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A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies
Background: Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a c...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9503424/ https://www.ncbi.nlm.nih.gov/pubmed/36143242 http://dx.doi.org/10.3390/jpm12091458 |
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author | Assink, Nick Meesters, Anne M. L. ten Duis, Kaj Harbers, Jorrit S. IJpma, Frank F. A. van der Veen, Hugo C. Doornberg, Job N. Pijpker, Peter A. J. Kraeima, Joep |
author_facet | Assink, Nick Meesters, Anne M. L. ten Duis, Kaj Harbers, Jorrit S. IJpma, Frank F. A. van der Veen, Hugo C. Doornberg, Job N. Pijpker, Peter A. J. Kraeima, Joep |
author_sort | Assink, Nick |
collection | PubMed |
description | Background: Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a conventional osteosynthesis plate. This study aimed to assess accuracy of the achieved corrections using this two-step technique. Methods: All patients (≥12 years) treated for post-traumatic malunion with a two-step 3D-planned corrective osteotomy within our center in 2021 were prospectively included. Three-dimensional virtual models of the planned outcome and the clinically achieved outcome were obtained and aligned. Postoperative evaluation of the accuracy of performed corrections was assessed by measuring the preoperative and postoperative alignment error in terms of angulation, rotation and translation. Results: A total of 10 patients were included. All corrective osteotomies were performed according to the predetermined surgical plan without any complications. The preoperative deformities ranged from 7.1 to 27.5° in terms of angulation and 5.3 to 26.1° in terms of rotation. The achieved alignment deviated on average 2.1 ± 1.0 and 3.4 ± 1.6 degrees from the planning for the angulation and rotation, respectively. Conclusions: A two-step approach for 3D-guided patient-specific corrective limb osteotomies is reliable, feasible and accurate. |
format | Online Article Text |
id | pubmed-9503424 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95034242022-09-24 A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies Assink, Nick Meesters, Anne M. L. ten Duis, Kaj Harbers, Jorrit S. IJpma, Frank F. A. van der Veen, Hugo C. Doornberg, Job N. Pijpker, Peter A. J. Kraeima, Joep J Pers Med Article Background: Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a conventional osteosynthesis plate. This study aimed to assess accuracy of the achieved corrections using this two-step technique. Methods: All patients (≥12 years) treated for post-traumatic malunion with a two-step 3D-planned corrective osteotomy within our center in 2021 were prospectively included. Three-dimensional virtual models of the planned outcome and the clinically achieved outcome were obtained and aligned. Postoperative evaluation of the accuracy of performed corrections was assessed by measuring the preoperative and postoperative alignment error in terms of angulation, rotation and translation. Results: A total of 10 patients were included. All corrective osteotomies were performed according to the predetermined surgical plan without any complications. The preoperative deformities ranged from 7.1 to 27.5° in terms of angulation and 5.3 to 26.1° in terms of rotation. The achieved alignment deviated on average 2.1 ± 1.0 and 3.4 ± 1.6 degrees from the planning for the angulation and rotation, respectively. Conclusions: A two-step approach for 3D-guided patient-specific corrective limb osteotomies is reliable, feasible and accurate. MDPI 2022-09-06 /pmc/articles/PMC9503424/ /pubmed/36143242 http://dx.doi.org/10.3390/jpm12091458 Text en © 2022 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 | Article Assink, Nick Meesters, Anne M. L. ten Duis, Kaj Harbers, Jorrit S. IJpma, Frank F. A. van der Veen, Hugo C. Doornberg, Job N. Pijpker, Peter A. J. Kraeima, Joep A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title_full | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title_fullStr | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title_full_unstemmed | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title_short | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
title_sort | two-step approach for 3d-guided patient-specific corrective limb osteotomies |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9503424/ https://www.ncbi.nlm.nih.gov/pubmed/36143242 http://dx.doi.org/10.3390/jpm12091458 |
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