Corrective osteotomy of upper extremity malunions using three-dimensional planning and patient-specific surgical guides: recent advances and perspectives
Abstract: Malunions of the upper extremity can result in severe functional problems and increase the risk of osteoarthritis. The surgical reconstruction of complex malunions can be technically challenging. Recent advances in computer-assisted orthopedic surgery provide an innovative solution for complex three-dimensional (3-D) reconstructions. This study aims to evaluate the clinical applicability of 3-D computer-assisted planning and surgery for upper extremity malunions. Hence, we provide a summary of evidence on this topic and highlight recent advances in this field. Further, we provide a practical implementation of this therapeutic approach based on three cases of malunited forearm fractures treated with corrective osteotomy using preoperative three-dimensional simulation and patient-specific surgical guides. All three cases, one female (56 years old) and two males (18 and 26 years old), had painful restrictions in range of motion (ROM) due to forearm malunions and took part in clinical and radiologic assessments. Postoperative evaluation of patient outcomes showed a substantial increase in range of motion, reduction of preoperatively reported pain, and an overall improvement of patients' satisfaction. The therapeutic approach used in these cases resulted in an excellent anatomical and functional reconstruction and was assessed as precise, safe, and reliable. Based on current evidence and our results, the 3-D preoperative planning technique could be the new gold standard in the treatment of complex upper extremity malunions in the future
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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Frontiers in surgery. - 8 (2021) , 615026, ISSN: 2296-875X
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2021
- Creator
- DOI
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10.3389/fsurg.2021.615026
- URN
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urn:nbn:de:bsz:25-freidok-1760996
- Rights
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Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:32 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Saravi, Babak Ebrahimzadeh
- Lang, Gernot Michael
- Steger, Rebecca
- Vollmer, Andreas
- Zwingmann, Jörn
- Universität
Time of origin
- 2021
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Patient-specific distal radius locking plate for fixation and accurate 3D positioning in corrective osteotomy
Use of patient-specific guides and 3D model in scapula osteotomy for symptomatic malunion
Implementation of a semiautomatic method to design patient-specific instruments for corrective osteotomy of the radius
Unexpected angular or rotational deformity after corrective osteotomy
Corrective osteotomies of the lower extremity after trauma
Basal osteotomy of the first metacarpal using patient-specific guides and instrumentation: biomechanical and 3D CT-based analysis
Are three-dimensional patient-specific cutting guides for open wedge high tibial osteotomy accurate? An in vitro study
Accuracy of intertrochanteric osteotomy for patients with slipped capital femoral epiphysis operated with 3D printed patient-specific guides
Instrumentation of hypoplastic pedicles with patient-specific guides
Intra-articular corrective osteotomy for malunited Hoffa fracture: A case report
Corrective osteotomy after malunion of mid shaft fractures of the clavicle
An image fusion system for corrective osteotomy of distal radius malunion
Patient-specific distal radius locking plate for fixation and accurate 3D positioning in corrective osteotomy
Use of patient-specific guides and 3D model in scapula osteotomy for symptomatic malunion
Implementation of a semiautomatic method to design patient-specific instruments for corrective osteotomy of the radius
Unexpected angular or rotational deformity after corrective osteotomy
Corrective osteotomies of the lower extremity after trauma
Basal osteotomy of the first metacarpal using patient-specific guides and instrumentation: biomechanical and 3D CT-based analysis
Are three-dimensional patient-specific cutting guides for open wedge high tibial osteotomy accurate? An in vitro study
Accuracy of intertrochanteric osteotomy for patients with slipped capital femoral epiphysis operated with 3D printed patient-specific guides
Instrumentation of hypoplastic pedicles with patient-specific guides
Intra-articular corrective osteotomy for malunited Hoffa fracture: A case report
Corrective osteotomy after malunion of mid shaft fractures of the clavicle