The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

The open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitell...

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Main Authors: Suriya Luenam, Arkaphat Kosiyatrakul, Kantapat Phakdeewisetkul, Chedtha Puncreobutr
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499020960251
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author Suriya Luenam
Arkaphat Kosiyatrakul
Kantapat Phakdeewisetkul
Chedtha Puncreobutr
author_facet Suriya Luenam
Arkaphat Kosiyatrakul
Kantapat Phakdeewisetkul
Chedtha Puncreobutr
author_sort Suriya Luenam
collection DOAJ
description The open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitellum and lateral trochlear ridge which was treated with the patient-specific implant created with three-dimensional printing technology. Apart from anatomic replacement of the articular surface, the lateral collateral ligament complex and extensor muscle which are the key soft tissue stabilizers of elbow were repaired by reattaching their bony origins to the impacted iliac crest bone graft inside the implant. Due to the favorable result at 2-year follow-up, this modality is a potentially viable surgical option in treating of the severe open distal humeral fracture associated with entire lateral condylar damage.
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spelling doaj.art-72f6d15aeb80411795c97e02516306792022-12-21T23:41:44ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-10-012810.1177/2309499020960251The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral columnSuriya Luenam0Arkaphat Kosiyatrakul1Kantapat Phakdeewisetkul2Chedtha Puncreobutr3 Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand Biomechanics Research Center, Meticuly Co. Ltd., , Bangkok, Thailand Advanced Materials Analysis Research Unit, Department of Metallurgical Engineering, Faculty of Engineering, , Bangkok, ThailandThe open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitellum and lateral trochlear ridge which was treated with the patient-specific implant created with three-dimensional printing technology. Apart from anatomic replacement of the articular surface, the lateral collateral ligament complex and extensor muscle which are the key soft tissue stabilizers of elbow were repaired by reattaching their bony origins to the impacted iliac crest bone graft inside the implant. Due to the favorable result at 2-year follow-up, this modality is a potentially viable surgical option in treating of the severe open distal humeral fracture associated with entire lateral condylar damage.https://doi.org/10.1177/2309499020960251
spellingShingle Suriya Luenam
Arkaphat Kosiyatrakul
Kantapat Phakdeewisetkul
Chedtha Puncreobutr
The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
Journal of Orthopaedic Surgery
title The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
title_full The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
title_fullStr The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
title_full_unstemmed The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
title_short The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
title_sort patient specific implant created with 3d printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column
url https://doi.org/10.1177/2309499020960251
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