Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy

Objective: To prospectively evaluate the effect of a computed tomography (CT)-based three-dimensional (3D) printing surgical guide on surgical accuracy of tibial plateau leveling osteotomy (TPLO).Study Design: Cadaveric study.Animals: Canine cadaveric hindlimbs (n = 14).Methods: TPLO was performed o...

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Main Authors: Jayon Kim, Jaeeun Ko, Jaehwan Kim, Anna Seo, Kidong Eom
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2021.751908/full
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author Jayon Kim
Jaeeun Ko
Jaehwan Kim
Anna Seo
Kidong Eom
author_facet Jayon Kim
Jaeeun Ko
Jaehwan Kim
Anna Seo
Kidong Eom
author_sort Jayon Kim
collection DOAJ
description Objective: To prospectively evaluate the effect of a computed tomography (CT)-based three-dimensional (3D) printing surgical guide on surgical accuracy of tibial plateau leveling osteotomy (TPLO).Study Design: Cadaveric study.Animals: Canine cadaveric hindlimbs (n = 14).Methods: TPLO was performed on cadaver hindlimbs disarticulated at the coxofemoral joint to compare and evaluate the conventional TPLO method (n = 7) with one that used customized 3D printing surgical guides (n = 7). The operation time and postoperative tibial plateau angle (TPA) of the osteotomy were evaluated. Moreover, the osteotomy inclination, torsion, and distance and the direction of eccentricity were assessed using CT reconstruction.Results: Significant differences in the operation time (p < 0.001), postoperative TPA (p < 0.05), osteotomy inclination (p < 0.05), and osteotomy torsion (p < 0.05) were observed.Conclusion: The use of TPLO surgical guide reduced the operation time and inaccurate osteotomy.Clinical Significance: The surgical technique applied with a customized 3D printing surgical guide could be used to perform osteotomy and TPA adjustment more precisely than conventional TPLO.
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spelling doaj.art-571fd80722e642789822789a9a7e36542022-12-21T22:42:23ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692021-11-01810.3389/fvets.2021.751908751908Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling OsteotomyJayon Kim0Jaeeun Ko1Jaehwan Kim2Anna Seo3Kidong Eom4Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaResearch Institute, SEEANN Solution Co., Ltd., Incheon, South KoreaDepartment of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, South KoreaObjective: To prospectively evaluate the effect of a computed tomography (CT)-based three-dimensional (3D) printing surgical guide on surgical accuracy of tibial plateau leveling osteotomy (TPLO).Study Design: Cadaveric study.Animals: Canine cadaveric hindlimbs (n = 14).Methods: TPLO was performed on cadaver hindlimbs disarticulated at the coxofemoral joint to compare and evaluate the conventional TPLO method (n = 7) with one that used customized 3D printing surgical guides (n = 7). The operation time and postoperative tibial plateau angle (TPA) of the osteotomy were evaluated. Moreover, the osteotomy inclination, torsion, and distance and the direction of eccentricity were assessed using CT reconstruction.Results: Significant differences in the operation time (p < 0.001), postoperative TPA (p < 0.05), osteotomy inclination (p < 0.05), and osteotomy torsion (p < 0.05) were observed.Conclusion: The use of TPLO surgical guide reduced the operation time and inaccurate osteotomy.Clinical Significance: The surgical technique applied with a customized 3D printing surgical guide could be used to perform osteotomy and TPA adjustment more precisely than conventional TPLO.https://www.frontiersin.org/articles/10.3389/fvets.2021.751908/full3D printingcomputed tomographydogsurgical guidetibial plateau angletibial plateau leveling osteotomy
spellingShingle Jayon Kim
Jaeeun Ko
Jaehwan Kim
Anna Seo
Kidong Eom
Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
Frontiers in Veterinary Science
3D printing
computed tomography
dog
surgical guide
tibial plateau angle
tibial plateau leveling osteotomy
title Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
title_full Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
title_fullStr Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
title_full_unstemmed Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
title_short Efficacy of a Customized Three-Dimensional Printing Surgical Guide for Tibial Plateau Leveling Osteotomy: A Comparison With Conventional Tibial Plateau Leveling Osteotomy
title_sort efficacy of a customized three dimensional printing surgical guide for tibial plateau leveling osteotomy a comparison with conventional tibial plateau leveling osteotomy
topic 3D printing
computed tomography
dog
surgical guide
tibial plateau angle
tibial plateau leveling osteotomy
url https://www.frontiersin.org/articles/10.3389/fvets.2021.751908/full
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