3D-Printed Navigation Templates Improve PFNA Efficiency in Intertrochanteric Fractures .
Application of 3D-printed navigation templates in intertrochanteric femoral fractures: technical optimization and prospective randomized controlled study.
Eur J Orthop Surg Traumatol . 2025 Jul 21;35(1):313.Seventy patients with were randomized to 3D-printed navigation template–assisted proximal femoral nail antirotation (PFNA) (n=35) or conventional PFNA (n=35). The primary outcome was operative time. Secondary outcomes included C-arm fluoroscopy frequency, intraoperative blood loss, main-incision length, Harris Hip Score (HHS) and pain (VAS) at 1, 3, and 12 months, and adverse events. Follow-up occurred to 12 months. Overall, the results showed shorter operations, fewer fluoroscopy shots, less blood loss, and smaller incisions with the template; HHS was higher and VAS lower at all postoperative timepoints, with no adverse events in either group. These findings suggest patient-specific guides can streamline PFNA and enhance recovery without added complications.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
