Ankle Injuries Clinical Trial
Official title:
3D Printed Customized Guide in Ankle Arthrodesis
This study applies 3D-printed customized guide plate in assisting the accurate drilling of Kirschner wire in ankle arthrodesis. This technique can shorten the operation time, reduce the intra-operative radiation, and do not affect the surgical outcome.
Ankle arthrodesis is the standard procedure for treating end-stage joint diseases. In order
to improve the surgical outcome and reduce the operation time, 3D-printed customized guide
plates are fabricated using patients' ankle DICM data of ankle via CT examinations. Two 2mm
Kirschner wires are drilled with the help of the guides; the C-arm fluoroscopy is used to
confirm the position of the wires before applying the cannulated screws for effective
fixation.
In the past when there were no customized guides, the surgeons would drill the Kirschner wire
according to his/her previous experience and then use C-arm fluoroscopy to confirm whether
the position of the wire is satisfactory; if not, repeated procedure will be performed. This
would lead to an increase in the duration of surgery and intra-operative radiation, which is
detrimental to both the surgeon and the patient. This problem is well solved by applying the
3D-printed customized guides.
The application procedure for the customized guide plates: the model of the ankle joint is
established according to the patient's CT scan data to prepare the customized guide plate,
then sterilize them for future use. Apply routine surgical treatment to the ankle joint
surface, reset the fusion joint to the functional position, and drill two 2mm Kirschner wires
with the guidance of the guide plate. If the locations of the fusion joint and the Kirschner
wires are satisfactory under the C-arm fluoroscopy, drill the cannulated screws for final
fixation.
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