Planning for corrective osteotomy of the femoral bone using 3D-modeling. Part I
- Authors: Baindurashvili A.G1, Baskov V.E1, Filippova A.V1, Bortulev P.I1, Barsukov D.B1, Pozdnikin I.Y1, Voloshin S.Y1, Baskaeva T.V1, Poznovich M.S1
 - 
							Affiliations: 
							
- The Turner Scientific and Research Institute for Childrens Orthopedics
 
 - Issue: Vol 4, No 3 (2016)
 - Pages: 52-58
 - Section: Articles
 - Submitted: 05.10.2016
 - Published: 15.09.2016
 - URL: https://journals.eco-vector.com/turner/article/view/3656
 - DOI: https://doi.org/10.17816/PTORS4352-58
 - ID: 3656
 
Cite item
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.
Keywords
Full Text
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
- Соколовский А.М., Соколовский О.А., Гольдман Р.К., Деменцов А.Б. Планирование операций на проксимальном отделе бедренной кости // Журнал медицинские новости. - 2005. - № 10. - С. 26-29. Доступно по: http://www.mednovosti.by/journal.aspx?article=1043. Ссылка активна на 06.07.16. [Sokolovskii AM, Sokolovskii OA, Gol’dman RK, Dementsov AB. Planirovanie operatsii na proksimal’nom otdele bedrennoi kosti. Zhurnal meditsinskie novosti. 2005;10:26-29. (In Russ).] Доступно по: http://www.mednovosti.by/journal.aspx?article=1043. Ссылка активна на 06.07.16.
 - Басков В.Е. Ортопедохирургическое лечение детей с диспластическим маргинальным вывихом бедра: Дис. … канд. мед. наук. - СПб., 2009. [Baskov VE. Ortopedo-khirurgicheskoe lechenie detei s displasticheskim marginal’nym vyvikhom bedra. [dissertation] Saint Petersburg; 2009. (In Russ).]
 - Мирзоева И.И., Гончарова М.Н., Тихоненков Е.С. Оперативное лечение врожденного вывиха бедра у детей. - Л.: Медицина, 1976. [Mirzoeva II, Goncharova MN, Tikhonenkov ES. Operativnoe lechenie vrozhdennogo vyvikha bedra u detei. Leningrad: Meditsina; 1976. (In Russ).]
 - Баиндурашвили А.Г., Краснов А.И., Дейнеко А.Н. Хирургическое лечение детей с дисплазией тазобедренного сустава. - СПб.: СпецЛит, 2011. [Baindurashvili AG, Krasnov AI, Deineko AN. Khirurgicheskoe lechenie detei s displaziei tazobedrennogo sustava. Saint Petersburg: SpetsLit; 2011. (In Russ).]
 - Brown G, Firoozbakhsh K, DeCoster T, et al. Rapid prototyping: the future of trauma surgery? J Bone Joint Surg [Am]. 2003;85-A(Suppl):49-55.
 
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