Feasibility of Imaging-Based 3-Dimensional Models to Design Patient-Specific Osteosynthesis Plates and Drilling Guides

Key Points Question What is the feasibility of using a personalized approach for reconstruction of complex fractures? Findings In this case series study, 10 patients with severe acetabular fractures were surgically treated using 3-dimensional (3-D) surgical planning, patient-specific osteosynthesis plates, and drilling guides. These were designed, produced, sterilized and clinically applied within 4 days and were associated with an accurate reconstruction of the fractured articular surface and a good 1-year clinical outcome. Meaning These findings suggest that 3-D virtual surgical planning, manufacturing, and clinical application of patient-specific osteosynthesis plates and drilling guides were feasible and yielded good clinical outcomes.