J Shanghai Jiaotong Univ Sci

Journal of Shanghai Jiaotong University(Science) >

2021 , Vol. 26 >Issue 3: 339 - 345

DOI: https://doi.org/10.1007/s12204-021-2302-8

Medical 3D Printing and Personalised Medicine

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

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  • (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 published: 2021-06-02

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)

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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. 

Cite this article

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]. Journal of Shanghai Jiaotong University(Science), 2021 , 26(3) : 339 -345 . DOI: 10.1007/s12204-021-2302-8

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