The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity

(1) Background: The application of computer-aided planning in the surgical treatment of post-traumatic forearm deformities has been increasingly widening the range of techniques over the last two decades. We present the “flipping-wedge osteotomy”, a promising geometrical approach to correct uniapica...

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Main Authors: Alessandro Depaoli, Grazia Chiara Menozzi, Giovanni Luigi Di Gennaro, Marco Ramella, Giulia Alessandri, Leonardo Frizziero, Alfredo Liverani, Daniela Martinelli, Gino Rocca, Giovanni Trisolino
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/3/549
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author Alessandro Depaoli
Grazia Chiara Menozzi
Giovanni Luigi Di Gennaro
Marco Ramella
Giulia Alessandri
Leonardo Frizziero
Alfredo Liverani
Daniela Martinelli
Gino Rocca
Giovanni Trisolino
author_facet Alessandro Depaoli
Grazia Chiara Menozzi
Giovanni Luigi Di Gennaro
Marco Ramella
Giulia Alessandri
Leonardo Frizziero
Alfredo Liverani
Daniela Martinelli
Gino Rocca
Giovanni Trisolino
author_sort Alessandro Depaoli
collection DOAJ
description (1) Background: The application of computer-aided planning in the surgical treatment of post-traumatic forearm deformities has been increasingly widening the range of techniques over the last two decades. We present the “flipping-wedge osteotomy”, a promising geometrical approach to correct uniapical deformities defined during our experience with virtual surgical planning (VSP); (2) Methods: a case of post-traumatic distal radius deformity (magnitude 43°) treated with a flipping-wedge osteotomy in an 11-year-old girl is reported, presenting the planning rationale, its geometrical demonstration, and the outcome of the procedure; (3) Results: surgery achieved correction of both the angular and rotational deformities with a neutral ulnar variance; (4) Conclusions: flipping-wedge osteotomy may be a viable option to achieve correction in forearm deformities, and it deserves further clinical investigation.
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spelling doaj.art-4cde6059f96345b8abc238bdaa00ee592023-11-17T12:03:55ZengMDPI AGJournal of Personalized Medicine2075-44262023-03-0113354910.3390/jpm13030549The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm DeformityAlessandro Depaoli0Grazia Chiara Menozzi1Giovanni Luigi Di Gennaro2Marco Ramella3Giulia Alessandri4Leonardo Frizziero5Alfredo Liverani6Daniela Martinelli7Gino Rocca8Giovanni Trisolino9Unit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyUnit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyUnit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyUnit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyDepartment of Industrial Engineering, Alma Mater Studiorum University of Bologna, 40136 Bologna, ItalyDepartment of Industrial Engineering, Alma Mater Studiorum University of Bologna, 40136 Bologna, ItalyDepartment of Industrial Engineering, Alma Mater Studiorum University of Bologna, 40136 Bologna, ItalyUnit of Pediatric Orthopedics and Traumatology, Nuovo Ospedale “Santo Stefano”, 59100 Prato, ItalyUnit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyUnit of Pediatric Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy(1) Background: The application of computer-aided planning in the surgical treatment of post-traumatic forearm deformities has been increasingly widening the range of techniques over the last two decades. We present the “flipping-wedge osteotomy”, a promising geometrical approach to correct uniapical deformities defined during our experience with virtual surgical planning (VSP); (2) Methods: a case of post-traumatic distal radius deformity (magnitude 43°) treated with a flipping-wedge osteotomy in an 11-year-old girl is reported, presenting the planning rationale, its geometrical demonstration, and the outcome of the procedure; (3) Results: surgery achieved correction of both the angular and rotational deformities with a neutral ulnar variance; (4) Conclusions: flipping-wedge osteotomy may be a viable option to achieve correction in forearm deformities, and it deserves further clinical investigation.https://www.mdpi.com/2075-4426/13/3/549forearm deformitypost-traumaticmalunionosteotomyVSPcomputer-aided surgery
spellingShingle Alessandro Depaoli
Grazia Chiara Menozzi
Giovanni Luigi Di Gennaro
Marco Ramella
Giulia Alessandri
Leonardo Frizziero
Alfredo Liverani
Daniela Martinelli
Gino Rocca
Giovanni Trisolino
The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
Journal of Personalized Medicine
forearm deformity
post-traumatic
malunion
osteotomy
VSP
computer-aided surgery
title The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
title_full The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
title_fullStr The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
title_full_unstemmed The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
title_short The Flipping-Wedge Osteotomy: How 3D Virtual Surgical Planning (VSP) Suggested a Simple and Promising Type of Osteotomy in Pediatric Post-Traumatic Forearm Deformity
title_sort flipping wedge osteotomy how 3d virtual surgical planning vsp suggested a simple and promising type of osteotomy in pediatric post traumatic forearm deformity
topic forearm deformity
post-traumatic
malunion
osteotomy
VSP
computer-aided surgery
url https://www.mdpi.com/2075-4426/13/3/549
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