Computer aided designed neo-clavicle out of osteotomized free fibula: case report

British Journal of Plastic Surgery
D F KalbermattenG Pierer

Abstract

Total clavicle reconstruction is a challenging task. We performed a reconstruction of the ventral shoulder girdle by calculating a 3D DICOM representation of the left clavicle to create a right neo-clavicle. Two cuts in correct position and angle leads to a natural 3D shape of the new clavicle. The data were used with a thermo-jet procedure to form model slices of thermoplastic wax. Subsequently, the double titanium osteotomy template with correct cut-angulation was constructed. A 40-year old patient presented with symptoms of progressive pain and instability in the shoulder girdle resulting from complete right clavicle resection due to desmoid tumour 23 years earlier. During the operative procedure, dissection, guided double osteotomy, microvascular anastomoses and acromioclavicular-sternoclavicular fixation were performed. The computer-assisted planning resulted in the exact calculation of the two osteotomy cuts, hence, the 3D appearance of the neo-clavicle. Two years postoperatively, patient showed slightly improved elevation and complete recovery from pain. Our operative procedure demonstrates that the computer-assisted planning with construction of a wax model and an osteotomy template is a useful approach to plan the two ...Continue Reading

References

Nov 1, 1977·Clinical Orthopaedics and Related Research·I Spar
Sep 3, 1999·Journal of Shoulder and Elbow Surgery·L AdolfssonH Nettelblad

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Citations

Jun 23, 2007·International Orthopaedics·Sudhir KapoorSaurabh Kapoor
Nov 10, 2006·Aesthetic Plastic Surgery·Reto WettsteinGerhard Pierer
Dec 11, 2008·Archives of Orthopaedic and Trauma Surgery·Bernardino Saccomanni
Feb 9, 2012·Archives of Orthopaedic and Trauma Surgery·Ke RenXinWei Liu
Sep 10, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Christoph HeidtAlexander Joeris
Aug 15, 2013·Journal of Shoulder and Elbow Surgery·James RubrightAdam Shafritz
Jun 27, 2006·The Annals of Thoracic Surgery·Shant M VartanianPierre R Theodore
Aug 8, 2015·Maxillofacial Plastic and Reconstructive Surgery·Jin-Wei HuangZhi-Gang Cai
Dec 6, 2005·The Journal of Craniofacial Surgery·André Eckardt, Gwen R J Swennen
May 17, 2017·Plastic and Reconstructive Surgery. Global Open·Louie Ye, G Ian Taylor
Dec 21, 2012·Journal of Orthopaedic Surgery·Aditya AggarwalSushil Rangdal
Jun 19, 2019·World Journal of Surgical Oncology·Yun LiuXin-Li Zhan

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