Three-Dimensional Corrective Osteotomy of Malunited Fractures of the Upper Extremity with Use of a Computer Simulation System

2008 ◽  
Vol 90 (11) ◽  
pp. 2375-2389 ◽  
Author(s):  
Tsuyoshi Murase ◽  
Kunihiro Oka ◽  
Hisao Moritomo ◽  
Akira Goto ◽  
Hideki Yoshikawa ◽  
...  
2019 ◽  
Vol 101 (8) ◽  
pp. 710-721 ◽  
Author(s):  
Kunihiro Oka ◽  
Hiroyuki Tanaka ◽  
Kiyoshi Okada ◽  
Wataru Sahara ◽  
Akira Myoui ◽  
...  

2011 ◽  
Vol 16 (1) ◽  
pp. 85-92 ◽  
Author(s):  
Kunihiro Oka ◽  
Tsuyoshi Murase ◽  
Hisao Moritomo ◽  
Akira Goto ◽  
Ryoji Nakao ◽  
...  

2012 ◽  
Vol 2 (4) ◽  
pp. e24 ◽  
Author(s):  
Junichi Miyake ◽  
Tsuyoshi Murase ◽  
Kunihiro Oka ◽  
Hisao Moritomo ◽  
Kazuomi Sugamoto ◽  
...  

2006 ◽  
Vol 13 (10) ◽  
pp. 1296-1303 ◽  
Author(s):  
MASANORI NOGUCHI ◽  
DAISUKE DEGUCHI ◽  
JUNICHIRO TORIWAKI ◽  
KENSAKU MORI ◽  
YOSHITO MEKADA ◽  
...  

2013 ◽  
Vol 38 (5) ◽  
pp. 909-919 ◽  
Author(s):  
Toshiyuki Kataoka ◽  
Kunihiro Oka ◽  
Junichi Miyake ◽  
Shinsuke Omori ◽  
Hiroyuki Tanaka ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Babak Saravi ◽  
Gernot Lang ◽  
Rebecca Steger ◽  
Andreas Vollmer ◽  
Jörn Zwingmann

Malunions of the upper extremity can result in severe functional problems and increase the risk of osteoarthritis. The surgical reconstruction of complex malunions can be technically challenging. Recent advances in computer-assisted orthopedic surgery provide an innovative solution for complex three-dimensional (3-D) reconstructions. This study aims to evaluate the clinical applicability of 3-D computer-assisted planning and surgery for upper extremity malunions. Hence, we provide a summary of evidence on this topic and highlight recent advances in this field. Further, we provide a practical implementation of this therapeutic approach based on three cases of malunited forearm fractures treated with corrective osteotomy using preoperative three-dimensional simulation and patient-specific surgical guides. All three cases, one female (56 years old) and two males (18 and 26 years old), had painful restrictions in range of motion (ROM) due to forearm malunions and took part in clinical and radiologic assessments. Postoperative evaluation of patient outcomes showed a substantial increase in range of motion, reduction of preoperatively reported pain, and an overall improvement of patients' satisfaction. The therapeutic approach used in these cases resulted in an excellent anatomical and functional reconstruction and was assessed as precise, safe, and reliable. Based on current evidence and our results, the 3-D preoperative planning technique could be the new gold standard in the treatment of complex upper extremity malunions in the future.


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