Evidence map›Paper›PMID 40495362›Full record

ArticleThe American journal of case reports2025

Advances in Pediatric Orthopedic Surgery: 3D Calcium-Density Models for Humerus Deformity.

Javier Gutierrez-Pereira, Eva Vera-Gimenez, Alejandro Madrigal-Quevedo, Antonio Garcia-Lopez

Abstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Javier Gutierrez-PereiraDepartment of Orthopaedic Surgery, Hospital General Universitario de Alicante (Spanish National Reference Center for Brachial Plexus Surgery), Alicante, Spain.ORCID 0000-0002-7866-2317
Eva Vera-GimenezDepartment of Orthopaedic Surgery, Hospital General Universitario de Alicante (Spanish National Reference Center for Brachial Plexus Surgery), Alicante, Spain.ORCID 0000-0002-7341-5819
Alejandro Madrigal-QuevedoDepartment of Orthopaedic Surgery, Hospital General Universitario de Alicante (Spanish National Reference Center for Brachial Plexus Surgery), Alicante, Spain.
Antonio Garcia-LopezDepartment of Orthopaedic Surgery, Hospital General Universitario de Alicante (Spanish National Reference Center for Brachial Plexus Surgery), Alicante, Spain.ORCID 0000-0002-5948-3217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Preoperative planning is crucial for orthopedic interventions, particularly in the correction of severe deformities. Correct implant selection, positioning, and osteotomy planning are essential to achieving optimal surgical outcomes. Recent advancements in 3D printing technology, including the development of calcium-density models, have enhanced visualization and surgical precision. This case study demonstrates the application of this innovative approach in managing a complex proximal humerus deformity in a pediatric patient. CASE REPORT We describe the case of an 8-year-old girl with a severe proximal humerus varus deformity secondary to epiphysiolysis. Her condition was characterized by a cervico-diaphyseal angle of 68° and limited shoulder abduction to 60°. A 3D calcium-density model was employed for meticulous preoperative planning, enabling precise assessment of the deformity, optimization of implant positioning, and accurate osteotomy execution. The surgical procedure consisted of a 15-mm wedge valgus osteotomy using an iliac crest graft and fixation with a PediLoc® plate. This approach achieved a correction of the cervico-diaphyseal angle to 140°, restored shoulder abduction to 180°, and limited the overall surgical time to 2 hours. CONCLUSIONS The use of 3D printing with calcium carbonate-enhanced polylactic acid (PLA) provided superior visualization, radiographic assessment capabilities, and preoperative plate contouring, enhancing surgical efficiency and improving clinical outcomes. The radiopaque properties of the material facilitated intraoperative radiological verification, ensuring precision and safety. This case underscores the potential of this technology to streamline complex pediatric orthopedic surgeries, minimize intraoperative challenges, and improving patient outcomes. Further research is warranted to validate its broader application in orthopedic practice.

Indexed as

HumerusOsteotomyPrinting, Three-DimensionalBone PlatesChildFemaleHumans

Identifiers

PMID40495362
PMCPMC12168579

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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.