A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies
<i>Background:</i> Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in c...
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MDPI AG
2022-09-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/9/1458 |
| _version_ | 1797486127051964416 |
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| author | Nick Assink Anne M. L. Meesters Kaj ten Duis Jorrit S. Harbers Frank F. A. IJpma Hugo C. van der Veen Job N. Doornberg Peter A. J. Pijpker Joep Kraeima |
| author_facet | Nick Assink Anne M. L. Meesters Kaj ten Duis Jorrit S. Harbers Frank F. A. IJpma Hugo C. van der Veen Job N. Doornberg Peter A. J. Pijpker Joep Kraeima |
| author_sort | Nick Assink |
| collection | DOAJ |
| description | <i>Background:</i> Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a conventional osteosynthesis plate. This study aimed to assess accuracy of the achieved corrections using this two-step technique. <i>Methods:</i> All patients (≥12 years) treated for post-traumatic malunion with a two-step 3D-planned corrective osteotomy within our center in 2021 were prospectively included. Three-dimensional virtual models of the planned outcome and the clinically achieved outcome were obtained and aligned. Postoperative evaluation of the accuracy of performed corrections was assessed by measuring the preoperative and postoperative alignment error in terms of angulation, rotation and translation. <i>Results:</i> A total of 10 patients were included. All corrective osteotomies were performed according to the predetermined surgical plan without any complications. The preoperative deformities ranged from 7.1 to 27.5° in terms of angulation and 5.3 to 26.1° in terms of rotation. The achieved alignment deviated on average 2.1 ± 1.0 and 3.4 ± 1.6 degrees from the planning for the angulation and rotation, respectively. <i>Conclusions:</i> A two-step approach for 3D-guided patient-specific corrective limb osteotomies is reliable, feasible and accurate. |
| first_indexed | 2024-03-09T23:28:46Z |
| format | Article |
| id | doaj.art-ead0a141ee054268a03fda31951d00a9 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T23:28:46Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-ead0a141ee054268a03fda31951d00a92023-11-23T17:13:28ZengMDPI AGJournal of Personalized Medicine2075-44262022-09-01129145810.3390/jpm12091458A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb OsteotomiesNick Assink0Anne M. L. Meesters1Kaj ten Duis2Jorrit S. Harbers3Frank F. A. IJpma4Hugo C. van der Veen5Job N. Doornberg6Peter A. J. Pijpker7Joep Kraeima83D Lab, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands3D Lab, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Surgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Surgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Surgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Orthopaedic Surgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Orthopaedic Surgery, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands3D Lab, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands3D Lab, University Medical Centre Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands<i>Background:</i> Corrective osteotomy surgery for long bone anomalies can be very challenging since deformation of the bone is often present in three dimensions. We developed a two-step approach for 3D-planned corrective osteotomies which consists of a cutting and reposition guide in combination with a conventional osteosynthesis plate. This study aimed to assess accuracy of the achieved corrections using this two-step technique. <i>Methods:</i> All patients (≥12 years) treated for post-traumatic malunion with a two-step 3D-planned corrective osteotomy within our center in 2021 were prospectively included. Three-dimensional virtual models of the planned outcome and the clinically achieved outcome were obtained and aligned. Postoperative evaluation of the accuracy of performed corrections was assessed by measuring the preoperative and postoperative alignment error in terms of angulation, rotation and translation. <i>Results:</i> A total of 10 patients were included. All corrective osteotomies were performed according to the predetermined surgical plan without any complications. The preoperative deformities ranged from 7.1 to 27.5° in terms of angulation and 5.3 to 26.1° in terms of rotation. The achieved alignment deviated on average 2.1 ± 1.0 and 3.4 ± 1.6 degrees from the planning for the angulation and rotation, respectively. <i>Conclusions:</i> A two-step approach for 3D-guided patient-specific corrective limb osteotomies is reliable, feasible and accurate.https://www.mdpi.com/2075-4426/12/9/1458virtual surgical planning3D printing3D technologythree-dimensionalcorrective osteotomyosteotomies |
| spellingShingle | Nick Assink Anne M. L. Meesters Kaj ten Duis Jorrit S. Harbers Frank F. A. IJpma Hugo C. van der Veen Job N. Doornberg Peter A. J. Pijpker Joep Kraeima A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies Journal of Personalized Medicine virtual surgical planning 3D printing 3D technology three-dimensional corrective osteotomy osteotomies |
| title | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
| title_full | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
| title_fullStr | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
| title_full_unstemmed | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
| title_short | A Two-Step Approach for 3D-Guided Patient-Specific Corrective Limb Osteotomies |
| title_sort | two step approach for 3d guided patient specific corrective limb osteotomies |
| topic | virtual surgical planning 3D printing 3D technology three-dimensional corrective osteotomy osteotomies |
| url | https://www.mdpi.com/2075-4426/12/9/1458 |
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