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Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
Preoperative plan for corrective osteotomy of the hip: a method using picture-editing software
Hui-Taek Kim1, Sang-Dae Baek, Jae-Hoon Jang
1Pediatric Orthopaedics, Department of Orthopaedic Surgery and Medical Research Institute, Pusan National University Hospital, Pusan, Korea. kimht@pusan.ac.kr
Journal of Pediatric Orthopedics
|December 15, 2010
Summary
A new digital technique using readily available software for preoperative planning of hip osteotomies is faster and clearer than traditional methods. This cost-effective approach enhances surgical planning efficiency for orthopedic procedures.
Area of Science:
- Orthopedic Surgery
- Medical Imaging
- Surgical Planning
Background:
- Picture Archiving and Communication Systems (PACS) are increasingly used for radiographic image storage and analysis.
- Traditional paper-drawing techniques for preoperative surgical planning are becoming less common.
- A need exists for new methods utilizing digital PACS images for surgical planning, emphasizing ease of use, accuracy, and cost-effectiveness.
Purpose of the Study:
- To develop and evaluate a novel preoperative surgical planning technique using digital radiographs from PACS.
- To compare the efficiency and clarity of the new digital technique with the traditional paper-drawing method for hip osteotomy procedures.
Main Methods:
- A new technique was developed utilizing commercial image-editing software (Adobe Photoshop, Microsoft PowerPoint) with preoperative anteroposterior and lateral radiographs from PACS.
- Five orthopedic residents compared the time taken to prepare surgical plans using the new digital technique versus the traditional paper-drawing method.
- The comparison included six different procedures: three femoral osteotomies and three combined femoral and pelvic osteotomies.
Main Results:
- The new digital technique was applied to plan surgery for 133 hips.
- For femoral osteotomy, the new technique averaged 49 minutes, compared to 54 minutes for the traditional method.
- For combined femoral and pelvic osteotomy, the new technique averaged 63 minutes, versus 71 minutes for the traditional method.
Conclusions:
- The developed digital technique is cost-effective, easy to learn, and more efficient than conventional hand-drawn methods.
- The new technique provides clearer surgical plans, facilitating easier performance of the surgery itself.
- This digital approach offers a practical and improved alternative for preoperative planning in hip osteotomies.
