Mathematical analysis and application of oblique single-cut rotation osteotomy in repairing complex deformity of long bone

doi:10.12307/2023.295

Abstract

Abstract: BACKGROUND: Oblique single-cut rotation osteotomy for long bone deformities maintains maximal contact area and no bone loss after osteotomy, but requires thorough preoperative planning.
OBJECTIVE: To accurately determine the direction and rotation angle of the osteotomy plane of oblique single-cut rotation osteotomy.
METHODS: An improved method for the mathematical process of the direction and rotation angle of the osteotomy plane of oblique single-cut rotation osteotomy was presented. The deformation of deformity angle and distortion angle were defined. The rotation angle and the normal direction of the osteotomy plane were calculated to obtain the osteotomy plane.
RESULTS AND CONCLUSION: The application example showed that the deformity correction based on the calculation results of this method was accurate and the broken ends of bones were in close contact. This method can accurately determine the direction and rotation angle of the bone cutting plane, improve the accuracy of osteotomy, reduce surgical risks and complications, facilitate the convenience of clinical application, computer simulation of bone cutting, and 3D printing of bone cutting guide plate.

Key words: complex deformed long bone, oblique single-cut rotation osteotomy, mathematical analysis, application

CLC Number:

Gao Weitong, Guo Pengnian. Mathematical analysis and application of oblique single-cut rotation osteotomy in repairing complex deformity of long bone[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(22): 3498-3502.

Figures/Tables 3

References

[1] GÜRKE L, STRECKER W, MARTINOLI S. Korrektur mehrdimensionaler Deformationen durch eine einzige Osteotomie Graphische Analyse und Operationstechnik. Unfallchirurg. 1999;102(9):684-690.
[2] 刘振康,肖鹏,邱伟建,等.3D打印截骨导板辅助治疗胫骨骨折畸形愈合[J].中华创伤骨科杂志,2020,22(2):146-151.
[3] 曾纪焕,李小丹,肖强,等.3D打印导板辅助成人肘内翻畸形截骨矫正[J].中国矫形外科杂志,2021,29(13):1185-1189.
[4] SANGEORZAN BP, JUDD RP, SANGEORZAN BJ. Mathematical analysis of single-cut osteotomy for complex long bone deformity. J Biomechanics. 1989;22(11/12):1271-1278.
[5] DOBBE JGG, DU PRÉ KJ, BLANKEVOORT L, et al. Computer-assisted oblique single-cut rotation osteotomy to reduce a multidirectional tibia deformity: case report. Strategies Trauma Limb Reconstr. 2017; 12(2):115-120.
[6] BRUNO S, OUSSAMA K. Springer handbook of robotics. Heidelberg: Springer-Verlag Berlin Heidelberg. 2008.
[7] 李硕,苏鹏,张力,等.三维重建和有限元分析股骨髁上截骨对矫治膝内翻有积极作用[J].中国组织工程研究,2022,26(6):858-863.
[8] 刘伟,李飞,李璐兵,等.数字化软件测量僵硬性马蹄内翻足相关骨标志性指标的可靠和准确度[J].中国组织工程研究,2022, 26(6):886-891.
[9] 韩建福,曾忠友,严卫锋.开放性胫骨高位楔形截骨治疗膝骨关节炎的疗效及影响因素分析[J].中国基层医药,2022,29(6):884-888.
[10] 罗旺林,许国星,冯志,等.开放性楔形胫骨高位截骨术中植骨与未植骨的Meta分析[J].生物骨科材料与临床研究,2022,19(3):42-48.
[11] 李军,梁帅,姚运峰,等.悬空膝关节对内侧开放楔形胫骨高位截骨术后胫骨平台后倾角的影响[J].中国修复重建外科杂志,2022, 36(6):703-707.
[12] 徐攀峰,周元林,韦言果,等.3种保膝手术治疗膝关节内侧间室骨性关节炎的疗效分析[J].重庆医学,2022,51(9):1501-1505.
[13] LINTZ F, BELDAME J, KERHOUSSE G, et al. Intra and inter observer reliability of the AFCP classification for sagittal plane deformities of the second toe. Foot Ankle Surg. 2020;26(6):650-656.
[14] 马丁.创伤后畸形截骨治疗[M]. 济南：山东科学技术出版社, 2010.
[15] 杜俊炜,徐征宇,刘江,等.个性化术前规划结合不同固定方式治疗下肢多平面畸形的应用[J].中华创伤骨科杂志,2020,22(8):707-712.
[16] SHI L, LIU W, YIN L, et al. Surgical Guide Assistant Mandibular Distraction Osteogenesis and Sagittal Split Osteotomy in the Treatment of Hemifacial Microsomia. J Craniofac Surg. 2015;26(2):498-500.
[17] 林永昌. 探究旋转截骨术治疗儿童先天生上尺桡融合的疗效[D].广州:南方医科大学,2020.
[18] 赵宇驰,王诗军,赵中原,等.全膝关节置换术中截骨技术对下肢动态力线影响的数学分析[J]. 中华外科杂志,2016,54(4):241-246.