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      The addition of 3D printed models to enhance the teaching and learning of bone spatial anatomy and fractures for undergraduate students: a randomized controlled study

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          Abstract

          Background

          Whether or not the addition of 3D (three-dimension) printed models can enhance the teaching and learning environment for undergraduate students in regard to bone spatial anatomy is still unknown. In this study, we investigated the use of 3D printed models versus radiographic images as a technique for the education of medical students about bone spatial anatomy and fractures.

          Methods

          The computed tomography (CT) data from four patients, each with a different fracture type (one spinal fracture, one pelvic fracture, one upper limb fracture, and one lower limb fracture), were obtained, and 3D models of the fractures were printed. A total of 90 medical students were enrolled in the study and randomly divided into two groups as follows: a traditional radiographic image group (presented by PowerPoint) and a 3D printed model group (combined PowerPoint and 3D models). Each student answered 5 questions about one type of fracture and completed a visual analog scale of satisfaction (0–10 points).

          Results

          No significant differences were found in the upper limb or lower limb test scores between the 3D printed model group and the traditional radiographic image group; however, the scores on the pelvis and spine test for the traditional radiographic image group were significantly lower than the scores for the 3D printed model group (P=0.000). No significant differences were found in the test-taking times for the upper limb or lower limb (P=0.603 and P=0.746, respectively) between the two groups; however, the test-taking times for the pelvis and spine in the traditional radiographic image group were significantly longer than those of the 3D printed model group (P=0.000 and P=0.002, respectively).

          Conclusions

          The 3D printed model may improve medical students’ understanding of bone spatial anatomy and fractures in some anatomically complex sites.

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          Author and article information

          Journal
          Ann Transl Med
          Ann Transl Med
          ATM
          Annals of Translational Medicine
          AME Publishing Company
          2305-5839
          2305-5847
          October 2018
          October 2018
          : 6
          : 20
          : 403
          Affiliations
          [1 ]Department of Orthopedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University , Wenzhou 325000, China;
          [2 ]Department of Anatomy, Wenzhou Medical University , Wenzhou 325000, China
          Author notes

          Contributions: (I) Conception and design: AM Wu, YZ Hu; (II) Administrative support: WF Ni, YZ Hu; (III) Provision of study materials or patients: AM Wu, K Wang, CH Chen, XD Yang, JS Wang; (IV) Collection and assembly of data: AM Wu, K Wang, CH Chen, JS Wang; (V) Data analysis and interpretation: AM Wu, K Wang, WF Ni; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.

          Correspondence to: Yue-Zheng Hu MD. Department of Orthopedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, 109# Xueyuan Xi Road, Wenzhou 325000, China. Email: huyz815@ 123456hotmail.com .
          Article
          PMC6230865 PMC6230865 6230865 atm-06-20-403
          10.21037/atm.2018.09.59
          6230865
          30498730
          48680225-232c-49ac-8513-30042dbab36e
          2018 Annals of Translational Medicine. All rights reserved.
          History
          : 04 June 2018
          : 21 September 2018
          Categories
          Original Article

          randomized controlled study,Bone fracture,3D printing,medical education,medical teaching

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