• Xuetao Zhou, Dongsheng Zhang, Zexin Xie, Menghui Chen, Yang Yang, Zheng Liang, and Guoliang Zhang.
• Department of Cardiothoracic Surgery, The Third Hospital of Shijiazhuang City, Shijiazhuang, 050000, China.
• J Cardiothorac Surg. 2019 Apr 29; 14 (1): 83.

BackgroundTo investigate the application of 3D printing technology combined with percutaneous Minimally Invasive Plate Oseoynthesis (MIPO) and thoracoscopic techniques in the treatment of long comminuted rib fractures.Case PresentationOne case of multiple rib fractures with abnormal respiratory disease (including rib 3 and 4 of long comminuted fractures) due to a fall injury was selected. The 3D model of comminuted rib fracture was reconstructed and printed according to the thin-layer CT scan results. After the fracture model was restored to the normal rib anatomy, the metal plate was accurately shaped according to the 3D rib shape.Conclusions3D printing technology combined with MIPO technology under thoracoscopy in the minimally invasive treatment of long-range comminuted rib fractures, greatly reduced the time and improved the accuracy of intraoperative fixation, reduced the difficulty of surgery, patient injury, and perfectly reconstructed the chest wall. Application of the 3D printing technique to make the rib model and pre-mold the metal plate combined the thoracoscopic MIPO technology provides less invasive and accurate individualized treatment for complex rib fractures.

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