Efficacy and safety of a novel personalized navigation template in proximal femoral corrective osteotomy for the treatment of DDH

Shi, Qiang; Sun, Dong

doi:10.1186/s13018-020-01843-y

Cited by 17 publications

(20 citation statements)

References 25 publications

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“…Of the ten articles in the final inclusion, three reported directly on operative time and intraoperative imaging use. All three found a decrease in the number of intraoperative images required for completion of the planned procedure using PSI compared to conventional techniques [3,8,9]. Additionally, all three found a decrease in operative time compared to conventional techniques when PSI were used, although in one of the studies this difference was not found to be statistically significant [9].…”

Section: Resultsmentioning

confidence: 92%

“…Ten articles were considered eligible for final inclusion. Six were case control studies [3,5,6,[8][9][10], three were case series [4,7,11], and one was a case report [12]. Of the ten articles in the final inclusion, three reported directly on operative time and intraoperative imaging use.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies commented on template fit, placement and accuracy of osteotomy, and all found that once the template was positioned, the match of the cortical topography was good based on the 3D reconstruction [4,5,7,8,10,12]. One study reported on screw placement and trajectory, finding that PSI improved accuracy of screw start points and trajectories compared to conventional methods [4].…”

Section: Resultsmentioning

confidence: 99%

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3D - Printed Patient Specific Instrumentation in Corrective Osteotomy of the Femur and Pelvis: A Review of the Literature

et al. 2020

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Background The paediatric patient population has considerable variation in anatomy. The use of Computed Tomography (CT)-based digital models to design three-dimensionally printed patient specific instrumentation (PSI) has recently been applied for correction of deformity in orthopedic surgery. This review sought to determine the existing application of this technology currently in use within paediatric orthopaedics, and assess the potential benefits that this may provide to patients and surgeons. Methods A review was performed of MEDLINE, EMBASE, and CENTRAL for published literature, as well as Web of Science and clinicaltrials.gov for grey literature. The search strategy revolved around the research question: “What is the clinical impact of using 3D printed PSI for proximal femoral or pelvic osteotomy in paediatric orthopaedics?” Two reviewers, using predetermined inclusion criteria, independently performed title and abstract review in order to select articles for full text review. Data extracted included effect on operating time and intraoperative image use, as well as osteotomy and screw positioning accuracy. Data were combined in a narrative synthesis; meta-analysis was not performed given the diversity of study designs and interventions. Results In total, ten studies were included: six case control studies, three case series and a case report. Five studies directly compared operating time using PSI to conventional techniques, with two showing a significant decrease in the number of intraoperative images and operative time. Eight studies reported improved accuracy in executing the surgical plan compared to conventional methods. Conclusion Compared to conventional methods of performing femoral or pelvic osteotomy, use of PSI has led to improved accuracy and precision, decreased procedure times, and decreased intra-operative imaging requirements. Additionally, the technology has become more cost effective and accessible since its initial inception and use.

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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3D - Printed Patient Specific Instrumentation in Corrective Osteotomy of the Femur and Pelvis: A Review of the Literature

et al. 2020

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“…Reduced surgical and fluoroscopy time was also confirmed by Cherkasskiy et al [ 33 ] in triplane proximal femoral osteotomy in children with slipped capital femoral epiphysis using preoperative patient-specific 3D models for surgical planning. Beside reduced radiation exposure and shortened surgery time, Shi et al [ 34 ] also showed improved accuracy using 3D planning and PSI compared to conventional techniques in children with proximal femoral corrective osteotomy in developmental dysplasia of the hip. In a review, Baraza et al [ 20 ] similarly stated improved accuracy in corrective femoral osteotomies using 3D planning and PSI compared to conventional techniques.…”

Section: Discussionmentioning

confidence: 99%

Correction of complex three-dimensional deformities at the proximal femur using indirect reduction with angle blade plate and patient-specific instruments: a technical note

