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Clavicle Osteotomy: A Case Study
PARTNER
Type of work
Precision surgery
technology
Overview
From Challenge to Clarity – 3D Solutions for Complex Clavicle Osteotomies
A clavicle osteotomy is a surgical procedure involving the precise cutting and realignment of the clavicle to address malunions and nonunions, or correct other related deformities. The complex geometry of the clavicle can present a number of complications in performing clavicle osteotomy procedures. New technologies such as 3D virtualization and 3D printing are increasingly being used in clavicle osteotomy procedures, and have been shown to provide a number of benefits. The objective of this report is to incorporate 3D virtualization and 3D printing technologies in a clavicle osteotomy procedure and evaluate the benefits associated with these technologies.
Methods & Results
Guided by Accuracy, Driven by Confidence
A 37 year old patient with a left clavicle malunion underwent a clavicle osteotomy that included detailed anatomical modelling, virtual simulation, advanced surgical planning and 3D printed patient-specific surgical guides. A number of clinical parameters were recorded during the surgery, and the expenses related to the 3D virtualization and 3D printing technologies, as well as the surgical procedure were assessed. Post-surgical evaluation included a survey with the lead surgeon reflecting on the impact of the 3D solutions used on application, communication, accuracy, efficiency, patient outcomes, and satisfaction.
Procedural time was 75 minutes. The surgeon found the solutions to significantly simplify preparation, planning, and execution, leading to reduced cognitive burden and stress. The models were shared with the patients and family, and the clinical care team, enhancing understanding of the disease. The models were anatomically accurate and significantly reduced the time required for surgical planning, preoperative preparation, and intraoperative procedures. Fluoroscopy and radiation exposure were also significantly decreased, while other factors such as blood loss and resource use remained unchanged. The surgeon was very satisfied with the solutions, stating increased surgical confidence and improved patient reassurance. The total cost of implementing the 3D solutions was CAD $3135.20. 3D printed material costs were $124 and labour costs were $3000.
Potential Impact
Precision You Can Show – Empowering Patients, Teams, and Outcomes
The integration of 3D solutions into a clavicle osteotomy surgical workflow demonstrated significant procedural and clinical benefits, including a reduced cognitive burden on the surgeon, enhanced surgeon understanding, improved patient confidence, and reduced intraoperative time. While further research is required to explore long-term patient outcomes, broader applicability, and detailed cost analyses, these findings highlight the potential of 3D virtualization and 3D printing technologies to improve surgical efficiency and patient care, advocating for its integration into routine orthopaedic workflows.