Table 4 Details of cases with infection
Age / Sex | Diagnosis | Comorbid conditions | OT performed | Bodily region | OT time (min) | Application of 3D printing | Details | Need for re-operation | Micro-organism |
|---|---|---|---|---|---|---|---|---|---|
37/M | Right orbit blowout fracture | Good past health | ORIF | H&N | 67 | Medphor implant contouring | Periorbital cellulitis noted on post-op day 2 | No; resolved with antibiotics | Unknown |
45/M | Right distal tibia chondroblastic osteosarcoma | DM, HT, polycystic kidney | Partial ostectomy of tibia / fibula, intramedullary nailing to tibia with bone transport, ORIF to fibula | H&N | 603 | Cutting guide for tibia and fibula osteotomy | Non-healing wound over right shin | Yes; debridement and closure | MRSA, diphtheroid |
43/F | Left tibia fracture malunion | Borderline personality | Transverse tibial osteotomy and derotation | LL | 127 | Cutting guide for tibia osteotomy | Broken screws of medial plate noted 6-weeks after surgery with revision done; wound infection after revision | Yes; debridement | MSSA |
69/F | Tuberculosis of right knee | DM, HT, scoliosis | Femoral osteotomy for correction of extraarticular deformity, total knee replacement, gastrocnemius flap, skin grafting | LL | 876 | Cutting guide for femoral osteotomy | Non-healing superficial knee wound with debridement 5-weeks post-op | Yes; debridement and negative pressure therapy | MRCNS, candida parapsilosis |
41/M | Left tibial pseudoarthrosis | DM, NF type-I, hyperlipide mia | Wedge osteotomy of tibia and fibula with ORIF, application of external fixator | LL | 239 | Cutting guide for tibia and fibula osteotomy | Deep infection noted 7–months post-op with infection of pin tracts and osteomyelitis. | Yes; multiple episodes of surgical debridement, implant removal and application of temporary external fixator | Streptococcus agalactaie |
80/M | Carcinoma of right tongue and alveolus | Good past health | Mandibulectomy with fibula graft reconstruction, pectoralis major flap | H&N | 354 | Cutting guide for femoral osteotomy, plate contouring | Fungal infection over pectoralis major flap noted 6-months post-op | No; resolved with topical and oral antifungals | Candida albicans |
38/M | Carcinoma of right lower gum | Mallory-Weiss syndrome | Mandibulectomy with fibula flap reconstruction, modified radical neck dissection, selective neck dissection | H&N | 715 | Fibula graft resection guide | Presentation of cellulitis 6-months post-op | No; resolved with antibiotics | Unknown |
41/M | Left pilon fracture | Good past health | ORIF | LL | 210 | Plate contouring | Persistent fever and postop with unhealthy hematoma and tissue noted upon debridement 1-week post-op | Yes; debridement and hematoma removal | Burkholderia cepacia |