Planning for corrective osteotomy of the femoral bone using 3D-modeling. Part I

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Abstract


Introduction. In standard planning for corrective hip osteotomy, a surgical intervention scheme is created on a uniplanar paper medium on the basis of X-ray images. However, uniplanar skiagrams are unable to render real spatial configuration of the femoral bone. When combining three-dimensional and uniplanar models of bone, human errors inevitably occur, causing the distortion of preset parameters, which may lead to glaring errors and, as a result, to repeated operations.

Aims. To develop a new three-dimensional method for planning and performing corrective osteotomy of the femoral bone, using visualizing computer technologies.

Materials and methods. A new method of planning for corrective hip osteotomy in children with various hip joint pathologies was developed. We examined the method using 27 patients [aged 5–18 years (32 hip joints)] with congenital and acquired femoral bone deformation. The efficiency of the proposed method was assessed in comparison with uniplanar planning using roentgenograms.

Conclusions. Computerized operation planning using three-dimensional modeling improves treatment results by minimizing the likelihood of human errors and increasing planning and surgical intervention 
accuracy.


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About the authors

Alexey G Baindurashvili

The Turner Scientific and Research Institute for Childrens Orthopedics

Author for correspondence.
Email: turner01@mail.ru
MD, PhD, professor, corresponding member of RAS, honored doctor of the Russian Federation, Director of The Turner Scientific and Research Institute for Children’s Orthopedics

Vladimir E Baskov

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: dr.baskov@mail.ru
MD, PhD, head of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Anastasia V Filippova

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: mmers@list.ru
MD, research associate of the scientific-organizational department. The Turner Scientific and Research institute for Children’s Orthopedics.

Pavel I Bortulev

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: pavel.bortulev@yandex.ru
MD, research associate of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Dmitry B Barsukov

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: dbbarsukov@gmail.com
MD, PhD, senior research associate of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Ivan Y Pozdnikin

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: pozdnikin@gmail.com
MD, PhD, research associate of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Sergei Y Voloshin

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: volochin_ortoped@mail.ru
MD, PhD, chief of the department of hip pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Tamila V Baskaeva

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: tamila-baskaeva@mail.ru
MD, orthopedic surgeon of the Turner Scientific and Research Institute for Children’s Orthopedics.

Mahmoud S Poznovich

The Turner Scientific and Research Institute for Childrens Orthopedics

Email: tamila-baskaeva@mail.ru
MD, PhD student of the Turner Scientific and Research Institute for Children’s Orthopedics

References

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Copyright (c) 2016 Baindurashvili A.G., Baskov V.E., Filippova A.V., Bortulev P.I., Barsukov D.B., Pozdnikin I.Y., Voloshin S.Y., Baskaeva T.V., Poznovich M.S.

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