Comput. Aided Surg. - Application of a navigation system for contouring anatomical plasty of the distal end of the humerus.

Tópicos

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Resumo

The effectiveness of navigation systems in performing accurate orthopaedic surgery has been reported previously, but there have been no reports on the application of navigation in surgeries involving bone resection around the elbow joint. In this study, anatomical plasty or bone resection was performed to restore anatomical morphology in 10 cases of osteoarthritis of the elbow and deformity of the distal end of the humerus. Bone resection was performed on the distal end of the humerus using navigation and on the proximal end of the ulna via freehand surgery. Postoperatively, the elbow function was evaluated and pre- and postoperative CT images were used to measure the bone resection. There were no complications arising from the use of navigation, and elbow function was improved in all cases. By evaluating the CT images, it was found that navigated resection of the fossae of the distal humerus was more effective than freehand resection of the processes of the proximal ulna, thus confirming the usefulness of navigation. In future, to fully confirm this finding, it will be necessary to conduct prospective controlled studies of cases in which navigation is used to perform arthroplasty, including those that involve the proximal end of the ulna.

Resumo Limpo

effect navig system perform accur orthopaed surgeri report previous report applic navig surgeri involv bone resect around elbow joint studi anatom plasti bone resect perform restor anatom morpholog case osteoarthr elbow deform distal end humerus bone resect perform distal end humerus use navig proxim end ulna via freehand surgeri postop elbow function evalu pre postop ct imag use measur bone resect complic aris use navig elbow function improv case evalu ct imag found navig resect fossa distal humerus effect freehand resect process proxim ulna thus confirm use navig futur fulli confirm find will necessari conduct prospect control studi case navig use perform arthroplasti includ involv proxim end ulna

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