Fixing a fractured arthrodesed hip with rapid prototype templating and minimal invasive plate osteosynthesis
Christian Fang, Benjamin Fang, Tak-Man Wong, Tak-Wing Lau, Terence Pun, Frankie Leung, Christian Fang, Benjamin Fang, Tak-Man Wong, Tak-Wing Lau, Terence Pun, Frankie Leung
Abstract
Case: We present an elderly lady with an intertrochanteric fracture of a previously fused hip. A 3D printed model of her pelvis and femur was used for implant templating before surgery. Minimal invasive fixation was performed with a spanning reversed distal femur locking plate without the need for removal of the previous implant. Multiple long locking screws were placed in the supra-acetabular region. The patient had union in 4 months, return to function and no complication.
Conclusion: The technique allowed us to optimize implant selection and insert screws safely at difficult trajectories using minimal invasive surgery.
Keywords: 3D printing; Fracture; Hip fusion; Minimal invasive; Plating.
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References
- Schafroth M.U., Blokzijl R.J., Haverkamp D., Maas M., Marti R.K. The long-term fate of the hip arthrodesis: does it remain a valid procedure for selected cases in the 21st century? Int. Orthop. 2010;34(6):805–810.
- Learmonth I.D., Young C., Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370(9597):1508–1519.
- Callaghan J.J., Brand R., Pedersen D. Hip arthrodesis. A long-term follow-up. J. Bone Joint Surg. 1985;67(9):1328–1335.
- Manzotti A., Confalonieri N., Pullen C. Intertrochanteric fracture of an arthrodesed hip. J. Bone Joint Surg. Br. Vol. 2007;89(3):390–392.
- Darwish F.M., Haddad W. Intertrochanteric fracture under an arthrodesed hip. Am. J. Case Rep. 2013;14:150–152.
- Wulke A.P., Mader K., Pennig D. Femoral neck fracture in an arthrodesed hip treated by a supracondylar intramedullary locked nail. J. Orthop. Trauma. 2004;18(2):116–118.
- Ishimaru D., Nozawa S., Maeda M., Shimizu K. Intertrochanteric fracture of the ankylosed hip joint treated by a gamma nail: a case report. Case Rep. Orthop. 2012;2012:278156.
- Schweizer A., Furnstahl P., Nagy L. Three-dimensional correction of distal radius intra-articular malunions using patient-specific drill guides. J. Hand Surg. 2013;38(12):2339–2347.
- Yan C.H., Chiu K.Y., Ng F.Y., Chan P.K., Fang C.X. Comparison between patient-specific instruments and conventional instruments and computer navigation in total knee arthroplasty: a randomized controlled trial. Knee Surg. Sports Traumatol. Arthrosc. 2014
- Jeong H.S., Park K.J., Kil K.M., Chong S., Eun H.J., Lee T.S. Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note. Arch. Orthop. Trauma Surg. 2014;134(11):1551–1555.
- D'Souza N., Mainprize J., Edwards G., Binhammer P., Antonyshyn O. Teaching facial fracture repair: a novel method of surgical skills training using three-dimensional biomodels. Plast. Surg. (Oakv) 2015;23(2):81–86.
- Peltola S.M., Melchels F.P., Grijpma D.W., Kellomaki M. A review of rapid prototyping techniques for tissue engineering purposes. Ann. Med. 2008;40(4):268–280.
- Shah S., Vanclay F., Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J. Clin. Epidemiol. 1989;42(8):703–709.
- Graf C. The Lawton instrumental activities of daily living scale. Am. J. Nurs. 2008;108(4):52–62. (quiz -3)
- Jain S., Giannoudis P.V. Arthrodesis of the hip and conversion to total hip arthroplasty: a systematic review. J. Arthroplast. 2013;28(9):1596–1602.
- Whitehouse M.R., Duncan C.P. Conversion of hip fusion to total hip replacement: technique and results. Bone Joint J. 2013;95-B(11 Suppl. A):114–119.
- Fadero P.E., Shah M. Three dimensional (3D) modelling and surgical planning in trauma and orthopaedics. Surgeon. 2014;12(6):328–333.
Source: PubMed