Skip to main content
Top
Published in: Journal of Orthopaedic Surgery and Research 1/2019

Open Access 01-12-2019 | Research article

Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity

Authors: Yuan-Wei Zhang, Xin Xiao, Wen-Cheng Gao, Yan Xiao, Su-Li Zhang, Wen-Yan Ni, Liang Deng

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Login to get access

Abstract

Background

This present study is aimed to retrospectively assess the efficacy of three-dimensional (3D) printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity.

Material and methods

Twenty-five patients (15 males and 10 females) with the cubitus varus deformity from June 2014 to December 2017 were included in this study and were enrolled into the conventional group (n = 11) and 3D printing group (n = 14) according to the different surgical approaches. The operation time, intraoperative blood loss, osteotomy degrees, osteotomy end union time, and postoperative complications between the two groups were observed and recorded.

Results

Compared with the conventional group, the 3D printing group has the advantages of shorter operation time, less intraoperative blood loss, higher rate of excellent correction, and higher rate of the parents’ excellent satisfaction with appearance after deformity correction (P < 0.001, P < 0.001, P = 0.019, P = 0.023). Nevertheless, no significant difference was presented in postoperative carrying angle of the deformed side and total complication rate between the two groups (P = 0.626, P = 0.371).

Conclusions

The operation assisted by 3D printing osteotomy guide plate to correct the adolescent cubitus varus deformity is feasible and effective, which might be an optional approach to promote the accurate osteotomy and optimize the efficacy.
Literature
1.
go back to reference Al-Hamdani A, Rasmussen JV, Sorensen AKB, Ovesen J, Holtz K, Brorson S, Olsen BS. Good outcome after elbow hemiarthroplasty in active patients with an acute intra-articular distal humeral fracture. J Shoulder Elb Surg. 2019;28(5):925–30.CrossRef Al-Hamdani A, Rasmussen JV, Sorensen AKB, Ovesen J, Holtz K, Brorson S, Olsen BS. Good outcome after elbow hemiarthroplasty in active patients with an acute intra-articular distal humeral fracture. J Shoulder Elb Surg. 2019;28(5):925–30.CrossRef
2.
go back to reference Liddell TR, Hennrikus WL, Bresnahan JJ. A simple dual-planar osteotomy to correct cubitus varus deformity in children. J Orthop Trauma. 2016;30(10):e340–5.CrossRef Liddell TR, Hennrikus WL, Bresnahan JJ. A simple dual-planar osteotomy to correct cubitus varus deformity in children. J Orthop Trauma. 2016;30(10):e340–5.CrossRef
3.
go back to reference Su Y, Nan G. Lateral closing isosceles triangular osteotomy for the treatment of a post-traumatic cubitus varus deformity in children. Bone Joint J. 2016;98-b(11):1521–5.CrossRef Su Y, Nan G. Lateral closing isosceles triangular osteotomy for the treatment of a post-traumatic cubitus varus deformity in children. Bone Joint J. 2016;98-b(11):1521–5.CrossRef
4.
go back to reference Gorelick L, Robinson D, Loberant N, Rozano-Gorelick A, Yassin M, Garti A, Ram E. Assessment of the normal and pathological alignment of the elbow in children using the trochleocapitellar index. BMC Musculoskelet Disord. 2014;15:60.CrossRef Gorelick L, Robinson D, Loberant N, Rozano-Gorelick A, Yassin M, Garti A, Ram E. Assessment of the normal and pathological alignment of the elbow in children using the trochleocapitellar index. BMC Musculoskelet Disord. 2014;15:60.CrossRef
5.
go back to reference Abe M, Ishizu T, Nagaoka T, Onomura T. Epiphyseal separation of the distal end of the humeral epiphysis: a follow-up note. J Pediatr Orthop. 1995;15(4):426–34.CrossRef Abe M, Ishizu T, Nagaoka T, Onomura T. Epiphyseal separation of the distal end of the humeral epiphysis: a follow-up note. J Pediatr Orthop. 1995;15(4):426–34.CrossRef
6.
go back to reference Zhou W, Canavese F, Zhang L, Li L. Functional outcome of the elbow in toddlers with transphyseal fracture of the distal humerus treated surgically. J Child Orthop. 2019;13(1):47–56.CrossRef Zhou W, Canavese F, Zhang L, Li L. Functional outcome of the elbow in toddlers with transphyseal fracture of the distal humerus treated surgically. J Child Orthop. 2019;13(1):47–56.CrossRef
7.
