Evidence map›Paper›PMID 37556100›Full record

ArticleJournal of experimental orthopaedics2023

A new three-dimensional patient-specific cutting guide for opening wedge high tibial osteotomy based on ct scan: preliminary in vitro results.

Federica Rosso, Roberto Rossi, Philippe Neyret, Robert Śmigielski, Jacques Menetrey, Davide Edoardo Bonasia, Sandro Franco Fucentese

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Bilateral pelvic osteotomy for malunion of a vertical shear fracture with 3D-printed patient-specific cutting guides: a case report.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Federica RossoDepartment of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, Largo Turati 62, 10128, Turin, Italy. federica.rosso@yahoo.it.ORCID http://orcid.org/0000-0002-6085-3676
Roberto RossiDepartment of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, Largo Turati 62, 10128, Turin, Italy.
Philippe NeyretInfirmerie Protestante, 3 Rue Penthod, 69300, Caluire, France.
Robert ŚmigielskiOrthopaedics and Sports Medicine Department, Life Institute Biological Treatment Center Lead, Grzybowska 43A/U8, Warsaw, Poland.
Jacques MenetreyCentre de Medecine du Sport Et de L'Exercice, Hirslanden Clinique La Colline, Genéve, Switzerland.
Davide Edoardo BonasiaDepartment of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, Largo Turati 62, 10128, Turin, Italy.
Sandro Franco FucenteseDepartment of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
A. O. Ordine Mauriziano di Torino · ITHirslanden Clinique La Colline · CHInfirmerie Protestante · FRInstytut Sportu · PLUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the accuracy of a patient-specific cutting guide on both coronal and sagittal alignment compared to the pre-operative planning in OWHTO.

methodsTwelve OWHTO on 6 cadaveric specimens were performed by 3 experienced knee surgeons using patient-specific cutting guides based on 3D pre-operative planning. Since the specimens had no major deformities, a fixed correction of 6° on the left and 10° on the right legs were carried out to simulate different scenarios. A pre-operative and post-OWHTO 3D CT scans were performed, and images were superimposed using the dedicated 3D planning software to align their reference axes. A pre-operative planning was performed considering both Medial Proximal Tibial Angle (MPTA) and Posterior Tibial Slope (PTS), and a patient-specific cutting guide was produced. Planned and post-OWHTO MPTA and PTS were evaluated (mean and standard deviation), and Pearson's correlation coefficient was calculated to assess precision and accuracy of the whole treatment.

resultsA mean correction of 6,1° (SD 1,9°) and 1,2° (SD 1°) was obtained respectively in the coronal plane (MPTA) and in the sagittal plane (PTS). The average difference between planned and post-OWHTO MPTA and PTS was respectively 1,2° (SD 0,6°) and 1,2° (SD 1°) in the sagittal plane (PTS). Pearson's correlation coefficient demonstrated a good accuracy of the treatment in both coronal and sagittal plane (respectively r=0,95 and r=0,86). No lateral hinge fractures were detected at the post-operative CT scan.

conclusionOWTHO performed with the help of 3D patient specific cutting guide on cadaveric specimens demonstrated good accuracy and reliability in obtaining the planned correction. In vivo studies are necessary to confirm these results and evaluate cost-effectiveness of this system. LEVEL OF EVIDENCE: Level IV cadaveric study.

Indexed as

AccuracyHigh tibial osteotomyHTOOpening wedgePatient-specificPSI

Identifiers

PMID37556100
PMCPMC10412513
OpenAlexW4385684557

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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.