orthopedics, printing.

• Abstract:

  Three-dimensional (3D) printing allows the manufacture of personalized and precise orthopedic prostheses based on computed tomography. These prostheses have proven to be important in the treatment of complex fractures, allowing the creation of printed surgical guides, specific anatomical models and simulation practice models. 3D technology has also allowed orthopedic surgeons to better understand fracture patterns, prepare detailed preoperative plans and promote individual postoperative therapy for each case. The 3D printing technique has shown the best results in terms of reducing surgery time, loss of blood volume, less exposure to fluoroscopic agents during the procedure, lower frequency of post-surgical complications, better evaluation of clinical parameters and better radiographic evaluation.

   

  The systematic review conducted on the PubMed platform evaluated the factors associated with 3D printed prostheses, analyzing the precision in different orthopedic operations, the effectiveness in the surgical treatment of patients, the clinical parameters used, the customization and individualization of these prostheses. The most frequent indications are acetabular and joint fractures and poor alignment. However, 3D printing still faces some limitations, such as high cost, production time, exposure to radiation, and low investment by hospitals in these 3D models.

  In summary, 3D technology demonstrates the potential to become a powerful tool in personalized and effective treatments in orthopedics, providing better results for rehabilitation processes. 3D orthopedic prostheses have great potential to further optimize orthopedic medicine in Brazil, but for that to happen, it is necessary to overcome the obstacles that hinder the advancement of this surgical method, such as the high financial cost and the time to prepare individual parts, through technological investments and training in its production base.