Hospital General Universitario Gregorio Marañón, Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain.
Hospital General Universitario Gregorio Marañón, Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain.
Foot Ankle Surg. 2022 Apr;28(3):371-377. doi: 10.1016/j.fas.2021.05.001. Epub 2021 May 7.
Pes cavus can be defined as an abnormal elevation of the longitudinal arches, which is often secondary to a muscle imbalance. This deformity affects the foot's three dimensions (3D) and our osteotomies are usually planned on a lateral (two-dimension) X-ray. Are we really considering all the spatial components of the deformity? The aim of this study is to present a technique tip to identify the apical plane of the pes cavus deformity and perform a midfoot dorsal-based wedge resection osteotomy by using customized 3D printed surgical guides.
Three patients underwent the presented technique, all for the indication of symptomatic neuromuscular pes cavus with both anterior and posterior deformity.
3D-printed patient-specific guides help the surgeon to minimize human error, improving intraoperative accuracy, while reducing surgical time and intraoperative X-ray exposure.
Closing wedge midfoot osteotomy to correct anterior pes cavus may be an interesting indication to use customized 3D printed surgical guides.
高弓足可定义为纵弓异常抬高，通常继发于肌肉失衡。这种畸形影响足部的三维（3D），我们的截骨术通常是在侧位（二维）X 光片上计划的。我们是否真的考虑了畸形的所有空间组成部分？本研究的目的是介绍一种技术技巧，以确定高弓足畸形的顶点平面，并通过使用定制的 3D 打印手术导板进行中足背侧基于楔形的切除术。
三名患者接受了该技术，均因有症状的神经肌肉性高弓足伴前、后畸形而接受治疗。
3D 打印的患者特异性导板有助于外科医生最大限度地减少人为错误，提高术中准确性，同时减少手术时间和术中 X 光暴露。
闭合楔形中足截骨术纠正前足高弓畸形可能是使用定制 3D 打印手术导板的一个有趣适应证。
