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Van Den Boogaard, Martine, Langenberg, Lisette, The, Bertram, van Bergen, Christiaan, Eygendaal, Denise. (1403). Preoperative Three-Dimensional Planning of Screw Length is not Reliable in Osteotomies of the Humerus and Forearm. , 12(8), 567-573. doi: 10.22038/abjs.2024.72837.3611
Martine Van Den Boogaard; Lisette C. Langenberg; Bertram The; Christiaan J.A. van Bergen; Denise Eygendaal. "Preoperative Three-Dimensional Planning of Screw Length is not Reliable in Osteotomies of the Humerus and Forearm". , 12, 8, 1403, 567-573. doi: 10.22038/abjs.2024.72837.3611
Van Den Boogaard, Martine, Langenberg, Lisette, The, Bertram, van Bergen, Christiaan, Eygendaal, Denise. (1403). 'Preoperative Three-Dimensional Planning of Screw Length is not Reliable in Osteotomies of the Humerus and Forearm', , 12(8), pp. 567-573. doi: 10.22038/abjs.2024.72837.3611
Van Den Boogaard, Martine, Langenberg, Lisette, The, Bertram, van Bergen, Christiaan, Eygendaal, Denise. Preoperative Three-Dimensional Planning of Screw Length is not Reliable in Osteotomies of the Humerus and Forearm. , 1403; 12(8): 567-573. doi: 10.22038/abjs.2024.72837.3611

Preoperative Three-Dimensional Planning of Screw Length is not Reliable in Osteotomies of the Humerus and Forearm

The Archives of Bone and Joint Surgery
مقاله 4، دوره 12، شماره 8، آبان 2024، صفحه 567-573    اصل مقاله (693.85 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.72837.3611
نویسندگان
Martine Van Den Boogaard1؛ Lisette C. Langenberg2؛ Bertram The3؛ Christiaan J.A. van Bergen4؛ Denise Eygendaal* 5
1Amsterdam University Medical Center Amsterdam, the Netherlands
2Department of Orthopeaedics, Noord West Ziekenhuisgroep, Alkmaar, the Netherlands
3Department of Orthopaedics, Amphia Hospital, Breda, the Netherlands
4Department of Orthopaedics, Amphia Hospital, Breda, the Netherlands - Department of Orthopaedics and Sports Medicine, Erasmus University Medical Center – Sophia Children’s Hospital, Rotterdam, the Netherlands
5Department of Orthopaedics and Sports Medicine, Erasmus University Medical Center – Sophia Children’s Hospital, Rotterdam, the Netherlands
چکیده
Objectives: Pediatric upper extremity fractures are seen frequently and sometimes lead to malunion. Three-dimensional (3D) surgery planning is an innovative addition to surgical treatment for the correction of post-traumatic arm deformities. The detailed planning in three dimensions allows for optimization of correction and provides planning of the exact osteotomies which include the advised material for correction and fixation. However, no literature is available on the precision of this computerized sizing of implants and screws. This study aimed to investigate the differences between 3D planned and surgically implanted screws in patients with a corrective osteotomy of the arm.
Methods: Planned and implanted screw lengths were evaluated in patients who underwent a 3D planned corrective osteotomy of the humerus or forearm using patient-specific 3D printed drill- and sawblade guides. Postoperative information on implanted hardware was compared to the original planned screw lengths mentioned in the 3D planned surgery reports.
Results: Of the 159 included screws in 17 patients, 45% differed >1 mm from the planned length (P<0.001). Aberrant screws in the radius and ulna were often longer, while those in the humerus were often shorter. Most aberrant screws were seen in the proximity of the elbow joint.
Conclusion: This study showed that 3D-planned screws in corrective osteotomies of the humerus and forearm differ significantly from screw lengths used during surgery. This illustrates that surgeons should be cautious when performing osteotomies with 3D techniques and predefined screw sizes.
        Level of evidence: IV
کلیدواژه‌ها
Osteotomy؛ Patient-specific planning؛ Screw length؛ Surgical guides؛ Three-dimensional
مراجع
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