Your browser doesn't support javascript.
loading
The feasibility of a novel 3D-Printed patient specific cutting guide for extended trochanteric osteotomies.
Bergemann, Reza; Roytman, Gregory R; Ani, Lidia; Ramji, Alim F; Leslie, Michael P; Tommasini, Steven M; Wiznia, Daniel H.
Afiliação
  • Bergemann R; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA. reza.bergemann@yale.edu.
  • Roytman GR; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA.
  • Ani L; Biomedical Engineering, Yale School of Engineering and Applied Sciences, Yale University, New Haven, USA.
  • Ramji AF; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA.
  • Leslie MP; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA.
  • Tommasini SM; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA.
  • Wiznia DH; Orthopaedics and Rehabilitation, Yale School of Medicine, Yale University, 333 Cedar St. FMB 5, New Haven, CT, 06511, USA.
3D Print Med ; 10(1): 7, 2024 Mar 01.
Article em En | MEDLINE | ID: mdl-38427157
ABSTRACT

BACKGROUND:

The extended trochanteric osteotomy (ETO) is a surgical technique utilized to expose the intramedullary canal of the proximal femur, protect the soft tissues and promote reliable healing. However, imprecise execution of the osteotomy can lead to fracture, soft tissue injury, non-union, and unnecessary morbidity. We developed a technique to create patient specific, 3D-printed cutting guides to aid in accurate positioning of the ETO and improve osteotomy quality and outcomes.

METHODS:

Patient specific cutting guides were created based on CT scans using Synopysis Simpleware ScanIP and Solidworks. Custom 3D printed cutting guides were tested on synthetic femurs with foam cortical shells and on cadaveric femurs. To confirm accuracy of the osteotomies, dimensions of the performed osteotomies were compared to the virtually planned osteotomies.

RESULTS:

Use of the patient specific ETO cutting guides resulted in successful osteotomies, exposing the femoral canal and the femoral stem both in synthetic sawbone and cadaveric testing. In cadaveric testing, the guides allowed for osteotomies without fracture and cuts made using the guide were accurate within 6 percent error from the virtually planned osteotomy.

CONCLUSION:

The 3D-printed patient specific cutting guides used to aid in ETOs proved to be accurate. Through the iterative development of cutting guides, we found that a simple design was key to a reliable and accurate guide. While future clinical trials in human subjects are needed, we believe our custom 3D printed cutting guide design to be effective at aiding in performing ETOs for revision total hip arthroplasty surgeries.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: 3D Print Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: 3D Print Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido