3D printing improves preoperative decision making for patient positioning and surgical approach selection for tibial plateau fractures.

Overall, there was a slight trend toward repositioning the patient during the surgical procedure using 3D printing.

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These effects were most pronounced among less experienced raters, particularly with regard to patient positioning and surgical approach, although the observed improvements did not reach statistical significance.

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The use of 3D printed fracture models showed a trend toward higher interrater reliability of patient positioning and surgical approach for medical students and surgical residents, while experienced surgeons show less benefit.

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