Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation

Yoshitaka Hamada; Hiroyuki Gotani; Kousuke Sasaki; Yoshitaka Tanaka; Hiroshi Egawa; Thepparat Kanchanathepsak

doi:10.1177/1558944717692087

Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation

Yoshitaka Hamada
, Hiroyuki Gotani
, Kousuke Sasaki
, Yoshitaka Tanaka
, Hiroshi Egawa
, Thepparat Kanchanathepsak

Department of Orthopedic

Japan Seafarers Relief Association
Shizuoka Institute of Science and Technology
Tokushima Prefectural Cent Hosp

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

Background: Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy. Methods: A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model. Results: The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications. Conclusions: We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.

Original language	English
Pages (from-to)	NP95-NP98
Journal	Hand
Volume	12
Issue number	5
DOIs	https://doi.org/10.1177/1558944717692087
Publication status	Published - 1 Sept 2017

Keywords

3-dimensional CT data
corrective osteotomy
full-scale model
malunited diaphyseal fractures of forearm
simple surgical planning

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10.1177/1558944717692087

Cite this

@article{cb9daee87c314dbba2fd1ced8c0177fc,

title = "Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation",

abstract = "Background: Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy. Methods: A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model. Results: The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications. Conclusions: We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.",

keywords = "3-dimensional CT data, corrective osteotomy, full-scale model, malunited diaphyseal fractures of forearm, simple surgical planning",

author = "Yoshitaka Hamada and Hiroyuki Gotani and Kousuke Sasaki and Yoshitaka Tanaka and Hiroshi Egawa and Thepparat Kanchanathepsak",

note = "Publisher Copyright: {\textcopyright} 2017, {\textcopyright} The Author(s) 2017.",

year = "2017",

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doi = "10.1177/1558944717692087",

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T1 - Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data

T2 - Proposal of Our Simple Strategy Through Case Presentation

AU - Hamada, Yoshitaka

AU - Gotani, Hiroyuki

AU - Sasaki, Kousuke

AU - Tanaka, Yoshitaka

AU - Egawa, Hiroshi

AU - Kanchanathepsak, Thepparat

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Background: Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy. Methods: A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model. Results: The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications. Conclusions: We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.

AB - Background: Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy. Methods: A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model. Results: The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications. Conclusions: We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.

KW - 3-dimensional CT data

KW - corrective osteotomy

KW - full-scale model

KW - malunited diaphyseal fractures of forearm

KW - simple surgical planning

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DO - 10.1177/1558944717692087

M3 - Article

C2 - 28719987

AN - SCOPUS:85028083331

SN - 1558-9447

VL - 12

SP - NP95-NP98

JO - Hand

JF - Hand

IS - 5

ER -

Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation

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Keywords

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