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

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 mak...

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Bibliographic Details
Published in:Hand (New York, N.Y.) N.Y.), 2017-09, Vol.12 (5), p.NP95-NP98
Main Authors: Hamada, Yoshitaka, Gotani, Hiroyuki, Sasaki, Kousuke, Tanaka, Yoshitaka, Egawa, Hiroshi, Kanchanathepsak, Thepparat
Format: Article
Language:English
Subjects:
Bone Plates
Case Reports
Diaphyses - abnormalities
Diaphyses - diagnostic imaging
Diaphyses - injuries
Diaphyses - surgery
Fracture Fixation, Internal - methods
Fractures, Malunited - diagnostic imaging
Fractures, Malunited - surgery
Humans
Imaging, Three-Dimensional
Male
Models, Anatomic
Osteotomy - methods
Printing, Three-Dimensional
Radius - abnormalities
Radius - diagnostic imaging
Radius - surgery
Radius Fractures - diagnostic imaging
Radius Fractures - surgery
Supination
Tomography, X-Ray Computed
Young Adult
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Summary: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.
ISSN:1558-9447
1558-9455
DOI:10.1177/1558944717692087