Application of three-dimensional prototyping in planning the treatment of proximal humerus bone deformities

Autor: Fernando Carlos Mothes, Almiro Britto, Fábio Matsumoto, Marco Tonding, Rafael Ruaro
Jazyk: English<br />Portuguese
Předmět:
Zdroj: Revista Brasileira de Ortopedia, Vol 53, Iss 5, Pp 595-601
Druh dokumentu: article
ISSN: 1982-4378
DOI: 10.1016/j.rboe.2018.07.016
Popis: ABSTRACT Objective: To describe the use of three-dimensional prototyping or rapid prototyping in acrylic resin to create synthetic three-dimensional models in order to promote the understanding of bone deformities of the shoulder. Methods: Five patients were analyzed between ages of 11 and 73 years old, treated between 2008 and 2013 with glenohumeral deformities that required a more thorough review of the anatomical alterations, for whom three-dimensional prototyping was performed. Results: Patient 1 was treated conservatively and is awaiting humeral head arthroplasty if symptoms get worse. Patient 2 underwent a valgus proximal humerus osteotomy secured with pediatric locked hip plate according to a prior assessment with prototyping. Patient 3 underwent a disinsertion of the rotator cuff, tubercleplasty and posterior reinsertion of the rotator cuff. Patient 4 underwent an arthroscopic step-off resection, 360-degree capsulotomy, and tenolysis of the subscapularis. Patient 5 underwent a reverse shoulder arthroplasty with an L-shaped bone graft on the posterior glenoid. Conclusions: Rapid prototyping in acrylic resin allows a better preoperative planning in treatment of bone deformities in the shoulder, minimizing the risk of intraoperative complications in an attempt to improve the results.
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