Structured Integration and Alignment Algorithm: A Tool for Personalized Surgical Treatment of Tibial Plateau Fractures

Overview

Journal J Pers Med

Date 2021 Apr 3

PMID 33802117

Citations 18

Authors

Flaviu Moldovan

Adrian Gligor

Tiberiu Bataga

Affiliations

Soon will be listed here.

Abstract

The planning of the surgical treatment in orthopedics, with the help of three-dimensional (3D) technologies, arouses an increasing scientific interest. Scientific literature describes some semi-automatic reconstructive attempts at fragmented bone fractures, but the matching algorithms presented are likely to improve. The aim of this paper is to develop a new method of aligning fragments of comminutive fractures. We have created a structured integration process and an alignment algorithm integrated in a clinical workflow for personalized surgical treatment of fractures. The provided solution is able to align the surfaces of bone fragments derived from the segmentation process of volumetric tomographic data. Positional uncertainties are eliminated interactively by the user, who selects the corresponding pairs of fracture surfaces. The final matching and the right alignment are performed automatically by the innovative alignment algorithm. The paper solves a challenging problem for the reconstruction of fractured bones, namely the choice of the optimal matching option from the situation in which surface portions of a fracture fragment correspond to multiple high fragments. The method is validated in practice for preoperative planning of a 49-year-old male patient who had a tibial plateau fracture of Schatzker type VI.

Citing Articles

Is there a difference between the incidence of subtypes of tibial plateau fractures between six different level 1, level 2 and level 3 trauma centers in the Netherlands?.

van der Gaast N, Jaarsma R, Edwards M, Doornberg J, Hermans E BMC Musculoskelet Disord. 2025; 26(1):169.

PMID: 39972294 PMC: 11837648. DOI: 10.1186/s12891-025-08383-8.

Finite Element Analysis of Cervical Spine Kinematic Response during Ejection Utilising a Hill-Type Dynamic Muscle Model.

Gong Y, Cheng Z, Teo E, Gu Y Bioengineering (Basel). 2024; 11(7).

PMID: 39061737 PMC: 11273672. DOI: 10.3390/bioengineering11070655.

Acromioclavicular joint dislocation with loop double endobutton fixation assisted by orthopaedic surgery robot positioning system.

Yang C, Liu G, Lan W, Li L, Wang R, Tang J BMC Musculoskelet Disord. 2024; 25(1):587.

PMID: 39060990 PMC: 11282833. DOI: 10.1186/s12891-024-07724-3.

Clinical Workflow Algorithm for Preoperative Planning, Reduction and Stabilization of Complex Acetabular Fractures with the Support of Three-Dimensional Technologies.

Solyom A, Moldovan F, Moldovan L, Strnad G, Fodor P J Clin Med. 2024; 13(13).

PMID: 38999455 PMC: 11242480. DOI: 10.3390/jcm13133891.

The Novel Impact of Augmented Reality and 3D Printing in the Diagnosis of Complex Acetabular Fractures: A Comparative Randomized Study in Orthopedic Residents.

Montemagno M, Testa G, Panvini F, Puglisi G, Papotto G, Marchese E J Clin Med. 2024; 13(11).

PMID: 38892770 PMC: 11173112. DOI: 10.3390/jcm13113059.

References

Mazurenko E, Rymar O, Shcherbakova L, Mazdorova E, Malyutina S . The Risk of Osteoporotic Forearm Fractures in Postmenopausal Women in a Siberian Population Sample. J Pers Med. 2020; 10(3). PMC: 7565918. DOI: 10.3390/jpm10030077. View

Tanzi L, Vezzetti E, Moreno R, Aprato A, Audisio A, Masse A . Hierarchical fracture classification of proximal femur X-Ray images using a multistage Deep Learning approach. Eur J Radiol. 2020; 133:109373. DOI: 10.1016/j.ejrad.2020.109373. View

Kfuri JUNIOR M, Fogagnolo F, Bitar R, Freitas R, Salim R, Jansen Paccola C . TIBIAL PLATEAU FRACTURES. Rev Bras Ortop. 2016; 44(6):468-74. PMC: 4816819. DOI: 10.1016/S2255-4971(15)30142-7. View

Papagelopoulos P, Savvidou O, Koutsouradis P, Chloros G, Bolia I, Sakellariou V . Three-dimensional Technologies in Orthopedics. Orthopedics. 2018; 41(1):12-20. DOI: 10.3928/01477447-20180109-04. View

Suero E, Hufner T, Stubig T, Krettek C, Citak M . Use of a virtual 3D software for planning of tibial plateau fracture reconstruction. Injury. 2009; 41(6):589-91. DOI: 10.1016/j.injury.2009.10.053. View

Li D, Song D, Ni J, Ding M, Huang J . A case report of Schatzker type VI tibial plateau fracture treated with double reverse traction closed reduction combined with minimally invasive percutaneous plate osteosynthesis technique: A case report. Medicine (Baltimore). 2017; 96(45):e8394. PMC: 5690716. DOI: 10.1097/MD.0000000000008394. View

Curtin P, Conway A, Martin L, Lin E, Jayakumar P, Swart E . Compilation and Analysis of Web-Based Orthopedic Personalized Predictive Tools: A Scoping Review. J Pers Med. 2020; 10(4). PMC: 7712817. DOI: 10.3390/jpm10040223. View

Brown T, Johnston R, Saltzman C, Marsh J, Buckwalter J . Posttraumatic osteoarthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma. 2006; 20(10):739-44. DOI: 10.1097/01.bot.0000246468.80635.ef. View

Giannetti S, Bizzotto N, Stancati A, Santucci A . Minimally invasive fixation in tibial plateau fractures using an pre-operative and intra-operative real size 3D printing. Injury. 2016; 48(3):784-788. DOI: 10.1016/j.injury.2016.11.015. View

10.

Wong K . 3D-printed patient-specific applications in orthopedics. Orthop Res Rev. 2019; 8:57-66. PMC: 6209352. DOI: 10.2147/ORR.S99614. View

11.

Gribaudo M, Piazzolla P, Porpiglia F, Vezzetti E, Violante M . 3D augmentation of the surgical video stream: Toward a modular approach. Comput Methods Programs Biomed. 2020; 191:105505. DOI: 10.1016/j.cmpb.2020.105505. View

12.

Huang H, Hsieh M, Zhang G, Ouyang H, Zeng C, Yan B . Improved accuracy of 3D-printed navigational template during complicated tibial plateau fracture surgery. Australas Phys Eng Sci Med. 2015; 38(1):109-17. DOI: 10.1007/s13246-015-0330-0. View

13.

Yang P, Du D, Zhou Z, Lu N, Fu Q, Ma J . 3D printing-assisted osteotomy treatment for the malunion of lateral tibial plateau fracture. Injury. 2016; 47(12):2816-2821. DOI: 10.1016/j.injury.2016.09.025. View

14.

Huang H, Zhang G, Ouyang H, Yang Y, Wu Z, Xu J . [Internal fixation surgery planning for complex tibial plateau fracture based on digital design and 3D printing]. Nan Fang Yi Ke Da Xue Xue Bao. 2015; 35(2):218-22. View

15.

Younes N, Syed N, Yadav S, Haris M, Abdallah A, Abu-Madi M . A Whole-Genome Sequencing Association Study of Low Bone Mineral Density Identifies New Susceptibility Loci in the Phase I Qatar Biobank Cohort. J Pers Med. 2021; 11(1). PMC: 7825795. DOI: 10.3390/jpm11010034. View