Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion

Comminuted distal femur fracture is a challenging injury, and care must be taken to reduce the articular fragment and acquire the sufficient stability for the metaphyseal comminution. We report the case of a AO/OTA C3-type distal femur fracture with articular malunion and metaphyseal nonunion. Artic...

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Main Authors: Natsumi Saka, Yoshinobu Watanabe, Gen Sasaki, Hirotaka Kawano
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/1250231
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author Natsumi Saka
Yoshinobu Watanabe
Gen Sasaki
Hirotaka Kawano
author_facet Natsumi Saka
Yoshinobu Watanabe
Gen Sasaki
Hirotaka Kawano
author_sort Natsumi Saka
collection DOAJ
description Comminuted distal femur fracture is a challenging injury, and care must be taken to reduce the articular fragment and acquire the sufficient stability for the metaphyseal comminution. We report the case of a AO/OTA C3-type distal femur fracture with articular malunion and metaphyseal nonunion. Articular malunion was treated with corrective osteotomy using a 3D-printed model for planning, and metaphyseal nonunion was treated with an induced membrane technique. Conclusion. Two major complications in the comminuted periarticular fracture can be addressed by an osteotomy and induced membrane technique. A 3D-printed model is a useful tool to evaluate the morphology of the malunited articular surface.
format Article
id doaj-art-7f779f3f905e4f5aa773a10abbbc9a54
institution Kabale University
issn 2090-6749
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language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-7f779f3f905e4f5aa773a10abbbc9a542025-02-03T00:59:42ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/12502311250231Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal NonunionNatsumi Saka0Yoshinobu Watanabe1Gen Sasaki2Hirotaka Kawano3Department of Orthopaedics, Teikyo University School of Medicine, JapanDepartment of Orthopaedics, Teikyo University School of Medicine, JapanDepartment of Orthopaedics, Teikyo University School of Medicine, JapanDepartment of Orthopaedics, Teikyo University School of Medicine, JapanComminuted distal femur fracture is a challenging injury, and care must be taken to reduce the articular fragment and acquire the sufficient stability for the metaphyseal comminution. We report the case of a AO/OTA C3-type distal femur fracture with articular malunion and metaphyseal nonunion. Articular malunion was treated with corrective osteotomy using a 3D-printed model for planning, and metaphyseal nonunion was treated with an induced membrane technique. Conclusion. Two major complications in the comminuted periarticular fracture can be addressed by an osteotomy and induced membrane technique. A 3D-printed model is a useful tool to evaluate the morphology of the malunited articular surface.http://dx.doi.org/10.1155/2020/1250231
spellingShingle Natsumi Saka
Yoshinobu Watanabe
Gen Sasaki
Hirotaka Kawano
Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
Case Reports in Orthopedics
title Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
title_full Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
title_fullStr Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
title_full_unstemmed Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
title_short Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion
title_sort corrective intra articular osteotomy using a 3d printed model and induced membrane technique for ao ota c3 distal femur fracture with articular malunion and metaphyseal nonunion
url http://dx.doi.org/10.1155/2020/1250231
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