Patient-specific 3D models aid planning for triplane proximal femoral osteotomy in slipped capital femoral epiphysis

Journal of Children's Orthopaedics
L CherkasskiyV V Upasani

Abstract

Slipped capital femoral epiphysis (SCFE) can result in a complex three-dimensional (3D) deformity of the proximal femur. A three-plane proximal femoral osteotomy (TPFO) has been described to improve hip mechanics. The purpose of this study was to evaluate the benefits of using 3D print technology to aid in surgical planning. Fifteen children treated with TPFO for symptomatic proximal femoral deformity due to SCFE were included in this study. Ten patients were treated by a single surgeon with (model group, n = 5) or without (no-model group, n = 5) a 3D model for pre-operative planning, and compared with patients treated by two senior partners without the use of a model (senior group, n = 5) to evaluate for a learning curve. Peri-operative data including patient body mass index (BMI), surgical time and fluoroscopy time were recorded. Children in all three groups had similar BMIs at the time of the TPFO. Post-operative radiographic parameters were equally improved in all three groups. On average, surgical time decreased by 45 minutes and 38 minutes, and fluoroscopy time decreased by 50% and 25%, in the model group compared with the no-model and senior groups, respectively. Patient-specific 3D models aid in surgical planning for co...Continue Reading

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Citations

Oct 10, 2018·Journal of Pediatric Orthopedics·Jason P CaffreyVidyadhar V Upasani
Jul 20, 2019·Orthopaedic Surgery·Run-Zhi XiaHui-Wu Li
Feb 3, 2019·Acta orthopaedica et traumatologica turcica·Önder Kalendererİrem Hazal İnan
Jun 6, 2020·Pediatric Research·Caitlin A FrancoisseAlexander Y Lin
Jun 4, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Henrik HedelinKerstin Lagerstrand
Feb 18, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Adnan Sheikh, Bruce B Forster
Jul 10, 2021·Advanced Science·Zhongboyu JinYong He
Aug 28, 2021·JBJS Case Connector·Alan ValdovinoVidyadhar V Upasani

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Software Mentioned

MIMICS
NetFabb Basic
MeshLab
SPSS
MeshMixer

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