Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application
ABSTRACT Background High tibial osteotomy (HTO) is a surgical procedure for treating certain knee conditions. Proper execution of HTO can preserve joint function and delay or avoid the need for total knee replacement. This study compared different 3D printing techniques (fused deposition modeling, s...
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| Format: | Article |
| Language: | English |
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Wiley
2025-02-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14274 |
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| author | Elvis Chun‐Sing Chui Kyle Ka‐Kwan Mak Randy Hin‐Ting Ng Ericsson Chun‐Hai Fung Mei‐Shuen Chan Kai Yue Lawrence Chun‐Man Lau Clifford Long‐Fung Chan Edmond Wing‐Fung Yau Wei Zhao Xiuyun Su Jin Zhang Jianglong Xu Hongxun Sang Guoxian Pei Louis Wing‐Hoi Cheung Sheung‐Wai Law Michael Tim‐Yun Ong Patrick Shu‐Hang Yung |
| author_facet | Elvis Chun‐Sing Chui Kyle Ka‐Kwan Mak Randy Hin‐Ting Ng Ericsson Chun‐Hai Fung Mei‐Shuen Chan Kai Yue Lawrence Chun‐Man Lau Clifford Long‐Fung Chan Edmond Wing‐Fung Yau Wei Zhao Xiuyun Su Jin Zhang Jianglong Xu Hongxun Sang Guoxian Pei Louis Wing‐Hoi Cheung Sheung‐Wai Law Michael Tim‐Yun Ong Patrick Shu‐Hang Yung |
| author_sort | Elvis Chun‐Sing Chui |
| collection | DOAJ |
| description | ABSTRACT Background High tibial osteotomy (HTO) is a surgical procedure for treating certain knee conditions. Proper execution of HTO can preserve joint function and delay or avoid the need for total knee replacement. This study compared different 3D printing techniques (fused deposition modeling, selective laser sintering, and direct metal laser sintering) and a navigation system for their suitability in assisting HTO surgeries. Methods Tibial saw‐bones were used as models, and surgical guides and the navigation system were employed during the procedures. Six parameters (planning time, manufacturing time, delivery time, material cost, operation time, and accuracy) were evaluated. One‐way analysis of variance (ANOVA) and t‐test were used for the analysis. Results The results showed that the metal surgical guides had the highest accuracy (angle differences mean, 2.4°) and operation time (mean 9.75 min), followed by plastic guides, classic guides, and the navigation system. The differences in accuracy were attributed to factors like rigidity, melting point, and errors during incisions. Conclusions The study recommended metal surgical guides as the best option for assisting HTO due to their accuracy and operation time. And the results have implications for orthopedic surgeons performing HTO surgeries, as they can use this information to improve postoperative outcomes, such as mechanical axis alignment and quality of life for HTO patients. |
| format | Article |
| id | doaj-art-ec0e27548fe64bf8a64c1c02c66bad4c |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj-art-ec0e27548fe64bf8a64c1c02c66bad4c2025-02-03T03:10:59ZengWileyOrthopaedic Surgery1757-78531757-78612025-02-0117259360210.1111/os.14274Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation ApplicationElvis Chun‐Sing Chui0Kyle Ka‐Kwan Mak1Randy Hin‐Ting Ng2Ericsson Chun‐Hai Fung3Mei‐Shuen Chan4Kai Yue5Lawrence Chun‐Man Lau6Clifford Long‐Fung Chan7Edmond Wing‐Fung Yau8Wei Zhao9Xiuyun Su10Jin Zhang11Jianglong Xu12Hongxun Sang13Guoxian Pei14Louis Wing‐Hoi Cheung15Sheung‐Wai Law16Michael Tim‐Yun Ong17Patrick Shu‐Hang Yung18Department of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology Prince of Wales Hospital Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaKoln 3D Technology Medical Ltd Hong Kong ChinaDepartment of Orthopaedics Southern University of Science and Technology Hospital Shenzhen ChinaDepartment of Orthopaedics Southern University of Science and Technology Hospital Shenzhen ChinaDepartment of Orthopaedics Shenzhen Hospital of Southern Medical University Shenzhen ChinaDepartment of Orthopaedics Shenzhen Children's Hospital Shenzhen ChinaDepartment of Orthopaedics Shenzhen Hospital of Southern Medical University Shenzhen ChinaDepartment of Orthopaedics Southern University of Science and Technology Hospital Shenzhen ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaDepartment of Orthopaedics and Traumatology The Chinese University of Hong Kong Hong Kong ChinaABSTRACT Background High tibial osteotomy (HTO) is a surgical procedure for treating certain knee conditions. Proper execution of HTO can preserve joint function and delay or avoid the need for total knee replacement. This study compared different 3D printing techniques (fused deposition modeling, selective laser sintering, and direct metal laser sintering) and a navigation system for their suitability in assisting HTO surgeries. Methods Tibial saw‐bones were used as models, and surgical guides and the navigation system were employed during the procedures. Six parameters (planning time, manufacturing time, delivery time, material cost, operation time, and accuracy) were evaluated. One‐way analysis of variance (ANOVA) and t‐test were used for the analysis. Results The results showed that the metal surgical guides had the highest accuracy (angle differences mean, 2.4°) and operation time (mean 9.75 min), followed by plastic guides, classic guides, and the navigation system. The differences in accuracy were attributed to factors like rigidity, melting point, and errors during incisions. Conclusions The study recommended metal surgical guides as the best option for assisting HTO due to their accuracy and operation time. And the results have implications for orthopedic surgeons performing HTO surgeries, as they can use this information to improve postoperative outcomes, such as mechanical axis alignment and quality of life for HTO patients.https://doi.org/10.1111/os.142743D printingdirect metal laser sinteringfused deposition modelinghigh tibial osteotomynavigation systemselective laser sintering |
| spellingShingle | Elvis Chun‐Sing Chui Kyle Ka‐Kwan Mak Randy Hin‐Ting Ng Ericsson Chun‐Hai Fung Mei‐Shuen Chan Kai Yue Lawrence Chun‐Man Lau Clifford Long‐Fung Chan Edmond Wing‐Fung Yau Wei Zhao Xiuyun Su Jin Zhang Jianglong Xu Hongxun Sang Guoxian Pei Louis Wing‐Hoi Cheung Sheung‐Wai Law Michael Tim‐Yun Ong Patrick Shu‐Hang Yung Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application Orthopaedic Surgery 3D printing direct metal laser sintering fused deposition modeling high tibial osteotomy navigation system selective laser sintering |
| title | Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application |
| title_full | Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application |
| title_fullStr | Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application |
| title_full_unstemmed | Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application |
| title_short | Computer‐Aided High Tibial Osteotomy—A Comparative Study of Commonly Used 3D Printing Technology and Navigation Application |
| title_sort | computer aided high tibial osteotomy a comparative study of commonly used 3d printing technology and navigation application |
| topic | 3D printing direct metal laser sintering fused deposition modeling high tibial osteotomy navigation system selective laser sintering |
| url | https://doi.org/10.1111/os.14274 |
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