Park Jeong-Jin, Choi Jun Young, Lee Jung-Min, Seok Hyun-Gyu, Park Chul Hyun
Department of Orthopedic Surgery, Korea Armed Forces Athletic Corps, Mungyeong 36931, Republic of Korea.
Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Juhwa-ro 170, Ilsanseo-gu, Goyang 10380, Republic of Korea.
Life (Basel). 2025 Mar 15;15(3):473. doi: 10.3390/life15030473.
Technological advancements have made three-dimensional printing prevalent in orthopedic surgery. It facilitates the production of customized implants and tailored patient instruments, enhancing surgical planning and results. This review focuses on the uses and effectiveness of patient-specific products manufactured using three-dimensional printing in ankle surgery.
A search of databases-PubMed, Embase, Cochrane Library, and Google Scholar-yielded 41 articles for review.
Total talus replacement offers a viable alternative to standard treatments like arthrodesis and total ankle arthroplasty. Custom implants and patient-specific instrumentation in total ankle arthroplasty procedures guarantee a tailored fit and accurate alignment. For arthrodesis, three-dimensional printing enables the production of cages, effectively solving issues associated with conventional bone grafts, such as poor bone quality, significant defects, and nonunion. Additionally, patient-specific instrumentation facilitates the swift and accurate placement of Kirschner wires at the correct sites. When performing supramalleolar osteotomy, patient-specific instrumentation leads to shorter operation times, reduced blood loss, and less radiation exposure.
Three-dimensional printing is increasingly employed in ankle surgeries, and as technology advances, it is anticipated to become critical for addressing complex ankle issues.
技术进步使三维打印在骨科手术中普遍应用。它有助于生产定制植入物和量身定制的患者器械，改善手术规划和效果。本综述聚焦于在踝关节手术中使用三维打印制造的患者特异性产品的用途及有效性。
检索数据库——PubMed、Embase、Cochrane图书馆和谷歌学术——获得41篇文章以供综述。
距骨全置换为诸如关节融合术和全踝关节置换术等标准治疗方法提供了一种可行的替代方案。全踝关节置换手术中的定制植入物和患者特异性器械确保了量身定制的贴合度和精确的对线。对于关节融合术，三维打印能够制造骨笼，有效解决与传统骨移植相关的问题，如骨质不佳、严重缺损和骨不连。此外，患者特异性器械便于将克氏针快速准确地放置在正确位置。在进行内踝上截骨术时，患者特异性器械可缩短手术时间、减少失血并降低辐射暴露。
三维打印在踝关节手术中的应用越来越多，随着技术进步，预计它对于解决复杂的踝关节问题将变得至关重要。
