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Clinical Experience Using a 3D-Printed Patient-Specific Instrument for Medial Opening Wedge High Tibial Osteotomy
المؤلفون المشاركون
Yang, Jesse Chieh-Szu
Chen, Cheng-Fong
Luo, Chu-An
Chang, Ming-Chau
Lee, Oscar K.
Huang, Ye
Lin, Shang-Chih
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-08
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Purpose.
High tibial osteotomy (HTO) has been adopted as an effective surgery for medial degeneration of the osteoarthritis (OA) knee.
However, satisfactory outcomes necessitate the precise creation and distraction of osteotomized wedges and the use of intraoperative X-ray images to continually monitor the wedge-related manipulation.
Thus HTO is highly technique-demanding and has a high radiation exposure.
We report a patient-specific instrument (PSI) guide for the precise creation and distraction of HTO wedge.
Methods.
This study first parameterized five HTO procedures to serve as a design rationale for an innovative PSI guide.
Preoperative X-ray and computed tomography- (CT-) scanning images were used to design and fabricate PSI guides for clinical use.
The weight-bearing line (WBL) of the ten patients was shifted to the Fujisawa’s point and instrumented using the TomoFix system.
The radiological results of the PSI-guided HTO surgery were evaluated by the WBL percentage and tibial slope.
Results.
All patients consistently showed an increased range of motion and a decrease in pain and discomfort at about three-month follow-up.
This study demonstrates the satisfactory accuracy of the WBL adjustment and tibial slope maintenance after HTO with PSI guide.
For all patients, the average pre- and postoperative WBL are, respectively, 14.2% and 60.2%, while the tibial slopes are 9.9 and 10.1 degrees.
The standard deviations are 2.78 and 0.36, respectively, in postoperative WBL and tibial slope.
The relative errors of the pre- and postoperative WBL percentage and tibial slope averaged 4.9% and 4.1%, respectively.
Conclusion.
Instead of using navigator systems, this study integrated 2D and 3D preoperative planning to create a PSI guide that could most likely render the outcomes close to the planning.
The PSI guide is a precise procedure that is time-saving, radiation-reducing, and relatively easy to use.
Precise osteotomy and good short-term results were achieved with the PSI guide.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Yang, Jesse Chieh-Szu& Chen, Cheng-Fong& Luo, Chu-An& Chang, Ming-Chau& Lee, Oscar K.& Huang, Ye…[et al.]. 2018. Clinical Experience Using a 3D-Printed Patient-Specific Instrument for Medial Opening Wedge High Tibial Osteotomy. BioMed Research International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129605
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Yang, Jesse Chieh-Szu…[et al.]. Clinical Experience Using a 3D-Printed Patient-Specific Instrument for Medial Opening Wedge High Tibial Osteotomy. BioMed Research International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1129605
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Yang, Jesse Chieh-Szu& Chen, Cheng-Fong& Luo, Chu-An& Chang, Ming-Chau& Lee, Oscar K.& Huang, Ye…[et al.]. Clinical Experience Using a 3D-Printed Patient-Specific Instrument for Medial Opening Wedge High Tibial Osteotomy. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1129605
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1129605
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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