A novel patient-specific navigational template for anatomical reconstruction of the lateral ankle ligaments

Abstract

We studied and successfully built a digital navigation template for creating fibular channels to anatomically reconstruct the lateral ankle ligament. By using the template, fibular channels could be built, and lateral ligaments could be anatomically reconstructed individually, easily and safely, which largely facilitates the treatment of CAI.

Clinical and magnetic resonance imaging assessment of anatomical lateral ankle ligament reconstruction: comparison of tendon allograft and autograft

“…It is unclear if there is any difference regarding other kinds of autografts or allografts. More studies about different grafts and surgical techniques are supposed to be done in the future [26]. Thirdly, monoexponential calculation of T2* reflects the mean value of all the components of relaxation time, which may lead to an underrate of T2*.…”

Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios

“…PubMed Search: (3D printing AND pediatric genitourinary tumor) OR (rapid prototyping AND pediatric genitourinary tumor) OR (3D printing AND Wilms tumor) OR (rapid prototyping AND Wilms tumor) OR (3D printing AND nephroblastoma) OR (rapid prototyping AND nephroblastoma) Results: None Relevant Musculoskeletal (Retrieved February 2017) Fracture : Simple, Acute Complex Long Bone, Acute Complex Intraarticular, Complex, Acetabular, Non-Pathological Vertebral, Pathological Vertebral, Fracture Malunion. PubMed Search: ((“printing, three-dimensional”[MeSH Terms] OR (“printing”[All Fields] AND “three-dimensional”[All Fields]) OR “three-dimensional printing”[All Fields] OR (“3d”[All Fields] AND “printing”[All Fields]) OR “3d printing”[All Fields]) OR (rapid[All Fields] AND prototyping[All Fields])) AND ((“fractures, bone”[MeSH Terms] OR (“fractures”[All Fields] AND “bone”[All Fields]) OR “bone fractures”[All Fields] OR “fracture”[All Fields]) OR malunion[All Fields]) Results: [ 345 – 406 ] Heterotopic Ossification PubMed Search: ((“printing, three-dimensional”[MeSH Terms] OR (“printing”[All Fields] AND “three-dimensional”[All Fields]) OR “three-dimensional printing”[All Fields] OR (“3d”[All Fields] AND “printing”[All Fields]) OR “3d printing”[All Fields]) OR (rapid[All Fields] AND prototyping[All Fields])) AND (“ossification, heterotopic”[MeSH Terms] OR (“ossification”[All Fields] AND “heterotopic”[All Fields]) OR “heterotopic ossification”[All Fields] OR (“heterotopic”[All Fields] AND “ossification”[All Fields])) Results: None relevant Ligamentous Injury PubMed Search: ((“printing, three-dimensional”[MeSH Terms] OR (“printing”[All Fields] AND “three-dimensional”[All Fields]) OR “three-dimensional printing”[All Fields] OR (“3d”[All Fields] AND “printing”[All Fields]) OR “3d printing”[All Fields]) OR (rapid[All Fields] AND prototyping[All Fields])) AND ((“tendons”[MeSH Terms] OR “tendons”[All Fields] OR “tendon”[All Fields]) OR (“ligaments”[MeSH Terms] OR “ligaments”[All Fields] OR “ligament”[All Fields])) Results: [ 407 , 408 ] Hip Dysplasia PubMed Search: ((“printing, three-dimensional”[MeSH Terms] OR (“printing”[All Fields] AND “three-dimensional”[All Fields]) OR “three-dimensional printing”[All Fields] OR (“3d”[All Fields] AND “printing”[All Fields]) OR “3d printing”[All Fields]) OR (rapid[All Fields] AND prototyping[All Fields])) AND (“hip dislocation”[MeSH Terms] OR (“hip”[All Fields] AND “dislocation”[All Fields]) OR “hip dislocation”[All Fields] OR (“hip”[All Fields] AND “dysplasia”[All Fields]) OR “hip dysplasia”[All Fields]) Results: [ 389 , 409 – 414 ] Bone or Soft Tissues Neoplasm: With or Without Joint and Neurovascular Involvement PubMed Search: ((“printing, three-dimensional”[MeSH Terms] OR (“printing”[All Fields] AND “three-dimensional”[All Fields]) OR “three-dimensional printing”[All Fields] OR (“3d”[All Fields] AND “printing”[All Fields]) OR “3d printing”[All Fields]) OR (rapid[All Fields] AND prototyping[All Fields])) AND (“bone neoplasms”[MeSH Terms] OR (“bone”[All Fields] AND “neoplasms”[All Fields]) OR “bone neoplasms”[All Fields] OR (“bone”[All Fields] AND “tumor”[All Fields]) OR “bone tumor”[All Fields]) Results: [ 324 , 353 , 415 – 443 ] Arthritis, Not Otherwise Specified PubMed Search: (...…”

Operative treatment of lateral ligament instability

“…Implanting the graft near the anatomic footprints of the ligaments is crucial to reestablishing normal mechanics of the ankle and care should be taken when making drill holes in the fibula to avoid iatrogenic fracture. One group created custom templates based on CT scan to guide the placement of fibular drill holes to the appropriate positions [90]. Fifteen patients that underwent this procedure had significant improvement in post-op functional scores and radiographic stability on par with other ligament reconstruction methods.…”