go back to reference Banerjee S, Sabui KK, Mondal J, Raj SJ, Pal DK. Corrective dome osteotomy using the paratricipital (triceps-sparing) approach for cubitus varus deformity in children. J Pediatr Orthop. 2012;32(4):385–93.CrossRef Banerjee S, Sabui KK, Mondal J, Raj SJ, Pal DK. Corrective dome osteotomy using the paratricipital (triceps-sparing) approach for cubitus varus deformity in children. J Pediatr Orthop. 2012;32(4):385–93.CrossRef
8.
go back to reference French PR. Varus deformity of the elbow following supracondylar fractures of the humerus in children. Lancet (London). 1959;2(7100):439–41.CrossRef French PR. Varus deformity of the elbow following supracondylar fractures of the humerus in children. Lancet (London). 1959;2(7100):439–41.CrossRef
9.
go back to reference Acar MA, Yildirim S, Elmadag NM, Senaran H, Ogun TC. Treatment of posttraumatic cubitus varus with corrective supracondylar humeral osteotomies using the methyl methacrylate external fixator. J Pediatr Orthop. 2014;34(3):253–9.CrossRef Acar MA, Yildirim S, Elmadag NM, Senaran H, Ogun TC. Treatment of posttraumatic cubitus varus with corrective supracondylar humeral osteotomies using the methyl methacrylate external fixator. J Pediatr Orthop. 2014;34(3):253–9.CrossRef
10.
go back to reference Solfelt DA, Hill BW, Anderson CP, Cole PA. Supracondylar osteotomy for the treatment of cubitus varus in children: a systematic review. Bone Joint J. 2014;96-b(5):691–700.CrossRef Solfelt DA, Hill BW, Anderson CP, Cole PA. Supracondylar osteotomy for the treatment of cubitus varus in children: a systematic review. Bone Joint J. 2014;96-b(5):691–700.CrossRef
11.
go back to reference Kim HT, Lee JS, Yoo CI. Management of cubitus varus and valgus. J Bone Joint Surg Am. 2005;87(4):771–80.CrossRef Kim HT, Lee JS, Yoo CI. Management of cubitus varus and valgus. J Bone Joint Surg Am. 2005;87(4):771–80.CrossRef
12.
go back to reference Storm SW, Williams DP, Khoury J, Lubahn JD. Elbow deformities after fracture. Hand Clin. 2006;22(1):121–9.CrossRef Storm SW, Williams DP, Khoury J, Lubahn JD. Elbow deformities after fracture. Hand Clin. 2006;22(1):121–9.CrossRef
13.
go back to reference Kim JW, Lee Y, Seo J, Park JH, Seo YM, Kim SS, Shon HC. Clinical experience with three-dimensional printing techniques in orthopedic trauma. J Orthop Sci. 2018;23(2):383–8.CrossRef Kim JW, Lee Y, Seo J, Park JH, Seo YM, Kim SS, Shon HC. Clinical experience with three-dimensional printing techniques in orthopedic trauma. J Orthop Sci. 2018;23(2):383–8.CrossRef
14.
go back to reference Li B, Lei P, Liu H, Tian X, Wen T, Hu R, Hu Y. Clinical value of 3D printing guide plate in core decompression plus porous bioceramics rod placement for the treatment of early osteonecrosis of the femoral head. J Orthop Surg Res. 2018;13(1):130.CrossRef Li B, Lei P, Liu H, Tian X, Wen T, Hu R, Hu Y. Clinical value of 3D printing guide plate in core decompression plus porous bioceramics rod placement for the treatment of early osteonecrosis of the femoral head. J Orthop Surg Res. 2018;13(1):130.CrossRef
15.
go back to reference Takeyasu Y, Oka K, Miyake J, Kataoka T, Moritomo H, Murase T. Preoperative, computer simulation-based, three-dimensional corrective osteotomy for cubitus varus deformity with use of a custom-designed surgical device. J Bone Joint Surg Am. 2013;95(22):e173.CrossRef Takeyasu Y, Oka K, Miyake J, Kataoka T, Moritomo H, Murase T. Preoperative, computer simulation-based, three-dimensional corrective osteotomy for cubitus varus deformity with use of a custom-designed surgical device. J Bone Joint Surg Am. 2013;95(22):e173.CrossRef
16.
go back to reference Gong HS, Chung MS, Oh JH, Cho HE, Baek GH. Oblique closing wedge osteotomy and lateral plating for cubitus varus in adults. Clin Orthop Relat Res. 2008;466(4):899–906.CrossRef Gong HS, Chung MS, Oh JH, Cho HE, Baek GH. Oblique closing wedge osteotomy and lateral plating for cubitus varus in adults. Clin Orthop Relat Res. 2008;466(4):899–906.CrossRef
17.
go back to reference Omori S, Murase T, Oka K, Kawanishi Y, Oura K, Tanaka H, Yoshikawa H. Postoperative accuracy analysis of three-dimensional corrective osteotomy for cubitus varus deformity with a custom-made surgical guide based on computer simulation. J Shoulder Elb Surg. 2015;24(2):242–9.CrossRef Omori S, Murase T, Oka K, Kawanishi Y, Oura K, Tanaka H, Yoshikawa H. Postoperative accuracy analysis of three-dimensional corrective osteotomy for cubitus varus deformity with a custom-made surgical guide based on computer simulation. J Shoulder Elb Surg. 2015;24(2):242–9.CrossRef
