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Digital Technology-Assisted "Z" Osteotomy lower limb corrective procedures
Acta Orthopaedica Belgica
|October 23, 2024
Summary
Digitally assisted Z-osteotomy accurately corrects complex lower limb deformities and lengthens limbs. This safe and reliable technique shows remarkable clinical results, improving patient self-care ability.
Area of Science:
- Orthopedic surgery
- Digital technology in medicine
- Limb deformity correction
Background:
- Digital technology offers transformative solutions in medicine.
- Z-osteotomy is a surgical technique for limb angulation and length correction.
- Lower limb deformities require precise surgical intervention.
Purpose of the Study:
- To introduce digitally assisted Z-osteotomy for lower limb deformities.
- To investigate the clinical efficacy of this digital technique.
- To assess computer-assisted planning and 3D-printed guides in orthopedic procedures.
Main Methods:
- Retrospective study of five patients with multiplanar lower extremity deformities and shortening.
- Utilized computer-assisted preoperative design and 3D-printed surgical guides.
- Compared pre- and post-operative parameters including deformities, limb length, and functional scores.
Main Results:
- Follow-up of 17.20±6.83 months showed adequate correction of deformities.
- Significant improvement in the modified Barthel Index (90±3.08 points, P<0.05).
- One patient experienced transient wound pain; four cases had no complications.
Conclusions:
- Digitally assisted Z-osteotomy demonstrates remarkable clinical results for complex lower limb deformities.
- The technique accurately corrects multi-planar angular deformities and achieves limb lengthening.
- This method is safe, reliable, and improves patient self-care ability.

