Suhas P. Dasari MD , Luc M. Fortier MD, Bhargavi Maheshwer MD, Mario Hevesi MD, PhD, Safa Gursoy MD, PhD, Jorge Chahla MD, PhD
{"title":"3D打印患者专用导向器在膝关节周围截骨术中的应用","authors":"Suhas P. Dasari MD , Luc M. Fortier MD, Bhargavi Maheshwer MD, Mario Hevesi MD, PhD, Safa Gursoy MD, PhD, Jorge Chahla MD, PhD","doi":"10.1016/j.otsm.2022.150936","DOIUrl":null,"url":null,"abstract":"<div><p><span>High tibial osteotomies<span> are challenging procedures that have traditionally implemented two-dimensional planning (2D) for a complex three-dimensional surgery (3D). In an effort to improve the accuracy and precision of the technique, there has been a growing interest in the use of patient specific instrumentation (PSI). The implementation of PSI in osteotomies has demonstrated consistent and reliable results in the correction of the hip-knee-ankle angle, proximal tibial angle, and the posterior tibial slope. Initial clinical studies describing the implementation of this technology have reported superior accuracy in both the coronal and sagittal planes as compared to free-hand techniques. Additionally, these studies reported a fast surgeon learning curve, short operative times, and minimal fluoroscopy exposure. The senior author's preferred closing wedge HTO technique utilizes a patient specific cutting guide with osteotomy fixation provided by an extra-cortical titanium alloy locking plate. This technique is designed to provide reliable and accurate HTOs while minimizing the risk of major complications such as hinge fractures on the </span></span>contralateral cortex.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Use of 3D-Printed Patient Specific Guides in Osteotomies around the Knee\",\"authors\":\"Suhas P. Dasari MD , Luc M. Fortier MD, Bhargavi Maheshwer MD, Mario Hevesi MD, PhD, Safa Gursoy MD, PhD, Jorge Chahla MD, PhD\",\"doi\":\"10.1016/j.otsm.2022.150936\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span>High tibial osteotomies<span> are challenging procedures that have traditionally implemented two-dimensional planning (2D) for a complex three-dimensional surgery (3D). In an effort to improve the accuracy and precision of the technique, there has been a growing interest in the use of patient specific instrumentation (PSI). The implementation of PSI in osteotomies has demonstrated consistent and reliable results in the correction of the hip-knee-ankle angle, proximal tibial angle, and the posterior tibial slope. Initial clinical studies describing the implementation of this technology have reported superior accuracy in both the coronal and sagittal planes as compared to free-hand techniques. Additionally, these studies reported a fast surgeon learning curve, short operative times, and minimal fluoroscopy exposure. The senior author's preferred closing wedge HTO technique utilizes a patient specific cutting guide with osteotomy fixation provided by an extra-cortical titanium alloy locking plate. This technique is designed to provide reliable and accurate HTOs while minimizing the risk of major complications such as hinge fractures on the </span></span>contralateral cortex.</p></div>\",\"PeriodicalId\":54678,\"journal\":{\"name\":\"Operative Techniques in Sports Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Sports Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S106018722200048X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S106018722200048X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Use of 3D-Printed Patient Specific Guides in Osteotomies around the Knee
High tibial osteotomies are challenging procedures that have traditionally implemented two-dimensional planning (2D) for a complex three-dimensional surgery (3D). In an effort to improve the accuracy and precision of the technique, there has been a growing interest in the use of patient specific instrumentation (PSI). The implementation of PSI in osteotomies has demonstrated consistent and reliable results in the correction of the hip-knee-ankle angle, proximal tibial angle, and the posterior tibial slope. Initial clinical studies describing the implementation of this technology have reported superior accuracy in both the coronal and sagittal planes as compared to free-hand techniques. Additionally, these studies reported a fast surgeon learning curve, short operative times, and minimal fluoroscopy exposure. The senior author's preferred closing wedge HTO technique utilizes a patient specific cutting guide with osteotomy fixation provided by an extra-cortical titanium alloy locking plate. This technique is designed to provide reliable and accurate HTOs while minimizing the risk of major complications such as hinge fractures on the contralateral cortex.
期刊介绍:
Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.