IMPRESIÓN 3D EN CIRUGÍA DE MANO: ¿REDUCE TIEMPO QUIRÚRGICO, FLUOROSCOPIA Y MEJORA LA PLANIFICACIÓN EN FRACTURAS COMPLEJAS?
Palabras clave:
Impresión Tridimensional; Cirugía de la Mano; Fracturas Óseas; Planificación Preoperatoria; FluoroscopiaResumen
DOI: https://doi.org/10.46296/yc.v10i18.0904
Resumen
Se realizó una revisión crítica narrativa para evaluar el papel de la impresión tridimensional en cirugía de mano aplicada a fracturas complejas, con énfasis en tiempo quirúrgico, fluoroscopia y planificación preoperatoria. Se buscaron estudios en PubMed/MEDLINE, Embase, Scopus y ScienceDirect entre 2016 y marzo de 2026. Se incluyeron revisiones sistemáticas, ensayos, cohortes, series de casos y estudios cadavéricos sobre radio distal, escafoides y maluniones. La evidencia sugirió que la principal fortaleza de esta tecnología fue mejorar la comprensión anatómica y la planificación personalizada. En fracturas intraarticulares del radio distal y en osteotomías correctivas, varios estudios mostraron reducciones modestas del tiempo quirúrgico y de la fluoroscopia, pero sin beneficio funcional consistente. En el escafoides, las guías específicas del paciente mejoraron la centralidad del tornillo y redujeron intentos de inserción. Se concluyó que la impresión tridimensional parece más útil en casos complejos seleccionados y que su adopción debe evaluarse con diseños antes-después.
Palabras claves: Impresión Tridimensional; Cirugía de la Mano; Fracturas Óseas; Planificación Preoperatoria; Fluoroscopia.
Abstract
A critical narrative review was conducted to evaluate the role of three-dimensional printing in hand surgery for complex fractures, with emphasis on operative time, fluoroscopy and preoperative planning. Studies were searched in PubMed/MEDLINE, Embase, Scopus and ScienceDirect from 2016 to March 2026. Systematic reviews, trials, cohorts, case series and cadaver studies on distal radius, scaphoid, malunions and reconstructive wrist and distal forearm surgery were included. Evidence suggested that the main strength of this technology was improved anatomic understanding and personalized planning. In intra-articular distal radius fractures and complex corrective osteotomies, several studies showed modest reductions in operative time and fluoroscopy, but no consistent functional benefit. In scaphoid surgery, patient-specific guides improved screw centrality and reduced insertion attempts. Three-dimensional printing appeared to be most useful in selected complex cases, and its implementation should be evaluated with before-after designs.
Keywords: Printing, Three-Dimensional; Hand Surgery; Fractures, Bone; Preoperative Planning; Fluoroscopy.
Información del manuscrito:
Fecha de recepción: 11 de marzo de 2026.
Fecha de aceptación: 20 de mayo de 2026.
Fecha de publicación: 18 de junio de 2026.
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