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