A Simple 3-Dimensional Printed Aid for a Corrective Palmar Opening Wedge Osteotomy of the Distal Radius

Honigmann, Philipp; Thieringer, Florian M.; Steiger, Regula; Haefeli, Mathias; Schumacher, Ralf; Henning, Julia

doi:10.1016/j.jhsa.2015.12.022

Cited by 45 publications

(25 citation statements)

References 17 publications

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“…Other benefits of a basic in-hospital 3D printing lab are that the patient’s DICOM files do not have to be sent away by mail thereby protecting the patient’s privacy and that 3D printing will be accessible 24/7 instead of only during office hours, which is the case when managed by other parties. A beneficial effect of surgical guides in terms of time management was seen by Honigmann et al 10 showing a reduction in operation time by 30 min when using any guides. In our case, the total operation time was 60 min with an additional 60 min required for preoperative planning and design.…”

Section: Discussionmentioning

confidence: 91%

3D printing for corrective osteotomy of malunited distal radius fractures: a low-cost workflow

Inge¹,

Brouwers

Heijden

et al. 2018

BMJ Case Reports

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After a severe trauma, a 16-year-old female patient sustained multiple injuries, including a distal radius fracture of the left arm. This distal radius fracture eventually developed into a malunion. In this case, we demonstrate our preoperative low-cost workup for three-dimensional (3D) planned and assisted corrective osteotomy of a malunited distal radius fracture using an in-hospital 3D printer.

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Section: Discussionmentioning

confidence: 91%

3D printing for corrective osteotomy of malunited distal radius fractures: a low-cost workflow

Inge¹,

Brouwers

Heijden

et al. 2018

BMJ Case Reports

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“…Twelve studies are descriptive case-series studies (therapeutic level IV evidence) with sample sizes ranging from two to eleven participants; the remaining three studies are case report studies (therapeutic level V evidence). Additional data were requested for 11 out of 15 titles and were received from two authors [22, 29]. Another author reported that the requested data were not available.…”

Section: Resultsmentioning

confidence: 99%

“…Additional data were requested for 11 out of 15 titles and were received from two authors [22, 29]. Another author reported that the requested data were not available.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies (10 out of 15) relied on the use of a custom-made osteotomy template with guiding holes and an osteotomy slit [16, 21, 22, 25–27, 29–33]. Athwal et al [19] and Croitoru et al [28] used an optical tracking device to guide the position of drill and screws.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, there is the possibility to guide the reposition with optical tracking devices [19, 28]. Another option is the use of synthetic templates that can be placed in the osteotomy gap, thereby restoring the original position of the distal radius [23, 29]. Ultimately, 3D-planning techniques provide the possibility to create patient-specific surgical cutting guides and fixation plates [21, 22, 26, 27, 30–34].…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis

Keizer¹,

Lechner²,

Mulders³

et al. 2017

Strategies in Trauma and Limb Reconstruction

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The purpose of this study was to summarize and evaluate results of three-dimensional (3D-) planned corrective osteotomies of malunited distal radius fractures. 3D-planning techniques provide the possibility to address 3D-deformity that conventional planning methods might not address. We systematically searched PubMed, EMBASE and the Cochrane library for studies that performed a 3D-planned corrective osteotomy on patients with a malunited distal radius fracture. Fifteen studies with a total of 68 patients were included in the analysis. In 96% of cases, the preoperatively present palmar tilt, radial inclination and ulnar variance showed statistically significant improvement postoperatively with restoration to within 5° or 2 mm of their normal values. Mean flexion–extension, pro-supination and grip strength showed statistically significant improvement (p < 0.05). Complications were reported in 11 out of 68 patients (16%). With the current advances in 3D printing technology, 3D-planned corrective osteotomies seem a promising technique in the treatment of complex distal radius malunions. Level of evidence IV Systematic review of case series, Level IV.

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Cold ablation robot‐guided laser osteotomy in hand, wrist and forearm surgery—A feasibility study

Honigmann

Hofer

Hirsch³

et al. 2022

Robotics Computer Surgery

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Introduction Traditional bone surgery using saws and chisels is associated with direct contact of instruments with the bone causing friction, heat and pressure and hence, damaging the bone and the surrounding soft tissues. Method Cold ablation laser osteotomy offers new possibilities to perform corrective osteotomies in the field of bone surgery. We introduce the technology of navigated cold ablation robot‐guided laser osteotomy, present potential applications, and preliminary pre‐clinical cadaver test results in the field of hand‐, wrist‐ and forearm surgery. Results The cadaver tests showed first promising results for corrections in all planes and axes using different cutting patterns. Conclusion Cold ablation laser osteotomy seems to be a feasible new method to perform osteotomies in the field of hand‐, wrist‐ and forearm surgery. Primary osseous stability could be achieved using various cutting patterns which could lead to reduction of the amount of hardware required for osteosynthesis. Further tests are required to proof the latter and precision.

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A Simple 3-Dimensional Printed Aid for a Corrective Palmar Opening Wedge Osteotomy of the Distal Radius

Cited by 45 publications

References 17 publications

3D printing for corrective osteotomy of malunited distal radius fractures: a low-cost workflow

3D printing for corrective osteotomy of malunited distal radius fractures: a low-cost workflow

Three-dimensional virtual planning of corrective osteotomies of distal radius malunions: a systematic review and meta-analysis

Cold ablation robot‐guided laser osteotomy in hand, wrist and forearm surgery—A feasibility study

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