Virtual Surgical Planning, 3D-Printing and Customized Bone Allograft for Acute Correction of Severe Genu Varum in Children.
Giulia AlessandriLeonardo FrizzieroGian Maria SantiAlfredo LiveraniDante DallariLeonardo VivarelliGiovanni Luigi Di GennaroDiego AntonioliGrazia Chiara MenozziAlessandro DepaoliGino RoccaGiovanni TrisolinoPublished in: Journal of personalized medicine (2022)
Complex deformities of lower limbs are frequent in children with genetic or metabolic skeletal disorders. Early correction is frequently required, but it is technically difficult and burdened by complications and recurrence. Herein, we described the case of a 7-year-old girl affected by severe bilateral genu varum due to spondyloepiphyseal dysplasia. The patient was treated by patient-specific osteotomies and customized structural wedge allograft using Virtual Surgical Planning (VSP) and 3D-printed patient-specific instrumentation (PSI). The entire process was performed through an in-hospital 3D-printing Point-of-Care (POC). VSP and 3D-printing applied to pediatric orthopedic surgery may allow personalization of corrective osteotomies and customization of structural allografts by using low-cost in-hospital POC. However, optimal and definitive alignment is rarely achieved in such severe deformities in growing skeleton through a single operation.
Keyphrases
- low cost
- early onset
- young adults
- drug induced
- healthcare
- case report
- minimally invasive
- liver failure
- acute care
- adverse drug
- emergency department
- risk factors
- bone mineral density
- coronary artery bypass
- kidney transplantation
- radiation therapy
- squamous cell carcinoma
- acute coronary syndrome
- intensive care unit
- gene expression
- atrial fibrillation
- hepatitis b virus
- electronic health record
- aortic dissection
- mechanical ventilation