Planning for corrective osteotomy of the femoral bone using 3D-modeling. Part I

Alexey G Baindurashvili , Vladimir E Baskov , Anastasia V Filippova , Pavel I Bortulev , Dmitry B Barsukov , Ivan Y Pozdnikin , Sergei Y Voloshin , Tamila V Baskaeva , Mahmoud S Poznovich

Pediatric Traumatology, Orthopaedics and Reconstructive Surgery ›› 2016, Vol. 4 ›› Issue (3) : 52 -58.

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Pediatric Traumatology, Orthopaedics and Reconstructive Surgery ›› 2016, Vol. 4 ›› Issue (3) : 52 -58. DOI: 10.17816/PTORS4352-58
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Planning for corrective osteotomy of the femoral bone using 3D-modeling. Part I

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Abstract

Introduction. In standard planning for corrective hip osteotomy, a surgical intervention scheme is created on a uniplanar paper medium on the basis of X-ray images. However, uniplanar skiagrams are unable to render real spatial configuration of the femoral bone. When combining three-dimensional and uniplanar models of bone, human errors inevitably occur, causing the distortion of preset parameters, which may lead to glaring errors and, as a result, to repeated operations.

Aims. To develop a new three-dimensional method for planning and performing corrective osteotomy of the femoral bone, using visualizing computer technologies.

Materials and methods. A new method of planning for corrective hip osteotomy in children with various hip joint pathologies was developed. We examined the method using 27 patients [aged 5–18 years (32 hip joints)] with congenital and acquired femoral bone deformation. The efficiency of the proposed method was assessed in comparison with uniplanar planning using roentgenograms.

Conclusions. Computerized operation planning using three-dimensional modeling improves treatment results by minimizing the likelihood of human errors and increasing planning and surgical intervention 
accuracy.

Keywords

children / hip joint / 3D-modeling / corrective hip osteotomy

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Alexey G Baindurashvili, Vladimir E Baskov, Anastasia V Filippova, Pavel I Bortulev, Dmitry B Barsukov, Ivan Y Pozdnikin, Sergei Y Voloshin, Tamila V Baskaeva, Mahmoud S Poznovich. Planning for corrective osteotomy of the femoral bone using 3D-modeling. Part I. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery, 2016, 4(3): 52-58 DOI:10.17816/PTORS4352-58

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Baindurashvili A.G., Baskov V.E., Filippova A.V., Bortulev P.I., Barsukov D.B., Pozdnikin I.Y., Voloshin S.Y., Baskaeva T.V., Poznovich M.S.

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