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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Main Authors: Femke F. Schröder, Feike de Graaff, Anne J. H. Vochteloo
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Children
Subjects:
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.
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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
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AT feikedegraaff patientspecificguidedosteotomytocorrectasymptomaticmalunionoftheleftforearm
AT annejhvochteloo patientspecificguidedosteotomytocorrectasymptomaticmalunionoftheleftforearm