Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm
We present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the p...
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Format: | Article |
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MDPI AG
2021-08-01
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Series: | Children |
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Online Access: | https://www.mdpi.com/2227-9067/8/8/707 |
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author | Femke F. Schröder Feike de Graaff Anne J. H. Vochteloo |
author_facet | Femke F. Schröder Feike de Graaff Anne J. H. Vochteloo |
author_sort | Femke F. Schröder |
collection | DOAJ |
description | We present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the preoperative CT-scan. Subsequently, patient-specific guides were printed and used during the procedure to precisely correct the malunion. Three months after surgery, the radiographs showed full consolidation and the patient was pain-free with full range of motion and comparable strength in both forearms. The current case report shows that a corrective osteotomy with patient-specific guides based on preoperative 3D analyses can help surgeons to plan and precisely correct complex malunions resulting in improved functional outcomes. |
first_indexed | 2024-03-10T08:54:57Z |
format | Article |
id | doaj.art-da15501e35ef4b99a765a5e12782aff7 |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-10T08:54:57Z |
publishDate | 2021-08-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
spelling | doaj.art-da15501e35ef4b99a765a5e12782aff72023-11-22T07:14:44ZengMDPI AGChildren2227-90672021-08-018870710.3390/children8080707Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left ForearmFemke F. Schröder0Feike de Graaff1Anne J. H. Vochteloo2Orthopedisch Centrum Oost Nederland, Centre for Orthopaedic Surgery, 7555 DL Hengelo, The NetherlandsOrthopedisch Centrum Oost Nederland, Centre for Orthopaedic Surgery, 7555 DL Hengelo, The NetherlandsOrthopedisch Centrum Oost Nederland, Centre for Orthopaedic Surgery, 7555 DL Hengelo, The NetherlandsWe present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the preoperative CT-scan. Subsequently, patient-specific guides were printed and used during the procedure to precisely correct the malunion. Three months after surgery, the radiographs showed full consolidation and the patient was pain-free with full range of motion and comparable strength in both forearms. The current case report shows that a corrective osteotomy with patient-specific guides based on preoperative 3D analyses can help surgeons to plan and precisely correct complex malunions resulting in improved functional outcomes.https://www.mdpi.com/2227-9067/8/8/707forearm malunionosteotomypatient-specific guides3D |
spellingShingle | Femke F. Schröder Feike de Graaff Anne J. H. Vochteloo Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm Children forearm malunion osteotomy patient-specific guides 3D |
title | Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm |
title_full | Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm |
title_fullStr | Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm |
title_full_unstemmed | Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm |
title_short | Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm |
title_sort | patient specific guided osteotomy to correct a symptomatic malunion of the left forearm |
topic | forearm malunion osteotomy patient-specific guides 3D |
url | https://www.mdpi.com/2227-9067/8/8/707 |
work_keys_str_mv | AT femkefschroder patientspecificguidedosteotomytocorrectasymptomaticmalunionoftheleftforearm AT feikedegraaff patientspecificguidedosteotomytocorrectasymptomaticmalunionoftheleftforearm AT annejhvochteloo patientspecificguidedosteotomytocorrectasymptomaticmalunionoftheleftforearm |