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Accuracy of high tibial osteotomy assisted by 3D printing patient-specific instrumentation guider in the treatment of varus knee osteoarthritis
Received:March 20, 2021  Revised:June 02, 2021  Click here to download the full text
Citation of this paper:ZHANG Li-yong,WAN Chun-fei,ZHANG Jun,FAN Li-hong,TIAN Tao,FU Qiang,MA Yong,DA Wei-wei.Accuracy of high tibial osteotomy assisted by 3D printing patient-specific instrumentation guider in the treatment of varus knee osteoarthritis[J].Chinese Journal of Clinical Medicine,2021,28(4):646-651
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Author NameAffiliationE-mail
ZHANG Li-yong Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
WAN Chun-fei Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
ZHANG Jun Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
FAN Li-hong Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
TIAN Tao Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
FU Qiang Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China  
MA Yong Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China
Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu, China 
 
DA Wei-wei Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Yangzhou 225000, Jiangsu, China
Yangzhou University, Yangzhou 225000, Jiangsu, China 
dww2348285@163.com 
Abstract:Objective: To observe the accuracy of 3D printing patient-specific instrumentation (PSI) guider assisted high tibial osteotomy (HTO) in the treatment of varus knee osteoarthritis.Methods: From May 2018 to December 2019, 15 patients with varus knee osteoarthritis were treated with 3D printing PSI guider assisted medial opening wedge high tibial osteotomy. The preoperative medial proximal tibial angle (MPTA), weight bearing line (WBL) point, distraction height, posterior tibial slope (PTS), and joint line convergence angle (JLCA) were simulated and measured by CT three-dimensional reconstruction, which were compared with the actual measurement value after osteotomy.Results: There was no significant difference between the preoperative and postoperative measurement of MPTA, WBL point, distraction height, PTS and JLCA, which were consistent. All patients' wounds were healed in the first stage without complications.Conclusions: 3D printing PSI guider assisted HTO can enhance accuracy in correcting lower limb alignment, reduce the risk of changes in PTS, JLCA, etc and improve the curative effect.
keywords:osteoarthritis  genu varus  high tibial osteotomy  3D printing  osteotomy guider
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