By using Materialise OrthoView’s automated SmartHip wizard, planning time for surgeries has reduced by as much as 25%, according to Dr. Andrew Noble, a hip and knee specialist at Palm Beach Orthopaedic Institute in Florida.
Born with Down syndrome and undergoing treatment for leukemia, Jalanea was diagnosed at 5 years old with Atlanto-axial instability – a dangerous point of weakness between spine and skull. Clinicians at Ochsner Hospital for Children used 3D anatomical modeling, generated by Materialise’s Mimics inPrint software, to help plan and successfully execute a complicated procedure that would ultimately save a brave little girl’s life.
A young patient with a painful deformity in his clavicle, which was causing him both cosmetic and functional issues, consulted Dr. Alexander Van Tongel. Dr. Van Tongel worked with Materialise clinical engineers for pre-operative 3D planning and 3D-printed surgical guides for a corrective osteotomy.
Digital pre-operative planning allows the surgeon to easily assess the size of components required, as well as other factors that the duration of the procedure. Having considered a variety of options in advance of the procedure, the surgeon was able to ensure both the equipment and his staff were prepared, thus saving valuable time in the OR.
Treating a young patient born in 1993 who had an injury in 2009 with a malunion of the distal radius, Dr. Peter Axelsson from the Sahlgrenska Hospital in Sweden worked together with the Materialise Clinical Engineers for 3D-printed anatomical models, 3D analysis and planning, and 3D-printed patient-specific guides. This case was one of the first cases he did with Materialise.
The patient, an 86 year-old woman who was the primary caregiver for her husband, had previously been an active person in the local community. She was experiencing increasing right knee pain and deformity and was unable to walk without the use of a cane. A physical examination revealed antero-posterior and medial instability with 10-degree hyperextension to 90-degree flexion
OrthoView is able to present the full range of options and compatibilities available with complex modular prostheses on-screen so that the surgeon does not need to memorize them. The surgeon is also able to identify that the correct amount of offset is achievable with the chosen prosthesis.
The patient has a history of hypophosphatemic rickets. The associated bone abnormalities and leg malalignment had been addressed by bilateral closing wedge tibial osteotomies when the patient was approximately 40 years of age. The patient was now experiencing pain in both knees and was having difficulty walking.
A 60 year old lady was suffering from shoulder pain and limited range of motion. Analysis of the medical images indicated a devastating shoulder arthrosis with severe medialization and erosion of the glenoid. Due to a complete loss of the glenoid vault, implantation of a classic pegged baseplate for reverse total shoulder was not an option. In addition, interposition of a massive bone graft would have little chance for ingrowth and survival, hence little chance to offer sufficient stability.
At the age of 81, the patient was suffering from a Paprosky type 3B defect and already underwent hip revision surgeries prior to seeking the help of Mr. Dunlop. He is not alone, because data from joint registries show that 27% of the revisions is not an initial one and those re-revisions have a 3 times higher chance of failure compared to initial revisions.
Total hip replacement is widely considered a very successful surgery to relieve pain and restore mobility to patients. Since the shape of every patient's femur is different, the femoral offset, anteversion angle and length can vary widely between patients. Therefore, to achieve good functional results, an accurate restoration of hip biomechanics with appropriate implant and sizing options is essential.
In total hip replacement surgery, short hip stems are presumed to reduce proximal stress shielding compared to traditional, long stems. Belgian researchers virtually implanted a commercially available calcar-guided short stem in a series of bones with deviating proximal geometry and performed finite element analyses. Given the large number of FEA models that had to be created, they used an automated methodology.