Prebending of osteosynthesis plate using 3D printed models to treat symptomatic os acromiale and acromial fracture
Autor: | Eric Bijnens, Carl Dierickx, Anny Steenwerckx, Hanne Biesmans, Hanne Beliën |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Impingement syndrome Acromial fracture 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery Case report medicine Internal fixation Orthopedics and Sports Medicine Acromion Reduction (orthopedic surgery) Os acromiale 030222 orthopedics Surgical team Rehabilitation Osteosynthesis business.industry Research 030229 sport sciences 3D printing medicine.disease Surgery lcsh:RD701-811 medicine.anatomical_structure Orthopedic surgery business Osteosynthesis plate |
Zdroj: | Journal of Experimental Orthopaedics Journal of Experimental Orthopaedics, Vol 4, Iss 1, Pp 1-10 (2017) |
ISSN: | 2197-1153 |
Popis: | Background A symptomatic os acromiale can lead to impingement syndrome and rotator cuff tendinopathy. An acromion fracture is often part of a more complex scapular trauma that needs stabilisation. Methods We developed a new technique using a three-dimensional (3D) model and a distal clavicle reconstruction plate to treat os acromiale and acromion fractures. Our hypothesis was that such an approach would be a useful addition to the existing techniques. First, a 3D model of the acromion was printed, then an osteosynthesis plate was pre-bent to fit the exact shape and curve of the acromion. We tested this technique and present reports on five patients, three with os acromiales and two with acromial fractures. We followed these patients during their rehabilitation and evaluated them using the Constant–Murley and the Disabilities of the Arm, Shoulder and Hand scores. Results In every case the fracture or non-union healed. If the surgery was performed before additional damage (such as an impingement syndrome) occurred, we saw that the patient’s pain completely disappeared. This new technique also has other advantages because the surgeon can prepare the entire operation in advance, which reduces the duration of surgery. Another advantage of using a 3D model is that it can also be used to inform the patient and the surgical team about the planned operation. Conclusion This new technique using a preoperative patient-customized plate is a good alternative for use in open reduction and internal fixation, particularly if the patient has no other conditions. |
Databáze: | OpenAIRE |
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