18.
go back to reference Zhang YZ, Lu S, Chen B, Zhao JM, Liu R, Pei GX. Application of computer-aided design osteotomy template for treatment of cubitus varus deformity in teenagers: a pilot study. J Shoulder Elb Surg. 2011;20(1):51–6.CrossRef Zhang YZ, Lu S, Chen B, Zhao JM, Liu R, Pei GX. Application of computer-aided design osteotomy template for treatment of cubitus varus deformity in teenagers: a pilot study. J Shoulder Elb Surg. 2011;20(1):51–6.CrossRef
19.
go back to reference Bauer AS, Pham B, Lattanza LL. Surgical correction of cubitus varus. J Hand Surg. 2016;41(3):447–52.CrossRef Bauer AS, Pham B, Lattanza LL. Surgical correction of cubitus varus. J Hand Surg. 2016;41(3):447–52.CrossRef
20.
go back to reference Takeyasu Y, Murase T, Miyake J, Oka K, Arimitsu S, Moritomo H, Sugamoto K, Yoshikawa H. Three-dimensional analysis of cubitus varus deformity after supracondylar fractures of the humerus. J Shoulder Elb Surg. 2011;20(3):440–8.CrossRef Takeyasu Y, Murase T, Miyake J, Oka K, Arimitsu S, Moritomo H, Sugamoto K, Yoshikawa H. Three-dimensional analysis of cubitus varus deformity after supracondylar fractures of the humerus. J Shoulder Elb Surg. 2011;20(3):440–8.CrossRef
21.
go back to reference North D, Held M, Dix-Peek S, Hoffman EB. French osteotomy for cubitus varus in children: a long-term study over 27 years. J Pediatr Orthop. 2016;36(1):19–24.PubMed North D, Held M, Dix-Peek S, Hoffman EB. French osteotomy for cubitus varus in children: a long-term study over 27 years. J Pediatr Orthop. 2016;36(1):19–24.PubMed
22.
go back to reference Tanwar YS, Habib M, Jaiswal A, Singh S, Arya RK, Sinha S. Triple modified French osteotomy: a possible answer to cubitus varus deformity. A technical note. J Shoulder Elb Surg. 2014;23(11):1612–7.CrossRef Tanwar YS, Habib M, Jaiswal A, Singh S, Arya RK, Sinha S. Triple modified French osteotomy: a possible answer to cubitus varus deformity. A technical note. J Shoulder Elb Surg. 2014;23(11):1612–7.CrossRef
23.
go back to reference Li YT, Hung CC, Chou YC, Chen JE, Wu CC, Shen HC, Yeh TT. Surgical treatment for posterior dislocation of hip combined with acetabular fractures using preoperative virtual simulation and three-dimensional printing model-assisted precontoured plate fixation techniques. Biomed Res Int. 2019;2019:3971571.PubMedPubMedCentral Li YT, Hung CC, Chou YC, Chen JE, Wu CC, Shen HC, Yeh TT. Surgical treatment for posterior dislocation of hip combined with acetabular fractures using preoperative virtual simulation and three-dimensional printing model-assisted precontoured plate fixation techniques. Biomed Res Int. 2019;2019:3971571.PubMedPubMedCentral
24.
go back to reference Zheng P, Yao Q, Xu P, Wang L. Application of computer-aided design and 3D-printed navigation template in locking compression pediatric hip plate (TauMu) placement for pediatric hip disease. Int J Comput Assist Radiol Surg. 2017;12(5):865–71.CrossRef Zheng P, Yao Q, Xu P, Wang L. Application of computer-aided design and 3D-printed navigation template in locking compression pediatric hip plate (TauMu) placement for pediatric hip disease. Int J Comput Assist Radiol Surg. 2017;12(5):865–71.CrossRef
25.
go back to reference Jiang H, Li M, Wu Y. Application of computer simulation in the treatment of traumatic cubitus varus deformity in children. Medicine. 2019;98(1):e13882.CrossRef Jiang H, Li M, Wu Y. Application of computer simulation in the treatment of traumatic cubitus varus deformity in children. Medicine. 2019;98(1):e13882.CrossRef
26.
go back to reference Yang L, Grottkau B, He Z, Ye C. Three dimensional printing technology and materials for treatment of elbow fractures. Int Orthop. 2017;41(11):2381–7.CrossRef Yang L, Grottkau B, He Z, Ye C. Three dimensional printing technology and materials for treatment of elbow fractures. Int Orthop. 2017;41(11):2381–7.CrossRef
Metadata
Title
Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity
Authors
Yuan-Wei Zhang
Xin Xiao
Wen-Cheng Gao
Yan Xiao
Su-Li Zhang
Wen-Yan Ni
Liang Deng
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-019-1403-7

Other articles of this Issue 1/2019

Journal of Orthopaedic Surgery and Research 1/2019 Go to the issue