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Mitigation of gap formation resulting from saw blade in single-cut osteotomy

  • Mu-Young Kim (Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine) ;
  • Stanley Eunwoo Kim (Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine)
  • Received : 2023.11.27
  • Accepted : 2024.01.28
  • Published : 2024.03.31

Abstract

Bone loss from the kerf of the sawblade may influence the final outcomes when employing three-dimensional-printed surgical guides. However, no studies have systematically addressed saw blade-induced bone loss. This study aims to quantify bone loss and propose a reduction guide to minimize the fracture gap. The postoperative gap tended to decrease as the amount of gap compensation increased. Osteotomy gaps can be attributed to the thickness of the saw blade, and the proposed methodology addresses this surgical error. Surgeons can proactively plan and design reduction guides with applied compensation using the method described in this study.

Keywords

References

  1. Altwal J, Wilson CH, Griffon DJ. Applications of 3-dimensional printing in small-animal surgery: a review of current practices. Vet Surg. 2022;51(1):34-51. https://doi.org/10.1111/vsu.13739
  2. Belei P, Schkommodau E, Frenkel A, Mumme T, Radermacher K. Computer-assisted single- or double-cut oblique osteotomies for the correction of lower limb deformities. Proc Inst Mech Eng H. 2007;221(7):787-800.
  3. Worth AJ, Crosse KR, Kersley A. Computer-assisted surgery using 3D printed saw guides for acute correction of antebrachial angular limb deformities in dogs. Vet Comp Orthop Traumatol. 2019;32(3):241-249. https://doi.org/10.1055/s-0039-1678701
  4. Kim SY, Snowdon KA, DeCamp CE. Single oblique osteotomy for correction of antebrachial angular and torsional deformities in a dog. J Am Vet Med Assoc. 2017;251(3):333-339. https://doi.org/10.2460/javma.251.3.333
  5. Franklin SP, Dover RK, Andrade N, Rosselli D, M Clarke K. Correction of antebrachial angulation-rotation deformities in dogs with oblique plane inclined osteotomies. Vet Surg. 2017;46(8):1078-1085. https://doi.org/10.1111/vsu.12706
  6. Sangeorzan BJ, Sangeorzan BP, Hansen ST Jr, Judd RP. Mathematically directed single-cut osteotomy for correction of tibial malunion. J Orthop Trauma. 1989;3(4):267-275. https://doi.org/10.1097/00005131-198912000-00001
  7. Wallace SJ, Patterson JT, Nork SE. Mathematically directed single-cut osteotomy. Medicina (Kaunas). 2022;58(7):971.
  8. Shahid MS, Lee P, Evans S, Thomas R. A comparative study of bone shortening and bone loss with use of saw blades versus burr in hallux valgus surgery. Foot Ankle Surg. 2012;18(3):195-197. https://doi.org/10.1016/j.fas.2011.11.001
  9. Atilola MAO, Sumner-Smith G. Nonunion fractures in dogs. J Vet Orthop. 1984;3(2):21-24. 
  10. Welch JA, Boudrieau RJ, DeJardin LM, Spodnick GJ. The intraosseous blood supply of the canine radius: implications for healing of distal fractures in small dogs. Vet Surg. 1997;26(1):57-61. https://doi.org/10.1111/j.1532-950X.1997.tb01463.x
  11. Fox D. Radius and ulna. In: Tobias KM, Johnston SA, editors. Veterinary Surgery Small Animal Surgery. 1st ed. St. Louis: Elsevier; 2012, 780-781. 
  12. Imhoff FB, Schnell J, Magana A, Diermeier T, Scheiderer B, Braun S, et al. Single cut distal femoral osteotomy for correction of femoral torsion and valgus malformity in patellofemoral malalignment - proof of application of new trigonometrical calculations and 3D-printed cutting guides. BMC Musculoskelet Disord. 2018;19(1):215.
  13. Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42(6):551-555. https://doi.org/10.1016/j.injury.2011.03.031
  14. Hazeveld A, Huddleston Slater JJ, Ren Y. Accuracy and reproducibility of dental replica models reconstructed by different rapid prototyping techniques. Am J Orthod Dentofacial Orthop. 2014;145(1):108-115. https://doi.org/10.1016/j.ajodo.2013.05.011
  15. Pinto JM, Arrieta C, Andia ME, Uribe S, Ramos-Grez J, Vargas A, et al. Sensitivity analysis of geometric errors in additive manufacturing medical models. Med Eng Phys. 2015;37(3):328-334. https://doi.org/10.1016/j.medengphy.2015.01.009