Digital pre-operative planning for challenging procedures can increase the chances of a successful and more predictable outcome, as was the case for a female runner who suffered a displaced right femoral neck stress fracture that failed to heal with conservative treatment. To improve her quality of life, the orthopaedic trauma surgeon and assistant-professor of orthopaedic surgery Dr. Samir Mehta, MD used Materialise OrthoView to pre-operatively plan a valgus osteotomy for femoral neck fracture non-union.
Mr. Alistair Phillips works at a major trauma clinic in Southampton, where he receives many referral cases of patients who require elbow surgery and complex trauma reconstruction, often from car accidents.
Dr. Ola Wiig, an experienced pediatric orthopaedic surgeon, was confronted with a very challenging deformity in a young teenager. Dr Wiig’s patient was suffering from severely reduced mobility as a result of an epiphysiolysis in her proximal femur, which caused her leg to be severely rotated outwards. This wasn’t just causing the patient pain, it was stopping her from being a normal teenager.
3-year-old Ivy was born with a complex congenital heart disease (CHD), and diagnosed with absent pulmonary valve syndrome and Tetralogy of Fallot. When she was 6 months old, the girl underwent an operation to repair these conditions, which were causing her pulmonary arteries to dilate out of proportion and compressing her airways. The surgeon at the time carried out the LeCompte Maneuver during the repair, which involves the re-plumbing of the pulmonary arteries anterior to the aorta to relieve pressure on the patient’s lungs. A conduit was positioned between the right ventricle and the pulmonary arteries.
After a car accident seven years ago, Reggie Cook was left with a variety of injuries that made him unable to walk or feed himself. He injured a major upper extremity nerve in his left arm, losing feeling and function in an otherwise normal limb, and shattered the elbow in his right arm. At this point, he approached his surgeon in El Paso, Texas, Dr. Eric Sides, with the novel idea of using the healthy but useless elbow of his left arm for an elbow transplant to replace the injured one on his right side.
For patients with early stages of osteoarthritis, high tibial osteotomy (HTO) can be a useful treatment option. In the closing-wedge version of this operation, a wedge of bone is cut out of the lateral side of the tibia, whereas with the opening-wedge osteotomy, a bone graft is inserted in a cut made on the medial side. Both realign the knee and relieve pressure from the joint. The closing-wedge technique is more common, but recently, the opening-wedge osteotomy has become more popular since it is less invasive and possibly results in less deformity of the proximal tibia.