Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel

doi:10.13418/j.issn.1001-165x.2023.4.03

PDF(1804 KB)

Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (4) : 385-389. DOI: 10.13418/j.issn.1001-165x.2023.4.03

Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel

Zhang Lei^1,2, Wang Rui-han^3,4, Tang Zi-hui⁵, Yi Gang^1,2, Zhou Xin^1,2

Author information +

History +

Abstract

Objective To compare the differences between the virtual model of the digital optimization design navigation template and the real model of 3D printing. Methods Shoulder CT images were collected from 80 patients (37 women and 43 men) from January 2018 to October 2022. The patient’s CT images were imported into Mimics software to create virtual and real navigation bone tunnels. The 10 parameters were measured for virtual and real navigator bone tunnels. Results We designed and printed 80 shoulder joints including collarbones and shoulder blades. There was no statistically significant difference in 9 parameters (P>0.05) between the two bone tunnels, but there was a statistically significant difference in OQ (the length of the coracoid needlepoint to the coracoid tine)(P<0.05). All measurements were lower in female patients than in male patients (P<0.01). Conclusions The virtual model of digital optimization design has similar accuracy to the real model of 3D printing. In clinical practice, patients with acromioclavicular dislocation requiring coracoclavicular ligament reconstruction can try to locate bone tunnels using a virtual model of the digitally optimized design navigation template.

Key words

Digital optimization design / / / Coracoclavicular ligament reconstruction / / / Bone tunnel / / / 3D printing / / / Navigation template

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Zhang Lei, Wang Rui-han, Tang Zi-hui, Yi Gang, Zhou Xin. Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel[J]. Chinese Journal of Clinical Anatomy. 2023, 41(4): 385-389 https://doi.org/10.13418/j.issn.1001-165x.2023.4.03

References

[1] Lee S, Bedi A. Shoulder acromioclavicular joint reconstruction options and outcomes[J]. Curr Rev Musculoskelet Med, 2016, 9(4): 368-377. DOI: 10.1007/s12178-016-9361-8.
[2] Moatshe G, Kruckeberg BM, Chahla J, et al. Acromioclavicular and coracoclavicular ligament reconstruction for acromioclavicular joint instability: a systematic review of clinical and radiographic outcomes[J]. Arthroscopy, 2018, 34(6): 1979-1995. DOI: 10.1016/j.arthro. 2018. 01.016.
[3] Struhl S, Wolfson TS. Continuous loop double endobutton recon- struction for acromioclavicular joint dislocation[J]. Am J Sports Med, 2015, 43(10): 2437-44. DOI: 10.1177/0363546515596409.
[4] Grantham C, Heckmann N, Wang L, et al. A biomechanical assessment of a novel double endobutton technique versus a coracoid cerclage sling for acromioclavicular and coracoclavicular injuries[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(6): 1918-1924. DOI: 10.1007/s00167-014-3198-8.
[5] 潘昭勋, 杜德凯, 张洪等. 三种Endobutton术式重建喙锁韧带术后稳定性的生物力学对比研究[J]. 中国临床解剖学杂志, 2017, 35(1):74-77. DOI: 10.13418/j.issn.1001-165x.2017.01.015.
[6] Banffy MB, Uquillas C, Neumann JA, et al. Biomechanical evaluation of a single- versus double-tunnel coracoclavicular ligament reconstruction with acromioclavicular stabilization for acromioclavi cular joint injuries[J]. Am J Sports Med, 2018, 46(5): 1070-1076. DOI: 10.1177/0363546517752673.
[7] Milewski MD, Tompkins M, Giugale JM, et al. Complications related to anatomic reconstruction of the coracoclavicular ligaments[J]. Am J Sports Med, 2012, 40(7): 1628-1634. DOI: 10.1177/036354651244 5273.
[8] Martetschläger F, Horan MP, Warth RJ, et al. Complications after anatomic fixation and reconstruction of the coracoclavicular ligaments[J]. Am J Sports Med, 2013, 41(12): 2896-2903. DOI: 10.1177/036354 6513502459.
[9] Campbell ST, Heckmann ND, Shin SJ, et al. Biomechanical evaluation of coracoid tunnel size and location for coracoclavicular ligament reconstruction[J]. Arthroscopy, 2015, 31(5): 825-830. DOI: 10.1016/j.arthro.2014.11.037.
[10] Ferreira JV, Chowaniec D, Obopilwe E, et al. Biomechanical evaluation of effect of coracoid tunnel placement on load to failure of fixation during repair of acromioclavicular joint dislocations[J]. Arthroscopy, 2012, 28(9): 1230-1236. DOI: 10.1016/j.arthro. 2012. 02. 004.
[11] Ranne JO, Kainonen TU, Lehtinen JT, et al. Arthroscopic coracoclavicular ligament reconstruction of chronic acromioclavicular dislocations using autogenous semitendinosus graft: a two-year follow-up study of 58 patients[J]. Arthrosc Sports Med Rehabil, 2020, 2(1): e7-e15. DOI: 10.1016/j.asmr.2019.10.003.
[12] Grantham C, Heckmann N, Wang L, et al. A biomechanical assessment of a novel double endobutton technique versus a coracoid cerclage sling for acromioclavicular and coracoclavicular injuries[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(6): 1918-1924. DOI: 10.1007/s00167-014-3198-8.
[13] Xiong C, Lu Y, Wang Q, et al. Anatomical principles for minimally invasive reconstruction of the acromioclavicular joint with anchors[J]. Int Orthop, 2016, 40(11): 2317-2324. DOI: 10.1007/s00264-016-3283-3.
[14] Celik H, Chauhan A, Flores-Hernandez C, et al. Sagittal orientation of coracoclavicular ligament reconstruction affects the stability of surgical repair[J]. J Shoulder Elbow Surg, 2020, 29(9): 1901-1911. DOI: 10.1016/j.jse.2019.11.034.
[15] Zhang L, Xiong L, Zhou X, et al. Computed tomography-based determination of the optimal locations of bone tunnels for coracoclavicular ligament reconstruction[J]. Orthop Surg, 2022, 14(10): 2692-2700. DOI: 10.1111/os.13459.