Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy

Corrective osteotomy has been applied to realign and stabilize the bones of dogs with lameness. However, corrective osteotomy for angular deformities requires substantial surgical experience for planning and performing accurate osteotomy. Three-dimensional printed patient-specific guides (3D-PSGs) w...

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Main Authors: Yoon Ho Roh, Cheong Woon Cho, Chang Hun Ryu, Je Hun Lee, Seong Mok Jeong, Hae Beom Lee
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/8/3/40
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author Yoon Ho Roh
Cheong Woon Cho
Chang Hun Ryu
Je Hun Lee
Seong Mok Jeong
Hae Beom Lee
author_facet Yoon Ho Roh
Cheong Woon Cho
Chang Hun Ryu
Je Hun Lee
Seong Mok Jeong
Hae Beom Lee
author_sort Yoon Ho Roh
collection DOAJ
description Corrective osteotomy has been applied to realign and stabilize the bones of dogs with lameness. However, corrective osteotomy for angular deformities requires substantial surgical experience for planning and performing accurate osteotomy. Three-dimensional printed patient-specific guides (3D-PSGs) were developed to overcome perioperative difficulties. In addition, novices can easily use these guides for performing accurate corrective osteotomy. We compared the postoperative results of corrective osteotomy accuracy when using 3D-PSGs in dogs between novice and experienced surgeons. We included eight dogs who underwent corrective osteotomy: three angular deformities of the radius and ulna, three distal femoral osteotomies, one center of rotational angle-based leveling osteotomy, and one corrective osteotomy with stifle arthrodesis. All processes, including 3D bone modeling, production of PSGs, and rehearsal surgery were carried out with computer-aided design software and a 3D-printed bone model. Pre- and postoperative positions following 3D reconstruction were evaluated by radiographs using the 2D/3D registration technique. All patients showed clinical improvement with satisfactory alignment and position. Postoperative accuracy evaluation revealed no significant difference between novice and experienced surgeons. PSGs are thought to be useful for novice surgeons to accurately perform corrective osteotomy in dogs without complications.
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spelling doaj.art-2765a16f6a8646578f429ab7d65d6c9b2023-12-03T12:00:10ZengMDPI AGVeterinary Sciences2306-73812021-02-01834010.3390/vetsci8030040Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position AccuracyYoon Ho Roh0Cheong Woon Cho1Chang Hun Ryu2Je Hun Lee3Seong Mok Jeong4Hae Beom Lee5College of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCollege of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCollege of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCollege of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCollege of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCollege of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaCorrective osteotomy has been applied to realign and stabilize the bones of dogs with lameness. However, corrective osteotomy for angular deformities requires substantial surgical experience for planning and performing accurate osteotomy. Three-dimensional printed patient-specific guides (3D-PSGs) were developed to overcome perioperative difficulties. In addition, novices can easily use these guides for performing accurate corrective osteotomy. We compared the postoperative results of corrective osteotomy accuracy when using 3D-PSGs in dogs between novice and experienced surgeons. We included eight dogs who underwent corrective osteotomy: three angular deformities of the radius and ulna, three distal femoral osteotomies, one center of rotational angle-based leveling osteotomy, and one corrective osteotomy with stifle arthrodesis. All processes, including 3D bone modeling, production of PSGs, and rehearsal surgery were carried out with computer-aided design software and a 3D-printed bone model. Pre- and postoperative positions following 3D reconstruction were evaluated by radiographs using the 2D/3D registration technique. All patients showed clinical improvement with satisfactory alignment and position. Postoperative accuracy evaluation revealed no significant difference between novice and experienced surgeons. PSGs are thought to be useful for novice surgeons to accurately perform corrective osteotomy in dogs without complications.https://www.mdpi.com/2306-7381/8/3/403D printingangular limb deformitysurgical guidedog
spellingShingle Yoon Ho Roh
Cheong Woon Cho
Chang Hun Ryu
Je Hun Lee
Seong Mok Jeong
Hae Beom Lee
Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
Veterinary Sciences
3D printing
angular limb deformity
surgical guide
dog
title Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
title_full Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
title_fullStr Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
title_full_unstemmed Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
title_short Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy
title_sort comparison between novice and experienced surgeons performing corrective osteotomy with patient specific guides in dogs based on resulting position accuracy
topic 3D printing
angular limb deformity
surgical guide
dog
url https://www.mdpi.com/2306-7381/8/3/40
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