ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
3D osteotomies-improved accuracy with patient-specific instruments (PSI).
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High variability exists in 3D leg alignment analysis, but underlying principles that might lead to agreement on a universal framework could be identified: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- High bilateral bony symmetry in dysplastic and nondysplastic knees: a CT-based 3D evaluation.BMC musculoskeletal disorders · 2025Article
- Article
- Intraarticular osteotomy for adult Madelung deformity: Case report.JPRAS open · 2025Article
- Digitized Precision Corrective Osteotomy for Treating Knee Joint Deformities: Current Evidence and Future Perspectives.Orthopaedic surgery · 2025Review
- A structured framework for standardized 3D leg alignment analysis: An international Delphi consensus study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Accuracy of Combined High Tibial Slope Correction Osteotomy Using 3-Dimensional-Planned Patient-Specific Instrumentation.The American journal of sports medicine · 2024Article
- Optimizing Reduction Guide Stability in Osteotomy Using Patient-Specific Instrumentation: A Basic Guideline.Orthopaedic journal of sports medicine · 2024Article
- Emerging Innovations in Preoperative Planning and Motion Analysis in Orthopedic Surgery.Diagnostics (Basel, Switzerland) · 2024Review
- Advances of 3D printing technologies in orthopaedic trauma and surgical training: a transformative approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Comparison of double chevron-cut and biplanar distal femoral osteotomy techniques: A biomechanical study.PloS one · 2024Article
- [Three-dimensional analysis of posttraumatic tibial shaft malunion and correction based on the healthy, contralateral leg].Operative Orthopadie und Traumatologie · 2023Review
- [Osteotomies around the knee: preoperative planning using CT-based three-dimensional analysis, patient-specific cutting and reduction guides].Operative Orthopadie und Traumatologie · 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
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThree-dimensional (3D) printed patient-specific instruments (PSI) have been introduced to increase precision and simplify surgical procedures. Initial results in femoral and tibial osteotomies are promising, but validation studies on 3D planning, manufacturing of patient-specific cutting blocks and 3D evaluation of the attained results are lacking.
methodsIn this study, patient-specific cutting blocks and spacers were designed, fabricated, and used to perform a high tibial osteotomy (HTO). After segmentation of CT data sets from 13 human tibiae, 3D digital planning of the HTO was performed with a medial opening of 8 mm. These 3D models were used to fabricate patient-specific cutting blocks and spacers. After the surgical procedure, accuracy was evaluated measuring 3D joint angles and surface deviations.
resultsThe lowest mean deviation was found to be 0.57° (SD ± 0.27) for the MPTA. Medial and lateral tibial slope deviated from the 3D planning by an average of 0.98° (SD ± 0.53) and 1.26° (SD ± 0.79), respectively, while tibial torsion deviated by an average of 5.74° (SD ± 3.24). Color analysis of surface deviations showed excellent and good agreement in 7 tibiae.
conclusionWith 3D cutting blocks and spacers, the 3D planning of the HTO can be translated into reality with small deviations of the resulting joint angles. Within this study, the results of the individual steps are examined for errors and thus a critical evaluation of this new and promising method for performing patient-specific HTOs is presented.
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