Three-Dimensional Printing and Computer Navigation for Correction of Multiple Deformities in Osteogenesis Imperfecta: A Case Report. Issue 2 (April 2021)

• Record Type: Journal Article
• Authors: Chan, Ping-Keung; Fang, Christian; Fang, Evan; Leung, Matthew; Yan, Chun-Hoi; Chiu, Kwong-Yuen
• Is Part Of: JBJS case connector. Volume 11:Issue 2(2021)
• Publication Date: 2021-04
• Subjects: 3D-printed -- patient-specific surgical guides -- bi-level osteotomy -- navigated total knee replacement -- digital planning; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00501
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 44-year-old man with osteogenesis imperfecta presented with multiple debilitating musculoskeletal deformities. Bi-level osteotomies, assisted by 3-dimensional (3D)-printed patient-specific cutting guides, were performed to correct extraarticular valgus and procurvatum tibial deformities. Concomitant computer-navigated total knee arthroplasty was performed to restore neutral mechanical alignment. Postoperative x-ray showed good correction of deformities, and 1 year postoperatively, the patient is able to walk unaided with significant resolution of knee pain. Conclusion: 3D-printed osteotomy guides and computer navigation can be instrumental in procedures requiring a high degree of precision. With sufficient training, modern orthopaedic technologies can be implemented by surgeons themselves and combined to facilitate precise and personalized management of challenging conditions.