Cargando…
Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity”
(1) Background: The adoption of Virtual Surgical Planning (VSP) and 3D technologies is rapidly growing within the field of orthopedic surgery, opening the door to highly innovative and individually tailored surgical techniques. We present an innovative correction approach successfully used in a chil...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10671880/ https://www.ncbi.nlm.nih.gov/pubmed/38003853 http://dx.doi.org/10.3390/jpm13111538 |
_version_ | 1785140260583243776 |
---|---|
author | Menozzi, Grazia Chiara Depaoli, Alessandro Ramella, Marco Alessandri, Giulia Frizziero, Leonardo Liverani, Alfredo Rocca, Gino Trisolino, Giovanni |
author_facet | Menozzi, Grazia Chiara Depaoli, Alessandro Ramella, Marco Alessandri, Giulia Frizziero, Leonardo Liverani, Alfredo Rocca, Gino Trisolino, Giovanni |
author_sort | Menozzi, Grazia Chiara |
collection | PubMed |
description | (1) Background: The adoption of Virtual Surgical Planning (VSP) and 3D technologies is rapidly growing within the field of orthopedic surgery, opening the door to highly innovative and individually tailored surgical techniques. We present an innovative correction approach successfully used in a child affected by “windswept deformity” of the knees. (2) Methods: We report a case involving a child diagnosed with “windswept deformity” of the knees. This condition was successfully addressed through a one-stage bilateral osteotomy of the distal femur. Notably, the wedge removed from the valgus side was flipped and employed on the varus side to achieve the correction of both knees simultaneously. The surgical technique was entirely conceptualized, simulated, and planned in a virtual environment. Customized cutting guides and bony models were produced at an in-hospital 3D printing point of care and used during the operation. (3) Results: The surgery was carried out according to the VSP, resulting in favorable outcomes. We achieved good corrections of the angular deformity with an absolute difference from the planned correction of 2° on the right side and 1° on the left side. Moreover, this precision not only improved surgical outcomes but also reduced the procedure’s duration and overall cost, highlighting the efficiency of our approach. (4) Conclusions: The integration of VSP and 3D printing into the surgical treatment of rare limb anomalies not only deepens our understanding of these deformities but also opens the door to the development of innovative, personalized, and adaptable approaches for addressing these unique conditions. |
format | Online Article Text |
id | pubmed-10671880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106718802023-10-26 Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” Menozzi, Grazia Chiara Depaoli, Alessandro Ramella, Marco Alessandri, Giulia Frizziero, Leonardo Liverani, Alfredo Rocca, Gino Trisolino, Giovanni J Pers Med Case Report (1) Background: The adoption of Virtual Surgical Planning (VSP) and 3D technologies is rapidly growing within the field of orthopedic surgery, opening the door to highly innovative and individually tailored surgical techniques. We present an innovative correction approach successfully used in a child affected by “windswept deformity” of the knees. (2) Methods: We report a case involving a child diagnosed with “windswept deformity” of the knees. This condition was successfully addressed through a one-stage bilateral osteotomy of the distal femur. Notably, the wedge removed from the valgus side was flipped and employed on the varus side to achieve the correction of both knees simultaneously. The surgical technique was entirely conceptualized, simulated, and planned in a virtual environment. Customized cutting guides and bony models were produced at an in-hospital 3D printing point of care and used during the operation. (3) Results: The surgery was carried out according to the VSP, resulting in favorable outcomes. We achieved good corrections of the angular deformity with an absolute difference from the planned correction of 2° on the right side and 1° on the left side. Moreover, this precision not only improved surgical outcomes but also reduced the procedure’s duration and overall cost, highlighting the efficiency of our approach. (4) Conclusions: The integration of VSP and 3D printing into the surgical treatment of rare limb anomalies not only deepens our understanding of these deformities but also opens the door to the development of innovative, personalized, and adaptable approaches for addressing these unique conditions. MDPI 2023-10-26 /pmc/articles/PMC10671880/ /pubmed/38003853 http://dx.doi.org/10.3390/jpm13111538 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Menozzi, Grazia Chiara Depaoli, Alessandro Ramella, Marco Alessandri, Giulia Frizziero, Leonardo Liverani, Alfredo Rocca, Gino Trisolino, Giovanni Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title | Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title_full | Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title_fullStr | Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title_full_unstemmed | Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title_short | Side-to-Side Flipping Wedge Osteotomy: Virtual Surgical Planning Suggested an Innovative One-Stage Procedure for Aligning Both Knees in “Windswept Deformity” |
title_sort | side-to-side flipping wedge osteotomy: virtual surgical planning suggested an innovative one-stage procedure for aligning both knees in “windswept deformity” |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10671880/ https://www.ncbi.nlm.nih.gov/pubmed/38003853 http://dx.doi.org/10.3390/jpm13111538 |
work_keys_str_mv | AT menozzigraziachiara sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT depaolialessandro sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT ramellamarco sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT alessandrigiulia sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT frizzieroleonardo sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT liveranialfredo sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT roccagino sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity AT trisolinogiovanni sidetosideflippingwedgeosteotomyvirtualsurgicalplanningsuggestedaninnovativeonestageprocedureforaligningbothkneesinwindsweptdeformity |