Abstract
Fixation-based surgery is a new technique for achieving difficult corrections in some orthopedic procedures. The method is premised on using a fixation device, such as a fracture-fixation plate, during the alignment and distration phases of an open-wedge osteotomy. The basic idea is similar to assembly of manufactured components: pilot holes are drilled in the bone fragments, the fixation plate is attached to one fragment and, when the fragment is moved, the alignment has been achieved when the pilot holes in one fragment line up with predetermined through holes in the fixation plate.
The method has been specifically developed to address osteotomy of the distal radius to correct a malunited fracture. The method has been validated in laboratory studies. Clinical trials suggest that the method is no slower than the conventional technique, there is almost no intraoperative X-ray exposure, and that exceptionally large corrections can easily be achieved.
Chapter PDF
Similar content being viewed by others
References
Bilić, R., Zdravković, V.: Planning corrective osteotomy of the distal end of the radius. 1. Improved Method. Unfallchirurg 91, 571–574 (1988)
Bilić, R., Zdravković, V.: Planning corrective osteotomy of the distal end of the radius. 2. Computer-aided planning and postoperative follow-up. Unfallchirurg 91, 575–580 (1988)
Bilić, R., Zdravković, V., Boljević, Z.: Osteotomy for deformity of the radius. Computer-assisted three-dimensional modeling. Journal of Bone & Joint Surgery [Br] 76B(1), 150–154 (1994)
Bronstein, A.J., Trumble, T.E., Tencer, A.F.: The Effects of Distal Radius Fracture Malalignment on Forearm Rotation: A Cadaveric Study. Journal of Hand Surgery [Am] 22A(2), 258–262 (1997)
Cline, H.E., Lorensen, W.E., Ludke, S., Crawford, C.R., Teeter, B.C.: Two algorithms for the three-dimensional reconstruction of tomograms. Medical Physics 15(3), 320–327 (1988)
Pogue, D.J., et al.: Effects of distal radius fracture malunion on wrist joint mechanics. Journal of Hand Surgery [Am] 15A(5), 721–727 (1990)
Oskam, J., et al.: Corrective osteotomy for malunion of the distal radius: The effects of concominant ulnar shortening osteotmy. Archives of Orthopaedic & Trauma Surgery 115(5), 219–222 (1996)
Fernandez, D.L., Jupiter, J.B.: Fractures ofthe Distal Radius: A Practical Approach to Management, ch. 2-5, p. 11. Springer Verlag, Inc., New York (1996)
Jupiter, J.B., Ruder, J., Roth, D.A.: Computer-generated bone models in the planning of osteotomy of multidirectional distal radius malunions. Journal of Hand Surgery [Am] 17A(3), 406–415 (1992)
Ma, B., Ellis, R.E., Fleet, D.J.: Spotlights: A robust method for surface-based registration in orthopedic surgery. In: Taylor, C., Colchester, A. (eds.) MICCAI 1999. LNCS, vol. 1679, pp. 936–944. Springer, Heidelberg (1999)
Porter, M., Stockley, I.: Fractures of the Distal Radius: Intermediate and End Results in Relation to Radiologic Parameters. Clinical Orthopedics 220, 241–251 (1987)
Zdravković, V., Bilić, R.: Computer-assisted preoperative planning (CAPP) in orthopaedic surgery. Computer Methods & Programs in Biomedicine 32, 141–146 (1990)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Croitoru, H., Ellis, R.E., Small, C.F., Pichora, D.R. (2000). Fixation-Based Surgery: A New Technique for Distal Radius Osteotomy. In: Delp, S.L., DiGoia, A.M., Jaramaz, B. (eds) Medical Image Computing and Computer-Assisted Intervention – MICCAI 2000. MICCAI 2000. Lecture Notes in Computer Science, vol 1935. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-40899-4_117
Download citation
DOI: https://doi.org/10.1007/978-3-540-40899-4_117
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-41189-5
Online ISBN: 978-3-540-40899-4
eBook Packages: Springer Book Archive