A novel combination of printed 3-dimensional anatomic templates and computer-assisted surgical simulation for virtual preoperative planning in Charcot foot reconstruction.

Charcot foot syndrome (Charcot neuroarthropathy affecting the foot), particularly in its latter stages, may pose a significant technical challenge to the surgeon. Because of the lack of anatomic consistency, preoperative planning with virtual and physical models of the foot could improve the chances of achieving a predictable intraoperative result. In this report, we describe the use of a novel, inexpensive, 3-dimensional template printing technique that can provide, with just a normal printer, multiple "copies" of the foot to be repaired. Although we depict this method as it pertains to repair of the Charcot foot, it could also be used to plan and practice, or revise, 3-dimensional surgical manipulations of other complex foot deformities.

[1]  Eduardo Sierra-Martínez,et al.  [OsiriX, a useful tool for processing tomographic images in patients with facial fracture]. , 2009, Cirugia y cirujanos.

[2]  M. A. Mahtab,et al.  Statistical Analysis of Axial Data , 1974, The Journal of Geology.

[3]  J. Ulbrecht,et al.  The charcot foot: Medical and surgical therapy , 2008, Current diabetes reports.

[4]  T. Mittlmeier,et al.  Should One Consider Primary Surgical Reconstruction in Charcot Arthropathy of the Feet? , 2010, Clinical orthopaedics and related research.

[5]  Jodie Jenkinson,et al.  Interpreting three-dimensional structures from two-dimensional images: a web-based interactive 3D teaching model of surgical liver anatomy. , 2009, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[6]  Gabor T. Herman An Overview of the Process of CT , 2009 .

[7]  Eduardo Sierra-Martínez,et al.  OsiriX, visor DICOM útil para procesar imágenes tomográficas de fracturas faciales , 2009 .

[8]  Osman Ratib,et al.  OsiriX: An Open-Source Software for Navigating in Multidimensional DICOM Images , 2004, Journal of Digital Imaging.

[9]  D. Paley,et al.  A two-stage percutaneous approach to charcot diabetic foot reconstruction. , 2010, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[10]  Gabor T. Herman,et al.  Fundamentals of Computerized Tomography: Image Reconstruction from Projections , 2009, Advances in Pattern Recognition.

[11]  Lee C. Rogers,et al.  Predictors of postoperative complications of Ilizarov external ring fixators in the foot and ankle. , 2007, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[12]  G. Palazzo,et al.  Three-dimensional computerized tomographic orbital volume and aperture width evaluation: a study in patients treated with rapid maxillary expansion. , 2011, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[13]  D. Wukich,et al.  Surgical reconstruction of the Charcot rearfoot and ankle. , 2008, Clinics in podiatric medicine and surgery.

[14]  Lee C. Rogers,et al.  The Charcot foot in diabetes. , 2011, Journal of the American Podiatric Medical Association.

[15]  T. Zgonis,et al.  Charcot foot and ankle reconstruction: current thinking and surgical approaches. , 2007, Clinics in podiatric medicine and surgery.

[16]  R. Sabo,et al.  Beaming the columns for Charcot diabetic foot reconstruction: a retrospective analysis. , 2011, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.