Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note

doi:10.1007/s12204-021-2302-8

J Shanghai Jiaotong Univ Sci ›› 2021, Vol. 26 ›› Issue (3): 339-345.doi: 10.1007/s12204-021-2302-8

Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note

JIANG Xu1,2 (江旭), XIE Kai1 (谢凯), LI Bo2 (李波), HU Xumin2 (胡旭民), WU Haishan1 (吴海山), GAO Liangbin2 (高梁斌), WANG Liao1 (王燎), YAN Mengning1 (严孟宁)

(1. Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s
Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; 2. Department of Orthopaedic
Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China)

出版日期:2021-06-28 发布日期:2021-06-02
通讯作者: YAN Mengning(严孟宁) E-mail:yanmengning@163.com
基金资助:
the National Key Research and Development
Program of China (No. 2017YFB1104104), the
Clinical Research Program of Ninth People’s Hospital
Affiliated to Shanghai Jiao Tong University School
of Medicine (No. JYLJ025), the Project of the Shanghai
Collaborative Innovation Center for Translational
Medicine (No. TM201814), the Technology and Innovation
Fund (Chuang Ke) of the Ninth People’s
Hospital Affiliated to Shanghai Jiao Tong University
School of Medicine (No. CK2018011), the 3D Snowball
Project of Shanghai Jiao Tong University School
of Medicine (No. GXQ202007), the National Natural
Science Foundation of China (No. 81772425), the Science
and Technology Commission of Shanghai Municipality
(No. 16441908700), Shanghai Jiao Tong University
(No. YG2016MS11), and the Science and Technology
Project of Guangdong Province (No. 201707010089)

Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note

JIANG Xu1,2 (江旭), XIE Kai1 (谢凯), LI Bo2 (李波), HU Xumin2 (胡旭民), WU Haishan1 (吴海山), GAO Liangbin2 (高梁斌), WANG Liao1 (王燎), YAN Mengning1 (严孟宁)

(1. Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s
Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; 2. Department of Orthopaedic
Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China)

Online:2021-06-28 Published:2021-06-02
Contact: YAN Mengning(严孟宁) E-mail:yanmengning@163.com
Supported by:
the National Key Research and Development
Program of China (No. 2017YFB1104104), the
Clinical Research Program of Ninth People’s Hospital
Affiliated to Shanghai Jiao Tong University School
of Medicine (No. JYLJ025), the Project of the Shanghai
Collaborative Innovation Center for Translational
Medicine (No. TM201814), the Technology and Innovation
Fund (Chuang Ke) of the Ninth People’s
Hospital Affiliated to Shanghai Jiao Tong University
School of Medicine (No. CK2018011), the 3D Snowball
Project of Shanghai Jiao Tong University School
of Medicine (No. GXQ202007), the National Natural
Science Foundation of China (No. 81772425), the Science
and Technology Commission of Shanghai Municipality
(No. 16441908700), Shanghai Jiao Tong University
(No. YG2016MS11), and the Science and Technology
Project of Guangdong Province (No. 201707010089)

摘要/Abstract

摘要： Patient-specific instrumentation (PSI) enables a more accurate alignment of the lower limbs in a high tibial osteotomy (HTO) than in traditional surgery; however, the current design of commercial PSIs is not perfect. Therefore, we designed a new patient-specific surgical guide to improve the accuracy of the osteotomy and verified its reliability through a clinical operation. Here, we describe a patient with isolated medial-compartment bilateral knee osteoarthritis, accompanied by a varus deformity of the proximal tibia. The patient was treated with HTO using a patient-specific 3D-printed surgical guide. We concluded that the patient-specific 3D-printed surgical guide improved the accuracy of the osteotomy and the alignment of the lower limb.

Abstract: Patient-specific instrumentation (PSI) enables a more accurate alignment of the lower limbs in a high tibial osteotomy (HTO) than in traditional surgery; however, the current design of commercial PSIs is not perfect. Therefore, we designed a new patient-specific surgical guide to improve the accuracy of the osteotomy and verified its reliability through a clinical operation. Here, we describe a patient with isolated medial-compartment bilateral knee osteoarthritis, accompanied by a varus deformity of the proximal tibia. The patient was treated with HTO using a patient-specific 3D-printed surgical guide. We concluded that the patient-specific 3D-printed surgical guide improved the accuracy of the osteotomy and the alignment of the lower limb.

中图分类号:

R 684

JIANG Xu, (江旭), XIE Kai (谢凯), LI Bo (李波), HU Xumin (胡旭民), WU Haishan (吴海山), GAO Liangbin (高梁斌), WANG Liao (王燎), YAN Mengning (严孟宁). Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note[J]. J Shanghai Jiaotong Univ Sci, 2021, 26(3): 339-345.

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Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note

Using a Patient-Specific 3D-Printed Surgical Guide for High Tibial Osteotomy: A Technical Note

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