Application of SolidWorks software in preoperative planning of high tibial osteotomy
PurposeOpen-wedge high tibial osteotomy (HTO) is a common surgical treatment for medial osteoarthritis in young and active patients. The accuracy of osteotomy is closely associated with postoperative efficacy. The accuracy of digital preoperative planning is higher than that of the preoperative manu...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-01-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.951820/full |
| _version_ | 1797959946359275520 |
|---|---|
| author | Yufeng Lu Xue Wang Bo Yang Zhaochen Xu Baogang Zhang Bin Jia Jinlong He Liang Qi Min Wang Feng Qiao |
| author_facet | Yufeng Lu Xue Wang Bo Yang Zhaochen Xu Baogang Zhang Bin Jia Jinlong He Liang Qi Min Wang Feng Qiao |
| author_sort | Yufeng Lu |
| collection | DOAJ |
| description | PurposeOpen-wedge high tibial osteotomy (HTO) is a common surgical treatment for medial osteoarthritis in young and active patients. The accuracy of osteotomy is closely associated with postoperative efficacy. The accuracy of digital preoperative planning is higher than that of the preoperative manual measurement and several computer software with varying accuracy and convenience are used for digital preoperative planning. This study aimed to use the SolidWorks software for HTO preoperative planning and to determine its accuracy and reliability in HTO preoperative planning.MethodsWe reviewed the data of 28 patients with 54 with medial compartment knee arthritis who underwent open-wedge HTO preoperative planning using SolidWorks between June 2019 and March 2021. The standard anteroposterior standing whole-leg radiographs were assessed before and 6 weeks after the surgery. The correction angle, weight-bearing line (WBL) ratio, mechanical femorotibial angle (mFTA), and medial proximal tibial angle (MPTA) before and after the surgery were compared. The clinical results were evaluated using the Knee Society score.ResultsAt 6 weeks after the surgery, the WBL ratio was corrected from 16.8% to 50.5%, mFTA was corrected from 6.4° varus to 1.2° valgus, and MPTA was corrected from 83.4° to 89.3°. No significant difference was observed between the predicted correction angle before the surgery and the correction angle measured 6 weeks after the surgery (t = −1.745, p = 0.087). The knee score and function score of Knee Society increased from 76.4 and 80.7 before surgery to 95.0 and 95.7, respectively.ConclusionsThe SolidWorks software showed high accuracy and reliability in preoperative planning of open-wedge HTO in patients with medial compartment knee arthritis. |
| first_indexed | 2024-04-11T00:39:50Z |
| format | Article |
| id | doaj.art-023ba7b9c29c407799d4b890913233d5 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:39:50Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-023ba7b9c29c407799d4b890913233d52023-01-06T08:19:39ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.951820951820Application of SolidWorks software in preoperative planning of high tibial osteotomyYufeng Lu0Xue Wang1Bo Yang2Zhaochen Xu3Baogang Zhang4Bin Jia5Jinlong He6Liang Qi7Min Wang8Feng Qiao9Department of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Emergency Medicine, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang, ChinaGraduate School, Xi'an Medical University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, ChinaPurposeOpen-wedge high tibial osteotomy (HTO) is a common surgical treatment for medial osteoarthritis in young and active patients. The accuracy of osteotomy is closely associated with postoperative efficacy. The accuracy of digital preoperative planning is higher than that of the preoperative manual measurement and several computer software with varying accuracy and convenience are used for digital preoperative planning. This study aimed to use the SolidWorks software for HTO preoperative planning and to determine its accuracy and reliability in HTO preoperative planning.MethodsWe reviewed the data of 28 patients with 54 with medial compartment knee arthritis who underwent open-wedge HTO preoperative planning using SolidWorks between June 2019 and March 2021. The standard anteroposterior standing whole-leg radiographs were assessed before and 6 weeks after the surgery. The correction angle, weight-bearing line (WBL) ratio, mechanical femorotibial angle (mFTA), and medial proximal tibial angle (MPTA) before and after the surgery were compared. The clinical results were evaluated using the Knee Society score.ResultsAt 6 weeks after the surgery, the WBL ratio was corrected from 16.8% to 50.5%, mFTA was corrected from 6.4° varus to 1.2° valgus, and MPTA was corrected from 83.4° to 89.3°. No significant difference was observed between the predicted correction angle before the surgery and the correction angle measured 6 weeks after the surgery (t = −1.745, p = 0.087). The knee score and function score of Knee Society increased from 76.4 and 80.7 before surgery to 95.0 and 95.7, respectively.ConclusionsThe SolidWorks software showed high accuracy and reliability in preoperative planning of open-wedge HTO in patients with medial compartment knee arthritis.https://www.frontiersin.org/articles/10.3389/fsurg.2022.951820/fullopen-wedge high tibial osteotomysolidworkspreoperative planningcorrection angleweight-bearing line ratio |
| spellingShingle | Yufeng Lu Xue Wang Bo Yang Zhaochen Xu Baogang Zhang Bin Jia Jinlong He Liang Qi Min Wang Feng Qiao Application of SolidWorks software in preoperative planning of high tibial osteotomy Frontiers in Surgery open-wedge high tibial osteotomy solidworks preoperative planning correction angle weight-bearing line ratio |
| title | Application of SolidWorks software in preoperative planning of high tibial osteotomy |
| title_full | Application of SolidWorks software in preoperative planning of high tibial osteotomy |
| title_fullStr | Application of SolidWorks software in preoperative planning of high tibial osteotomy |
| title_full_unstemmed | Application of SolidWorks software in preoperative planning of high tibial osteotomy |
| title_short | Application of SolidWorks software in preoperative planning of high tibial osteotomy |
| title_sort | application of solidworks software in preoperative planning of high tibial osteotomy |
| topic | open-wedge high tibial osteotomy solidworks preoperative planning correction angle weight-bearing line ratio |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.951820/full |
| work_keys_str_mv | AT yufenglu applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT xuewang applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT boyang applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT zhaochenxu applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT baogangzhang applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT binjia applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT jinlonghe applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT liangqi applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT minwang applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy AT fengqiao applicationofsolidworkssoftwareinpreoperativeplanningofhightibialosteotomy |