2021

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Background Corrective osteotomies for complex proximal femoral deformities can be challenging; wherefore, subsidies in preoperative planning and during surgical procedures are considered helpful. Three-dimensional (3D) planning and patient-specific instruments (PSI) are already established in different orthopedic procedures. This study gives an overview on this technique at the proximal femur and proposes a new indirect reduction technique using an angle blade plate. Methods Using computed tomography (CT) data, 3D models are generated serving for the preoperative 3D planning. Different guides are used for registration of the planning to the intraoperative situation and to perform the desired osteotomies with the following reduction task. A new valuable tool to perform the correction is the use of a combined osteotomy and implant-positioning guide, with indirect deformity reduction over an angle blade plate. Results An overview of the advantages of 3D planning and the use of PSI in complex corrective osteotomies at the proximal femur is provided. Furthermore, a new technique with indirect deformity reduction over an angle blade plate is introduced. Conclusion Using 3D planning and PSI for complex corrective osteotomies at the proximal femur can be a useful tool in understanding the individual deformity and performing the aimed deformity reduction. The indirect reduction over the implant is a simple and valuable tool in achieving the desired correction, and concurrently, surgical exposure can be limited to a subvastus approach.

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“…Patients’ computed tomography (CT) data are imported into relevant software for processing and output using a 3D printer. 3D printing technology can (1) restore the fracture model and understand the injury mechanism causing the fracture, which is conducive to better communication with patients [ 4 ]; (2) simulate the fracture reduction process in vitro and improve preoperative planning [ 5 ]; and (3) design personalized navigation or osteotomy templates to improve the accuracy of treatment [ 6 , 7 ]. The application of 3D printing in primary joint arthroplasty is mainly realized by designing osteotomy guide plates [ 8 ] and customizing personalized prostheses [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcomes in three-dimensional printing assisted revision total hip and knee arthroplasty: a systematic review

et al. 2021

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Background This study investigates whether three-dimensional (3D) printing-assisted revision total hip/knee arthroplasty could improve its clinical and radiological outcomes and assess the depth and breadth of research conducted on 3D printing-assisted revision total hip and knee arthroplasty. Methods A literature search was carried out on PubMed, Web of Science, EMBASE, and the Cochrane Library. Only studies that investigated 3D printing-assisted revision total hip and knee arthroplasty were included. The author, publication year, study design, number of patients, patients’ age, the time of follow-up, surgery category, Coleman score, clinical outcomes measured, clinical outcomes conclusion, radiological outcomes measured, and radiological outcomes conclusion were extracted and analyzed. Results Ten articles were included in our review. Three articles investigated the outcome of revision total knee arthroplasty, and seven investigated the outcome of revision total hip arthroplasty. Two papers compared a 3D printing group with a control group, and the other eight reported 3D printing treatment outcomes alone. Nine articles investigated the clinical outcomes of total hip/knee arthroplasty, and eight studied the radiological outcomes of total hip/knee arthroplasty. Conclusion 3D printing is being introduced in revision total hip and knee arthroplasty. Current literature suggests satisfactory clinical and radiological outcomes could be obtained with the assistance of 3D printing. Further long-term follow-up studies are required, particularly focusing on cost-benefit analysis, resource availability, and, importantly, the durability and biomechanics of customized prostheses using 3D printing compared to traditional techniques.

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Efficacy and safety of a novel personalized navigation template in proximal femoral corrective osteotomy for the treatment of DDH

Cited by 17 publications

References 25 publications

3D - Printed Patient Specific Instrumentation in Corrective Osteotomy of the Femur and Pelvis: A Review of the Literature

3D - Printed Patient Specific Instrumentation in Corrective Osteotomy of the Femur and Pelvis: A Review of the Literature

Correction of complex three-dimensional deformities at the proximal femur using indirect reduction with angle blade plate and patient-specific instruments: a technical note

Clinical and radiological outcomes in three-dimensional printing assisted revision total hip and knee arthroplasty: a systematic review

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