ArticleJournal of orthopaedic surgery and research2022
The validity and accuracy of 3D-printed patient-specific instruments for high tibial osteotomy: a cadaveric study.
Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Novel, Biplanar, Medial Opening Wedge, Posterior Tibial Slope-reducing High Tibial Osteotomy Aided by Patient-specific Instruments, With Tibial Tuberosity Serving as Hinge Axis: Cadaveric Study Assessing Accuracy of Biplanar Correction With Various Coronal and Sagittal Amounts of Correction
Precisión de la osteotomía Tibial Proximal Con Instrumental Paciente-específico vs técnica Convencional
Who cites it
11 citing papers in PubMed.
- The Efficiency and Cost-Effectiveness of 3D-Printed Patient-Specific Guide Plate for Patients Undergoing Open-Wedge High Tibial Osteotomy: A Multicentered Randomized Controlled Trial.Orthopaedic surgery · 2026Trial
- Medial Hemiplateau High-Tibial Osteotomy Technique for Varus Tibial Plateau Malunion.Arthroscopy techniques · 2026Article
- Correlation of Plain Radiographs and 3-Dimensional CT With Coronal and Sagittal Measurements in Patients Undergoing Corrective Osteotomies.Orthopaedic journal of sports medicine · 2026Article
- Accuracy of medial opening wedge high tibial osteotomy using patient-specific instrumentation: a randomised cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Mixed reality guidance in osteotomy provides superior precision and accuracy: validation and comparative study.International orthopaedics · 2025Article
- Digitized Precision Corrective Osteotomy for Treating Knee Joint Deformities: Current Evidence and Future Perspectives.Orthopaedic surgery · 2025Review
- Assessing the Impact of Patient-Specific Instrumentation and Fixation on Accuracy and Radiation Exposure in a Cadaveric Model of Medial Opening-Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2025Article
- A new three-dimensional patient-specific cutting guide for opening wedge high tibial osteotomy based on ct scan: preliminary in vitro results.Journal of experimental orthopaedics · 2023Article
- Patient-Specific Instrumentation for Medial Closing Wedge Distal Femoral Osteotomy With Patellar Osteochondral Allograft.Arthroscopy techniques · 2023Article
- [Application status of open-wedge high tibial osteotomy assisted by three-dimensional printing patient-specific cutting guides].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Review
- Custom-Made Devices Represent a Promising Tool to Increase Correction Accuracy of High Tibial Osteotomy: A Systematic Review of the Literature and Presentation of Pilot Cases with a New 3D-Printed System.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveHigh tibial osteotomy (HTO) has been used for the treatment of patients with knee osteoarthritis. However, the successful implementation of HTO requires precise intraoperative positioning, which places greater requirements on the surgeon. In this study, we aimed to design a new kind of 3D-printed patient-specific instrument (PSI) for HTO, including a positioning device and an angle bracing spacer, and verify its effectiveness using cadaveric specimens.
methodsThis study included ten fresh human lower-limb cadaveric specimens. Computed tomography (CT) and X-ray examinations were performed to make preoperative plans. PSI was designed and 3D-printed according to the preoperative plan. Then, the PSI was used to guide HTO. Finally, we performed X-ray and CT after the operation to verify its validity and accuracy.
resultsThe PSI using process was adjusted according to the pre-experimental procedure in 1 case. Hinge fracture occurred in 1 case. According to X-rays of the remaining eight cadaveric specimens, no statistically significant difference was noted between the preoperative planning medial proximal tibial angle (MPTA) and postoperative MPTA (P > 0.05) or the preoperative and postoperative posterior slope angle (PSA) (P > 0.05). According to the CT of 10 cadaveric specimens, no statistically significant difference was noted between the design angle and actual angle, which was measured according to the angle between the osteotomized line and the cross section (P > 0.05). The gap between the designed osteotomy line and the actual osteotomy line was 2.09 (0.8 ~ 3.44) mm in the coronal plane and 1.58 (0.7 ~ 2.85) mm in the sagittal plane.
conclusionThis 3D-printed PSI of HTO accurately achieves the angle and position of the preoperative plan without increasing the stripping area. However, its use still requires a certain degree of proficiency to avoid complications, such as hinge fracture.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.