This review examines recent advances and applications of three-dimensional (3D) printing technology in orthopedic fracture management, with a particular focus on its transformative role in personalized treatment strategies. The introduction of patient-specific 3D-printed implants and fracture plates has markedly improved surgical outcomes by reducing operative time, enhancing anatomical alignment, and promoting bone healing. By enabling the fabrication of customized implants, 3D printing provides an innovative approach for managing complex fractures and bone defects, particularly in cases where conventional methods are inadequate. Key benefits discussed include the development of tailored fracture plates, bone scaffolds, and bioactive materials that support bone regeneration. The review also explores the potential of emerging technologies such as four-dimensional printing and bioprinting, which allow for the creation of dynamic implants capable of adapting to biological changes and facilitating tissue regeneration. In addition, the integration of artificial intelligence into preoperative planning and implant design is highlighted for its contribution to improving surgical precision and individualized treatment. This review consolidates the latest advancements while also addressing challenges, including high production costs and regulatory barriers, that must be overcome for widespread clinical adoption. In conclusion, the future of orthopedic fracture management is expected to be significantly reshaped by the continuous evolution of 3D printing technologies, offering more personalized, effective, and efficient solutions for patients. As these innovations progress, 3D printing is anticipated to play a pivotal role in advancing orthopedic surgery and ultimately improving patient outcomes.