scholarly journals An Easy and Economical Way to Produce a Three-Dimensional Bone Phantom in a Dog with Antebrachial Deformities

Animals ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1445
Author(s):  
Hee-Ryung Lee ◽  
Gareeballah Osman Adam ◽  
Dong Kwon Yang ◽  
Tsendsuren Tungalag ◽  
Sei-Jin Lee ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Reference Value ◽  
Definite Description ◽  
Free Software ◽  
Patient Specific ◽  
Angular Deformity ◽  
Operative Planning ◽  
The Cost

3-D surgical planning for restorative osteotomy is costly and time-consuming because surgeons need to be helped from commercial companies to get 3-D printed bones. However, practitioners can save time and keep the cost to a minimum by utilizing free software and establishing their 3-D printers locally. Surgical planning for the corrective osteotomy of antebrachial growth deformities (AGD) is challenging for several reasons (the nature of the biapical or multiapical conformational abnormalities and lack of a reference value for the specific breed). Pre-operative planning challenges include: a definite description of the position of the center of rotation of angulation (CORA) and proper positioning of the osteotomies applicable to the CORA. In the present study, we demonstrated an accurate and reproducible bone-cutting technique using patient-specific instrumentations (PSI) 3-D technology. The results of the location precision showed that, by using PSIs, the surgeons were able to accurately replicate preoperative resection planning. PSI results also indicate that PSI technology provides a smaller standard deviation than the freehand method. PSI technology performed in the distal radial angular deformity may provide good cutting accuracy. In conclusion, the PSI technology may improve bone-cutting accuracy during corrective osteotomy by providing clinically acceptable margins.

Optimizing Pre-surgical Planning for a Complex Myomectomy Using a Patient-Specific Three-Dimensional Printed Anatomical Model

2020 ◽  
Vol 42 (6) ◽  
pp. 697-699
Author(s):  
Teresa Flaxman ◽  
Adnan Sheikh ◽  
Waleed Althobaity ◽  
Olivier Miguel ◽  
Carly Cooke ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Three Dimensional ◽  
Patient Specific ◽  
Anatomical Model

scholarly journals Boundary conditions of patient-specific fluid dynamics modelling of cavopulmonary connections: possible adaptation of pulmonary resistances results in a critical issue for a virtual surgical planning

2011 ◽  
Vol 1 (3) ◽  
pp. 297-307 ◽  
Author(s):  
Giancarlo Pennati ◽  
Chiara Corsini ◽  
Daria Cosentino ◽  
Tain-Yen Hsia ◽  
Vincenzo S. Luisi ◽  
...  
Keyword(s):  
Fluid Dynamics ◽  
Boundary Conditions ◽  
Three Dimensional ◽  
Critical Issue ◽  
Patient Specific ◽  
Imaging Data ◽  
Venae Cavae ◽  
Cavopulmonary Anastomosis ◽  
Operative Planning ◽  
The Right

Cavopulmonary connections are surgical procedures used to treat a variety of complex congenital cardiac defects. Virtual pre-operative planning based on in silico patient-specific modelling might become a powerful tool in the surgical decision-making process. For this purpose, three-dimensional models can be easily developed from medical imaging data to investigate individual haemodynamics. However, the definition of patient-specific boundary conditions is still a crucial issue. The present study describes an approach to evaluate the vascular impedance of the right and left lungs on the basis of pre-operative clinical data and numerical simulations. Computational fluid dynamics techniques are applied to a patient with a bidirectional cavopulmonary anastomosis, who later underwent a total cavopulmonary connection (TCPC). Multi-scale models describing the surgical region and the lungs are adopted, while the flow rates measured in the venae cavae are used at the model inlets. Pre-operative and post-operative conditions are investigated; namely, TCPC haemodynamics, which are predicted using patient-specific pre-operative boundary conditions, indicates that the pre-operative balanced lung resistances are not compatible with the TCPC measured flows, suggesting that the pulmonary vascular impedances changed individually after the surgery. These modifications might be the consequence of adaptation to the altered pulmonary blood flows.

scholarly journals Computer-Assisted Planning and Three-Dimensional-Printed Patient-Specific Instrumental Guide for Corrective Osteotomy in Post-Traumatic Femur Deformity: A Case Report and Literature Review

