Clinical efficacy and biomechanical analysis of 3D-printed guide plate–assisted cannulated screw fixation compared with conventional fixation in complex acetabular fractures - Takeaways - MDSpire

Clinical efficacy and biomechanical analysis of 3D-printed guide plate–assisted cannulated screw fixation compared with conventional fixation in complex acetabular fractures

  • By

  • Chaoqiang Wang

  • Xiaoyu He

  • Zhongyu Zhang

  • Xueli Li

  • Mei Wang

  • Feng Zeng

  • Caosheng Lai

  • Huimei Li

  • Peng Chen

  • Zhiping Zhou

  • July 15, 2026

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  • 1

    The study compared three fixation strategies for complex acetabular fractures: 3D-printed guide-assisted cannulated screw plus plate, conventional cannulated screw plus plate, and plate-only.

  • 2

    Finite element analysis indicated that combined cannulated screw-plate fixation offered better fracture-line displacement control, especially under sitting conditions.

  • 3

    The 3D-printed guide group had significantly shorter operative time, lower intraoperative blood loss, and shorter incision length compared to the plate-only group.

  • 4

    Both the 3D-printed guide and conventional screw plus plate groups had lower total hospitalization costs compared to the plate-only group.

  • 5

    No significant differences were found in complication risk, 3-month hip function, or hospital length of stay among the different fixation strategies.

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