Computerized tomography based 3D modeling of the clavicle
| Autor: | Ralph Hertel, Hansrudi Noser, Nawfal Al-Hadithy, Lukas Kamer, Norbert P. Südkamp, Mathew D. Sewell, Simon Lambert |
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| Rok vydání: | 2016 |
| Předmět: |
030222 orthopedics
Contouring Soft tissue Anatomy Anatomic Variation 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Clavicle Fracture fixation Fracture (geology) medicine Orthopedics and Sports Medicine 030212 general & internal medicine Tomography Mathematics Fixation (histology) |
| Zdroj: | Journal of Orthopaedic Research. 34:1216-1223 |
| ISSN: | 0736-0266 |
| DOI: | 10.1002/jor.23145 |
| Popis: | UNLABELLED Previous studies have suggested clavicular morphology is highly variable, particularly in the lateral retrocurved section. Current clavicle fracture plating systems require three dimensional intra-operative contouring to achieve adequate fit and necessitate variable soft tissue dissection placing fracture perfusion and muscular attachments at risk. The aim of this study was to search for a surgically relevant superficial shape pattern. This is a retrospective CT-based analysis of 174 non-pathological clavicles in 95 adults (45 females, 50 males). Using the principle of cylindrical parameterisation generated 3-D computer models, we identified an implant preferred pathway (IPP), defined as a continuous linear region where the least possible soft tissue disruption would be necessary for plate fixation. The IPP mean form was within 3.04 mm (SD ± 1.34) on all clavicles. Clavicle length, and not shape, was found to be the biggest variable (correlation between size and form co-ordinates r = 0.99, p |
| Databáze: | OpenAIRE |
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