FUTURETECH Computer-assisted Treatment of Distal Radius Malunion

Intra-articular malunions represent an exceptional technical challenge for the treating surgeon. Multidetector CT scans (MDCT) with three-dimensional (3D) surface rendered images are increasingly used not only for the evaluation of malunions, but also to develop a road map for surgery in patients who have been selected for corrective osteotomy.1,10,12 CTbased virtual pre-operative planning, including virtual osteotomy, prediction of final positioning11 and additive manufacturing of patient-specific instruments based on the 3D bone structure are clinical reality.8,9

[1]  Joanne B. Adams,et al.  Patient-specific approach in total knee arthroplasty. , 2008, Orthopedics.

[2]  T. Davis Intra-articular fractures of the distal end of the radius in young adults. , 1987, The Journal of bone and joint surgery. American volume.

[3]  Guy Marchal,et al.  An image-guided planning system for endosseous oral implants , 1998, IEEE Transactions on Medical Imaging.

[4]  D. M. Dye,et al.  Musculoskeletal applications of three-dimensional surface reconstructions. , 1985, The Orthopedic clinics of North America.

[5]  W. Jaschke,et al.  CT virtual reality in the preoperative workup of malunited distal radius fractures: preliminary results , 2005, European Radiology.

[6]  P. Liverneaux [Scaphoid percutaneous osteosynthesis by screw using computer assisted surgery: an experimental study]. , 2005, Chirurgie de la main.

[7]  L. Cerezal,et al.  Correction of malunited intra-articular distal radius fractures with an inside-out osteotomy technique. , 2006, The Journal of hand surgery.

[8]  C Politis,et al.  Image-based planning and clinical validation of zygoma and pterygoid implant placement in patients with severe bone atrophy using customized drill guides. Preliminary results from a prospective clinical follow-up study. , 2003, International journal of oral and maxillofacial surgery.

[9]  H. Klasen,et al.  Corrective osteotomy for malunion of the distal radius , 1996, Archives of Orthopaedic and Trauma Surgery.

[10]  H. Yoshikawa,et al.  Three-dimensional corrective osteotomy of malunited fractures of the upper extremity with use of a computer simulation system. , 2008, The Journal of bone and joint surgery. American volume.

[11]  R. Ellis,et al.  Computer-assisted distal radius osteotomy. , 2003, The Journal of hand surgery.

[12]  K. Yamaguchi,et al.  Quantification of the Radial Torsion Angle with Computerized Tomography in Cadaver Specimens* , 1997, The Journal of bone and joint surgery. American volume.

[13]  D. Ring,et al.  Corrective osteotomy for intra-articular malunion of the distal part of the radius. , 2005, The Journal of bone and joint surgery. American volume.

[14]  Hideki Yoshikawa,et al.  Corrective osteotomy for malunited intra-articular fracture of the distal radius using a custom-made surgical guide based on three-dimensional computer simulation: case report. , 2008, The Journal of hand surgery.

[15]  J. Jupiter,et al.  Computer-generated bone models in the planning of osteotomy of multidirectional distal radius malunions. , 1992, The Journal of hand surgery.