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International Journal of Computer Assisted Radiology and Surgery

Published in:

01-07-2014 | Original Article

A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy

Authors: Burton Ma, Manuela Kunz, Braden Gammon, Randy E. Ellis, David R. Pichora

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 4/2014

Abstract

Purpose

This article presents the results of a multiuser, randomized laboratory trial comparing the accuracy and precision of image-based navigation against individualized guides for distal radius osteotomy (DRO).

Methods

Six surgeons each performed four DROs using image-based navigation and four DROs using individualized guides in a laboratory setting with plastic phantom replicas of radii from patients who had received DRO as treatment for radial deformity. Time required and correction errors of ulnar variance, radial inclination, and volar tilt were measured.

Results

There were no statistically significant differences in the average correction errors. There was a statistically significant difference in the standard deviation of ulnar variance error (2.0 mm for navigation vs. 0.6 mm for guides). There was a statistically significant difference in the standard deviation of radial inclination error (\(6.1^{\circ }\) for navigation vs. \(1.4^{\circ }\) for guides). There were statistically significant differences in the times required (705 s for navigation vs. 214 s for guides) and their standard deviations (144 s for navigation vs. 98 s for guides).

Conclusions

Compared to navigated DRO, individualized guides were easier to use, faster, and produced more precise correction of ulnar variance and radial inclination. The combination of true three-dimensional planning, ease of use, and accurate and precise corrective guidance makes the individualized guide technique a promising approach for performing corrective osteotomy of the distal radius.

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Title: A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy
Authors: Burton Ma
Manuela Kunz
Braden Gammon
Randy E. Ellis
David R. Pichora
Publication date: 01-07-2014
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 4/2014
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-013-0966-8

At a glance: The STEP trials

Springer Medicine

A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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