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Updated: Jul 4, 2025
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Is Previously Implanted Osteosynthesis Material an Obstacle for the Use of Customized Guides?: A Case Report
Carlos Jiménez-Garrido1, Raphael P Idiart2, Stephan Meschian-Coretti1,2,3
1Department of Orthopedic Surgery and Traumatology, QuironSalud Hospital Málaga, Málaga, Spain.
Case:
We present the case of a 46-year-old patient with asymmetric deformity in the posterior tibial slope after previous high tibial osteotomy surgeries with the presence of a medial osteotomy plate. A customized cutting guide was designed to fit on the plate to perform a single surgery and avoid possible soft-tissue complications after multiple surgeries.
Conclusions:
The presence of a previous internal fixation device may affect the manufacture of 3-dimensional cutting guides. However, in this case, the previously placed osteosynthesis plate was used as an aid for creating the guide.
