3D printing and high tibial osteotomy

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Title: 3D printing and high tibial osteotomy
Authors: Jones, GG
Jaere, M
Clarke, S
Cobb, J
Item Type: Journal Article
Abstract: High tibial osteotomy (HTO) is a relatively conservative surgical option in the management of medial knee pain. Thus far, the outcomes have been variable, and apparently worse than the arthroplasty alternatives when judged using conventional metrics, owing in large part to uncer - tainty around the extent of the correction planned and achieved. This review paper introduces the concept of detailed 3D planning of the procedure, and describes the 3D printing technology that enables the plan to be performed. The different ways that the osteotomy can be undertaken, and the varying guide designs that enable accurate regis - tration are discussed and described. The system accuracy is reported. In keeping with other assistive technologies, 3D printing enables the surgeon to achieve a preoperative plan with a degree of accuracy that is not possible using conventional instruments. With the advent of low dose CT, it has been possible to confirm that the procedure has been under - taken accurately too. HTO is the ‘ultimate’ personal intervention: the amount of correction needed for optimal offloading is not yet com - pletely understood. For the athletic person with early medial joint line over - load who still runs and enjoys life, HTO using 3D printing is an attractive option. The clinical effectiveness remains unproven.
Issue Date: 21-May-2018
Date of Acceptance: 18-Dec-2017
URI: http://hdl.handle.net/10044/1/59819
DOI: https://dx.doi.org/10.1302/2058-5241.3.170075
ISSN: 2058-5241
Publisher: British Editorial Society of Bone and Joint Surgery
Start Page: 254
End Page: 259
Journal / Book Title: EFORT Open Reviews
Volume: 3
Issue: 5
Copyright Statement: © 2018 The author(s). This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
Publication Status: Published
Online Publication Date: 2018-05-21
Appears in Collections:Division of Surgery
Faculty of Medicine

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