Revista Brasileira de Ortopedia (Aug 2021)

Treatment of Distal Radio Vicious Consolidation: Corrective Osteotomy Through 3D Printing Prototyping

  • João Carlos Belloti,
  • Bernardo Vaz Peres Alves,
  • Nicola Archetti,
  • Luis Renato Nakachima,
  • Flavio Faloppa,
  • Marcel Jun Sugawara Tamaoki

DOI
https://doi.org/10.1055/s-0040-1718510
Journal volume & issue
Vol. 56, no. 3
pp. 384 – 389

Abstract

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Abstract Distal radial fractures are very common. Vicious consolidation can occur in up to one third of these fractures, resulting in wrist pain, restricted movement, and, eventually, physical limitation or disability. The treatment of this condition consists in corrective osteotomy, which requires careful preoperative planning due to its three-dimensional complexity, especially in injuries with joint involvement. Recently, prototyping based on three-dimensional (3D) reconstruction of computed tomography (CT) scans has been used for osteotomy planning in a 3D anatomical model. It allows a better understanding of the deformity in a realistic surgical approach, leading to safer, faster, and more predictable procedures. The aim of the present study is to present this technique and show its use in two clinical cases.

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