A Case of Bilateral Revision Total Elbow Arthroplasty after Simulation Using Stereolithographic Models
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- MAKIO Satoshi
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- TOKUNAGA Daisaku
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- YOSHIOKA Shinji
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- ODA Ryo
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- MATSUI Takaaki
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- AKAI Takanori
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- IMAI Kan
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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- KUBO Toshikazu
- Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
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Abstract
This report presents a case in which preoperative simulation was performed using three-dimensional computed tomography (CT) reconstruction images and stereolithographic models before bilateral reimplantation for damage accompanied by a massive bone defect associated with a total elbow arthroplasty (TEA) implant. A 64-year-old man with rheumatoid arthritis (who had undergone left TEA using a Souter-Strathclyde implant 18 years earlier) experienced implant failure and dislocation of the implant. There were large bone defects of the humerus and the ulna, which could have resulted in insufficient fixation during reimplantation. However, preoperative simulation using three-dimensional CT reconstruction images and stereolithographic models showed that sufficient fixation could be achieved. Surgery was successfully performed according to the preoperative plan. This patient had previously undergone right TEA, and this implant had been removed 14 years earlier without reimplantation. A similar preoperative simulation on the right elbow demonstrated that the procedure could be performed, despite a large bone defect of the humerus. This method made it possible to perform a detailed investigation to determine the appropriate implant size and the correct site of entry. Such simulations could be applied in the field of orthopedic surgery using material models.
Journal
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- Japanese Journal of Joint Diseases
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Japanese Journal of Joint Diseases 32 (1), 39-45, 2013
Japanese Society for Joint Diseases
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Keywords
Details 詳細情報について
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- CRID
- 1390001205314374400
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- NII Article ID
- 130004567984
- 40019714969
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- NII Book ID
- AA12318192
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- ISSN
- 18849067
- 18832873
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- NDL BIB ID
- 024712973
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed