Three-dimensional corrective osteotomy using a patient-specific osteotomy guide and bone plate based on a computer simulation system: accuracy analysis in a cadaver study.

BACKGROUND: The accuracy of three-dimensional (3-D) corrective osteotomy using a patient-specific osteotomy guide and bone plate based on computer simulation was investigated.
METHODS: Six fresh-frozen cadaver upper limbs were used. A patient-specific osteotomy guide designed to realize a preplanned osteotomy was set on the distal humerus and distal radius, and the error in the setting location was evaluated. After the osteotomy, the surgical site was fixed using a patient-specific bone plate designed to exactly fit the anatomical shape of the postoperative bone model. The postoperative results were compared with the preoperative simulation.
RESULTS: The errors in the guide location on the humerus and radius were <1.5° and 1.0 mm and <1.0° and 1.0 mm, respectively. The plate fixation errors of the humerus and radius were <2.0° and 1.5 mm and <1.0° and 1.0 mm, respectively.
CONCLUSIONS: The system is sufficiently feasible to realize precise 3-D deformity correction of a limb.