Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm

Abstract

We present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the preoperative CT-scan. Subsequently, patient-specific guides were printed and used during the procedure to precisely correct the malunion. Three months after surgery, the radiographs showed full consolidation and the patient was pain-free with full range of motion and comparable strength in both forearms. The current case report shows that a corrective osteotomy with patient-specific guides based on preoperative 3D analyses can help surgeons to plan and precisely correct complex malunions resulting in improved functional outcomes.

Advances in Pediatric Fracture Diagnosis and Treatment Are Numerous but Great Challenges Remain

“…The current Special Issue on pediatric fractures, therefore, aims to improve our knowledge on various specific fractures in otherwise healthy children, and offer research on general principles in certain populations such as osteogenesis imperfecta patients. The previous Editorial [ 1 ] discussed the first 14 articles published [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. Subsequently, seven more high-quality original studies and one systematic review have been published in this popular Special Issue.…”