Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

A 3D-printing Bone Model for Surgical Planning of Total Hip Replacement after Failed Triple Pelvic Osteotomy

  • Han, Kyungjin (College of Veterinary Medicine, Chungnam National University) ;
  • Park, Jiyoung (College of Veterinary Medicine, Chungnam National University) ;
  • Yoon, Jangwon (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Choi, Ho-Jung (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, SeongMok (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Haebeom (College of Veterinary Medicine, Chungnam National University)
  • Received : 2017.08.23
  • Accepted : 2017.09.30
  • Published : 2017.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 3-year-old, 26 kg, castrated male Chow Chow was presented for assessment of weight-bearing lameness of the left hind limb. The patient had a history of triple pelvic osteotomy on the left side to correct hip dysplasia 2 years prior to his presentation of clinical signs and underwent total hip replacement on the right coxofemoral joint 1 year later. Upon physical examination, pain and crepitus were noted on the left hip joint during extension. Radiological examination revealed coxofemoral joint subluxation and moderate degenerative bone changes on the left hip joint and pelvic axis, which relates to acetabular angles that were changed after triple pelvic osteotomy (TPO). Preoperative computed tomography was used for 3-dimensional printing to establish an accurate surgical plan. The changed angles of the acetabulum after TPO were evaluated, and rehearsal surgery was performed using a 3-demensional printing bone model. Three months after the THR surgery, the function of the affected limb had improved, with no lameness. Complications, such as luxation and implant failure, were not observed until 6 months after the operation. Accurate evaluation of acetabulum angles and rehearsal surgery using a 3D-printed bone model is effective for total hip replacement after unsuccessful TPO.

Keywords

References

  1. Allen M. Advances in total joint replacement in small animals. J Small Anim Pract 2012; 53: 495-506. https://doi.org/10.1111/j.1748-5827.2012.01264.x
  2. Anderson A. Treatment of hip dysplasia. J Small Anim Pract 2011; 52: 182-189. https://doi.org/10.1111/j.1748-5827.2011.01049.x
  3. Fujiki M, Kurima Y, Yamanokuchi K, Misumi K, Sakamoto H. Computed tomographic evaluation of growth-related changes in the hip joints of young dogs. Am J Vet Res 2007; 68: 730-734. https://doi.org/10.2460/ajvr.68.7.730
  4. Harada Y, Fujita Y, Taoda T, Yoshinori N, Yamaguchi S, Orima H, Tagawa M. Changes of hip joint congruity after triple pelvic osteotomy in the dog with hip dysplasia. J Vet Med Sci 2002; 64: 933-936. https://doi.org/10.1292/jvms.64.933
  5. Ito H, Takatori Y, Moro T, Oshima H, Oka H, Tanaka S. Total hip arthroplasty after rotational acetabular osteotomy. J Arthroplasty 2015; 30: 403-406. https://doi.org/10.1016/j.arth.2014.10.002
  6. Kishimoto M, Yamada K, Sa-Hun P, Muroya N, Watarai H, Anzai H, Shimizu J, Iwasaki T, Miyake Y-I, Wisner ER. Quantitative evaluation of hip joint laxity in 22 Border Collies using computed tomography. J Vet Med Sci 2009; 71: 247-250. https://doi.org/10.1292/jvms.71.247
  7. Leasure JO, Peck JN, Villamil A, Fiore KL, Tano CA. Interand intra-observer variability of radiography and computed tomography for evaluation of Zurich cementless acetabular cup placement ex vivo. Vet Comp Orthop Traumatol 2016; 29: 507-514. https://doi.org/10.3415/VCOT-16-05-0068
  8. Manley PA, Adams WM, Danielson KC, Dueland RT, Linn KA. Long-term outcome of juvenile pubic symphysiodesis and triple pelvic osteotomy in dogs with hip dysplasia. J Am Vet Med Assoc 2007; 230: 206-210. https://doi.org/10.2460/javma.230.2.206
  9. Osawa Y, Hasegawa Y, Seki T, Amano T, Higuchi Y, Ishiguro N. Significantly poor outcomes of total hip arthroplasty after failed periacetabular osteotomy. J Arthroplasty 2016; 31: 1904-1909. https://doi.org/10.1016/j.arth.2016.02.056
  10. Peters CL, Beck M, Dunn HK. Total hip arthroplasty in young adults after failed triple innominate osteotomy. J Arthroplasty 2001; 16: 188-195.
  11. Punke JP, Fox DB, Tomlinson JL, Davis JW, Mann F. Acetabular ventroversion with double pelvic osteotomy versus triple pelvic osteotomy: a cadaveric study in dogs. Vet Surg 2011; 40: 555-562. https://doi.org/10.1111/j.1532-950X.2011.00802.x
  12. Tobias K, Johnston S. Surgical therapy of canine hip dysplasia. In: Veterinary small animal surgery, 1th ed. Canada: Elsevier, 2012: 849-864
  13. Vezzoni A, Boiocchi S, Vezzoni L, Vanelli A, Bronzo V. Double pelvic osteotomy for the treatment of hip dysplasia in young dogs. Vet Comp Orthop Traumatol 2010; 23: 444. https://doi.org/10.3415/VCOT-10-03-0034

Cited by

  1. 3D 프린팅 기법 기반의 Hoffman Brain 팬텀 개발 및 유용성 평가 vol.42, pp.6, 2017, https://doi.org/10.17946/jrst.2019.42.6.441