Orthopaedics — Clavicle

Patient-specific Clavicle Implant Plate

Clavicle malunion with brachial plexus compression treated by osteotomy and a mirrored custom plate

Patient-specific clavicle implant plate

Patient overview

A 31-year-old male patient presented with a malunion of the right clavicle, causing compression of the brachial plexus.

Pre-operative condition
Pre-operative condition

Surgical planning

The surgical plan involved an osteotomy at the site of the malunion to achieve anatomical shape correction and relieve pressure on the brachial plexus. The patient’s healthy contralateral clavicle was mirrored for the desired bone position post-osteotomy.

The 3D-printed models and patient-specific implant enabled meticulous preoperative planning, allowing the surgeon to visualise the ideal post-operative clavicle position and design the implant plate accordingly. The surgical guide ensured accurate osteotomy execution, minimising the risks associated with freehand osteotomies.

Pre-operative planning models

3D-printed models of the patient’s clavicle with malunion, and a mirrored model of the healthy contralateral clavicle. These models facilitated surgical planning and visualisation of the desired post-operative alignment.

Segmentation planning
Segmentation planning
3D-printed clavicle models
3D-printed clavicle models

Surgical resection guide

A 3D-printed guide facilitated a precise osteotomy at the planned malunion site, ensuring proper bone angulation and minimising disruption to surrounding structures.

3D-printed resection guide
3D-printed resection guide
Resection guide design
Resection guide design

Patient-specific clavicle implant plate

Using the mirrored healthy clavicle model as a reference, a customised implant plate was designed to fit the repositioned clavicle segment after osteotomy. This ensured accurate anatomical shape correction and minimised the need for intraoperative plate contouring.

Patient-specific clavicle implant plate
Patient-specific clavicle implant plate

Post-op outcome

The use of a patient-specific implant plate and surgical guide facilitated an accurate anatomical shape correction of the clavicle and decompression of the brachial plexus.

  • Enhanced accuracy and efficacy of surgical procedures
  • Reduced risk of intraoperative complications
  • Improved long-term functional outcomes for the patient

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