2018 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Lau Chi-Kay ◽  
Chui King-him ◽  
Lee Kin-bong ◽  
Li Wilson
Keyword(s):  
Lower Limb ◽  
New Technologies ◽  
Preoperative Planning ◽  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Patient Specific ◽  
Computer Assisted ◽  
Limb Deformity ◽  
Satisfactory Outcome ◽  
Post Traumatic

Post-traumatic limb deformity is often multiplanar and thus is a difficult pathology to deal with surgically. Precise preoperative planning and accurate intraoperative execution are two main important steps that lead to satisfactory outcome. Computer-assisted planning and three-dimensional-printed patient-specific instrumental guides provide excellent aid to the two steps, respectively. We report a case of posttraumatic lower limb deformity in a patient who underwent closing wedge corrective osteotomy with the aid of the aforementioned new technologies.

scholarly journals Corrective Osteotomy of Upper Extremity Malunions Using Three-Dimensional Planning and Patient-Specific Surgical Guides: Recent Advances and Perspectives

2021 ◽  
Vol 8 ◽  
Author(s):  
Babak Saravi ◽  
Gernot Lang ◽  
Rebecca Steger ◽  
Andreas Vollmer ◽  
Jörn Zwingmann
Keyword(s):  
Range Of Motion ◽  
Upper Extremity ◽  
Therapeutic Approach ◽  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Current Evidence ◽  
Patient Specific ◽  
Computer Assisted ◽  
Surgical Guides ◽  
Recent Advances

Malunions of the upper extremity can result in severe functional problems and increase the risk of osteoarthritis. The surgical reconstruction of complex malunions can be technically challenging. Recent advances in computer-assisted orthopedic surgery provide an innovative solution for complex three-dimensional (3-D) reconstructions. This study aims to evaluate the clinical applicability of 3-D computer-assisted planning and surgery for upper extremity malunions. Hence, we provide a summary of evidence on this topic and highlight recent advances in this field. Further, we provide a practical implementation of this therapeutic approach based on three cases of malunited forearm fractures treated with corrective osteotomy using preoperative three-dimensional simulation and patient-specific surgical guides. All three cases, one female (56 years old) and two males (18 and 26 years old), had painful restrictions in range of motion (ROM) due to forearm malunions and took part in clinical and radiologic assessments. Postoperative evaluation of patient outcomes showed a substantial increase in range of motion, reduction of preoperatively reported pain, and an overall improvement of patients' satisfaction. The therapeutic approach used in these cases resulted in an excellent anatomical and functional reconstruction and was assessed as precise, safe, and reliable. Based on current evidence and our results, the 3-D preoperative planning technique could be the new gold standard in the treatment of complex upper extremity malunions in the future.

3D modeling: a future of cardiovascular medicine

2019 ◽  
Vol 97 (4) ◽  
pp. 277-286 ◽  
Author(s):  
Kaley H. Garner ◽  
Dinender K. Singla
Keyword(s):  
3D Modeling ◽  
Surgical Planning ◽  
Surgical Techniques ◽  
3D Models ◽  
Health Concern ◽  
Patient Specific ◽  
Future Directions ◽  
Medical Device Design ◽  
Significant Interest ◽  
Operative Planning

Cardiovascular disease resulting from atypical cardiac structures continues to be a leading health concern despite advancements in diagnostic imaging and surgical techniques. However, the ability to visualize spatial relationships using current technologies remains a challenge. Therefore, 3D modeling has gained significant interest to understand complex and atypical cardiovascular disorders. Moreover, 3D modeling can be personalized and patient-specific. 3D models have been demonstrated to aid surgical planning and simulation, enhance communication among surgeons and patients, optimize medical device design, and can be used as a potential teaching tool in medical schools. In this review, we discuss the key components needed to generate cardiac 3D models. We highlight prevalent structural conditions that have utilized 3D modeling in pre-operative planning. Furthermore, we discuss the current limitations of routine use of 3D models in the clinic as well as future directions for utilization of this technology in the cardiovascular field.

