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3D Printing - Evaluating Particle Emissions of a 3D Printing Pen

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3D printing and high tibial osteotomy.

Gareth G Jones¹, Martin Jaere¹, Susannah Clarke¹

¹MSk Lab, Imperial College London, London, UK.

EFORT Open Reviews

|June 29, 2018

Summary

Three-dimensional (3D) printing enhances high tibial osteotomy (HTO) surgical planning and execution for medial knee pain. This technology improves accuracy, offering a personalized approach for athletic individuals, though clinical effectiveness requires further study.

Keywords:

3D printing high tibial osteotomy osteoarthritis osteotomy patient-specific guides patient-specific instrumentation

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Area of Science:

Orthopedic Surgery
Biomedical Engineering
Medical Imaging

Background:

High tibial osteotomy (HTO) is a conservative surgical treatment for medial knee pain.
Current outcomes are variable and often inferior to arthroplasty, largely due to inaccuracies in planned vs. achieved correction.
Uncertainty persists regarding the optimal correction for offloading the medial compartment.

Purpose of the Study:

To introduce detailed 3D planning for high tibial osteotomy (HTO).
To describe 3D printing technology's role in executing HTO surgical plans.
To review system accuracy and guide designs for HTO.

Main Methods:

Review of 3D planning concepts and 3D printing applications in HTO.
Discussion of osteotomy techniques and guide designs for accurate registration.
Reporting of system accuracy using low-dose CT confirmation.

Main Results:

3D printing enables surgeons to achieve preoperative plans with unprecedented accuracy compared to conventional instruments.
Low-dose CT confirms accurate execution of the HTO procedure.
System accuracy has been reported for 3D-guided HTO.

Conclusions:

3D printing offers enhanced accuracy for HTO, enabling precise execution of preoperative plans.
This technology is particularly attractive for athletic patients with early medial knee overload.
The clinical effectiveness of 3D-printed HTO remains unproven and requires further investigation.