A 3‐dimensional‐printed patient‐specific guide system for minimally invasive plate osteosynthesis of a comminuted mid‐diaphyseal humeral fracture in a cat

Abstract

A 3D-printed patient-specific reduction guide system facilitated accurate alignment of a comminuted humeral fracture during MIPO without intraoperative imaging.

Accuracy of patient‐specific three‐dimensional‐printed osteotomy and reduction guides for distal femoral osteotomy in dogs with medial patella luxation

“…These guide systems are easier to use and less expensive than computer navigation systems, provide flexibility because of their custom‐design, reduce surgical time, and are significantly more accurate in terms of residual angulation and rotation compared with computer navigation systems or conventional freehand techniques . The use of patient‐specific 3D‐printed systems have also been reported in veterinary literature in the management of fractures and arthrodesis and have been shown to allow accurate placement of bicortical pedicle screws in the caudal canine cervical vertebrae …”

Percutaneous Tibial Fracture Reduction Using Computed Tomography Imaging, Computer Modelling and 3D Printed Alignment Constructs: A Cadaveric Study

“…23,24 Recent advances in computer modelling and 3D printing have the potential to improve surgical precision in veterinary orthopaedics through the development of customized implants and equipment, as highlighted in several recent publications. 16,20,[38][39][40][41] Success of the technique presented was impacted by the unavailability of an intact bone template to guide the virtual alignment process, detail of the acquired CT images and author familiarity with computer modelling software. Utilization of this technique in standard fracture repair would likely be impeded by the time investment required to become familiar with the computer software for the surgeon and the financial investment associated with 3D printing and CT imaging for the owner; however, future development of the technique may make its clinical use more practical.…”

Minimally invasive percutaneous medial plate‐rod osteosynthesis for treatment of humeral shaft fractures in dog and cats: Surgical technique and prospective evaluation

“…As a better knowledge of fracture biology underscored the central role of factors that promote fracture healing, including fracture hematoma, local blood supply, and soft tissues surrounding the fracture site, this new treatment philosophy rapidly gained acceptance in human and then veterinary orthopedics . Although development of such techniques and their clinical applications have been recently described for the radius/ulna and tibia fractures in canine and feline animals, little information is available for MIPO of humeral fractures . A minimally invasive approach through lateral portals has been anecdotally mentioned, but reports on the clinical use of this technique are lacking .…”

“…Biological osteosynthesis has gained acceptance for fracture repair in both human and veterinary medicine. Although a recent report on the use of minimally invasive plate osteosynthesis (MIPO) techniques for the treatment of tibial fractures described rapid bone healing with low complication rates compared with conventional osteosynthesis, the use of this technique has only anecdotally been reported for the treatment of humeral fractures in dogs …”