Accuracy assessment of surgical planning and three-dimensional-printed patient-specific guides for orthopaedic osteotomies

2017 ◽  
Vol 231 (6) ◽  
pp. 499-508 ◽  
Author(s):  
Gwen Sys ◽  
Hannelore Eykens ◽  
Gerlinde Lenaerts ◽  
Felix Shumelinsky ◽  
Cedric Robbrecht ◽  
...  
Keyword(s):  
Accuracy Assessment ◽  
Average Distance ◽  
Three Dimensional ◽  
Patient Specific ◽  
Second Phase ◽  
Experimental Setup ◽  
Operative Planning ◽  
The Difference ◽  
Two Phases ◽  
Improved Accuracy

This study analyses the accuracy of three-dimensional pre-operative planning and patient-specific guides for orthopaedic osteotomies. To this end, patient-specific guides were compared to the classical freehand method in an experimental setup with saw bones in two phases. In the first phase, the effect of guide design and oscillating versus reciprocating saws was analysed. The difference between target and performed cuts was quantified by the average distance deviation and average angular deviations in the sagittal and coronal planes for the different osteotomies. The results indicated that for one model osteotomy, the use of guides resulted in a more accurate cut when compared to the freehand technique. Reciprocating saws and slot guides improved accuracy in all planes, while oscillating saws and open guides lead to larger deviations from the planned cut. In the second phase, the accuracy of transfer of the planning to the surgical field with slot guides and a reciprocating saw was assessed and compared to the classical planning and freehand cutting method. The pre-operative plan was transferred with high accuracy. Three-dimensional-printed patient-specific guides improve the accuracy of osteotomies and bony resections in an experimental setup compared to conventional freehand methods. The improved accuracy is related to (1) a detailed and qualitative pre-operative plan and (2) an accurate transfer of the planning to the operation room with patient-specific guides by an accurate guidance of the surgical tools to perform the desired cuts.

scholarly journals Comparison between Novice and Experienced Surgeons Performing Corrective Osteotomy with Patient-Specific Guides in Dogs Based on Resulting Position Accuracy

2021 ◽  
Vol 8 (3) ◽  
pp. 40
Author(s):  
Yoon Ho Rho ◽  
Cheong Woon Cho ◽  
Chang Hun Ryu ◽  
Je Hun Lee ◽  
Seong Mok Jeong ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Corrective Osteotomy ◽  
Three Dimensional ◽  
Patient Specific ◽  
Bone Modeling ◽  
Accuracy Evaluation ◽  
3D Registration ◽  
Rotational Angle ◽  
Significant Difference ◽  
Angular Deformities

Corrective osteotomy has been applied to realign and stabilize the bones of dogs with lameness. However, corrective osteotomy for angular deformities requires substantial surgical experience for planning and performing accurate osteotomy. Three-dimensional printed patient-specific guides (3D-PSGs) were developed to overcome perioperative difficulties. In addition, novices can easily use these guides for performing accurate corrective osteotomy. We compared the postoperative results of corrective osteotomy accuracy when using 3D-PSGs in dogs between novice and experienced surgeons. We included eight dogs who underwent corrective osteotomy: three angular deformities of the radius and ulna, three distal femoral osteotomies, one center of rotational angle-based leveling osteotomy, and one corrective osteotomy with stifle arthrodesis. All processes, including 3D bone modeling, production of PSGs, and rehearsal surgery were carried out with computer-aided design software and a 3D-printed bone model. Pre- and postoperative positions following 3D reconstruction were evaluated by radiographs using the 2D/3D registration technique. All patients showed clinical improvement with satisfactory alignment and position. Postoperative accuracy evaluation revealed no significant difference between novice and experienced surgeons. PSGs are thought to be useful for novice surgeons to accurately perform corrective osteotomy in dogs without complications.

scholarly journals The use of three-dimensional printing technology in orthopaedic surgery

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668407 ◽  
Author(s):  
Tak Man Wong ◽  
Jimmy Jin ◽  
Tak Wing Lau ◽  
Christian Fang ◽  
Chun Hoi Yan ◽  
...  
Keyword(s):  
Orthopaedic Surgery ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Physical Models ◽  
Advanced Technology ◽  
Patient Specific ◽  
Printing Technology ◽  
Three Dimensional Printing ◽  
Facial Surgery ◽  
Patient Specific Instruments

Three-dimensional (3-D) printing or additive manufacturing, an advanced technology that 3-D physical models are created, has been wildly applied in medical industries, including cardiothoracic surgery, cranio-maxillo-facial surgery and orthopaedic surgery. The physical models made by 3-D printing technology give surgeons a realistic impression of complex structures, allowing surgical planning and simulation before operations. In orthopaedic surgery, this technique is mainly applied in surgical planning especially revision and reconstructive surgeries, making patient-specific instruments or implants, and bone tissue engineering. This article reviews this technology and its application in orthopaedic surgery.

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