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Intra-Articular Proximal Phalanx Osteotomy Using a Three-Dimensional Printed Template: A Case Report
- Source :
- Case Reports in Orthopedic Research, Vol 5, Iss 1, Pp 7-12 (2022)
- Publication Year :
- 2022
- Publisher :
- Karger Publishers, 2022.
-
Abstract
- Malunion of an intra-articular fracture of the metacarpophalangeal joint can cause a dramatic effect, decreasing mobility and strength. For small joints, surgical options are often drastic; joint arthroplasty or arthrodesis. However, in cases of preserved joint space, an intra-articular osteotomy can be proposed. In order to improve preoperative planning, considering the small size of the articular surface and the importance of a precise osteotomy plane, we used a preoperative three-dimensional printed template to perform the intra-articular opening wedge osteotomy. This was followed by plate and screw osteosynthesis after adding a freeze-dried allograft to the created defect. The outcome at 1-year follow-up was more than satisfactory, with a normal range of motion and a restored, painless grip strength. A three-dimensional printed template is a useful, accurate, and efficient method to correct malunion of intra-articular fractures of the base of the proximal phalanx at the metacarpophalangeal joint.
Details
- Language :
- English
- ISSN :
- 22969373
- Volume :
- 5
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Case Reports in Orthopedic Research
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4364eb29b1dc4c57bf2d31dd4e780553
- Document Type :
- article
- Full Text :
- https://doi.org/10.1159/000521579