Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases

The deformed and enlarged femoral head secondary to hip diseases such as Legg Calve Perthes and Developmental Dysplasia usually causes impingement between the aspherical head and the acetabulum. To restore and reduce the size of enlarged femoral head, a femoral head reduction technique has been desc...

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Main Authors: Önder Kalenderer, Serkan Erkuş, Ali Turgut, İrem Hazal İnan
Format: Article
Language:English
Published: AVES 2019-05-01
Series:Acta Orthopaedica et Traumatologica Turcica
Online Access:http://www.sciencedirect.com/science/article/pii/S1017995X18303924
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author Önder Kalenderer
Serkan Erkuş
Ali Turgut
İrem Hazal İnan
author_facet Önder Kalenderer
Serkan Erkuş
Ali Turgut
İrem Hazal İnan
author_sort Önder Kalenderer
collection DOAJ
description The deformed and enlarged femoral head secondary to hip diseases such as Legg Calve Perthes and Developmental Dysplasia usually causes impingement between the aspherical head and the acetabulum. To restore and reduce the size of enlarged femoral head, a femoral head reduction technique has been described previously. The goal is to obtain a spherical femoral head and to cover the gliding surface with best available cartilage. Planning of osteotomy to achieve spherical head is the crucial point of surgery. It is usually done intra-operatively and dependent on experience of surgeon. Preoperative 3- Dimension (D) modeling of femoral head is commonly preferred to minimize this risk. In this technical note, preoperative planning with 3-D printing was demonstrated in two separate patients with Legg-Calve-Perthes Disease and developmental hip dysplasia. Surgical time was approximately 150 and 120 min, respectively. Blood loss was 230 and 300 cc, respectively. Patients were followed up 9 months and 12 months, respectively. None of the patients in this study developed avascular necrosis; however, the follow-up period is very limited. Moreover, none of the patients developed post-operative complications or required additional surgery. With a more detailed preoperative planning done on computer model and printed in 3-D, one can mimic the surgical procedure before the procedure. Finally, this technique is advantageous both for the patient and surgeon. Keywords: Deformation, Femoral head, Preoperative planning, Hip, Three dimensional printing
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spelling doaj.art-fe0e1cadef7d4da8bea92ea904b84fb62023-02-15T16:10:13ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-05-01533226229Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two casesÖnder Kalenderer0Serkan Erkuş1Ali Turgut2İrem Hazal İnan3Tepecik Training and Research Hospital, Department of Orthopaedics and Traumatology, İzmir, Turkey; Corresponding author. Tepecik Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği Yenişehir, İzmir, Turkey. Tel.: +902324696969 1412. Fax: +902324330756.Tepecik Training and Research Hospital, Department of Orthopaedics and Traumatology, İzmir, TurkeyTepecik Training and Research Hospital, Department of Orthopaedics and Traumatology, İzmir, TurkeyAcıbadem University, School of Medicine, Istanbul, TurkeyThe deformed and enlarged femoral head secondary to hip diseases such as Legg Calve Perthes and Developmental Dysplasia usually causes impingement between the aspherical head and the acetabulum. To restore and reduce the size of enlarged femoral head, a femoral head reduction technique has been described previously. The goal is to obtain a spherical femoral head and to cover the gliding surface with best available cartilage. Planning of osteotomy to achieve spherical head is the crucial point of surgery. It is usually done intra-operatively and dependent on experience of surgeon. Preoperative 3- Dimension (D) modeling of femoral head is commonly preferred to minimize this risk. In this technical note, preoperative planning with 3-D printing was demonstrated in two separate patients with Legg-Calve-Perthes Disease and developmental hip dysplasia. Surgical time was approximately 150 and 120 min, respectively. Blood loss was 230 and 300 cc, respectively. Patients were followed up 9 months and 12 months, respectively. None of the patients in this study developed avascular necrosis; however, the follow-up period is very limited. Moreover, none of the patients developed post-operative complications or required additional surgery. With a more detailed preoperative planning done on computer model and printed in 3-D, one can mimic the surgical procedure before the procedure. Finally, this technique is advantageous both for the patient and surgeon. Keywords: Deformation, Femoral head, Preoperative planning, Hip, Three dimensional printinghttp://www.sciencedirect.com/science/article/pii/S1017995X18303924
spellingShingle Önder Kalenderer
Serkan Erkuş
Ali Turgut
İrem Hazal İnan
Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
Acta Orthopaedica et Traumatologica Turcica
title Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
title_full Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
title_fullStr Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
title_full_unstemmed Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
title_short Preoperative planning of femoral head reduction osteotomy using 3D printing model: A report of two cases
title_sort preoperative planning of femoral head reduction osteotomy using 3d printing model a report of two cases
url http://www.sciencedirect.com/science/article/pii/S1017995X18303924
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