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The Success of an Osteotomy Depends On:

  • High-quality imaging
  • Precise preoperative analysis
  • Patient-specific planning
  • Safe surgical technique
  • Biology of osteotomy healing
  • Well-positioned plate

Fine Osteotomy™ was developed according to well-established principles of deformity correction. Fine Osteotomy™ represents a comprehensive and systematic approach to osteotomy planning and execution, in which each step of the episode of care is taken into consideration. Fine Osteotomy™ is synonymous with Bodycad’s technologically advanced proprietary CAD/CAM software. We use the latest technology, including a 3D-printed patient-specific surgical guide. This surgical guide ensures controlled intraoperative maneuvers, resulting in safe, accurate osteotomies that respect the hinge axis. It also includes a plate that is anatomically adapted to the patient’s situation with a wedge that matches the angular correction chosen by the treating surgeon.

With Fine Osteotomy™, Nothing is Standardized. Every Patient is Unique.

Accuracy

The unique combination of 3D planning and guided control of osteotomy planes are designed to ensure that the planned hinge axis and planned posterior slope are obtained, resulting in a more predictable outcome.

Safety

Controlling depth and orientation:

  • Increases safety
  • Helps ensure protection of the posterior neurovascular structures of the knee
  • Maintains a controlled, reproducible osteotomy

Efficiency

Personalized plating ensures that the planned correction is not compromised:

  • Plate contours to patient’s bone anatomy
  • Shape of the plate is customizable by the surgeon during planning
  • No plate bending 
  • Patient-specific titanium wedge as planned for optimal correction
  • Titanium wedge sits on cortical bone
  • Low-profile custom-fit design reduces potential soft tissue irritation

An Example of a Fine Osteotomy™ Case

1. Visualization of the patient’s pre-op deformity.

Mechanical axis passing through the Mikulicz point of 28%.

2. Planning of the desired multi-planar angular correction.

Open-wedge of 9.25 mm planned to obtain a mechanical axis passing through a Mikulicz point of 55%.

3. Design of the patient-specific cutting guides.

4. Design of the patient-specific plate along with the position and length of the screws.

Fine Osteotomy™ Offers You:

3D analysis of the patient’s
pre-op situation

Design of patient-specific
instruments and plates

3D printed
bone model

Personalized
surgical guide

Personalized
plate solution

Matching screws (length and orientation)
for the personalized plate

Potentially significant reduction
of the use of radiation in the OR

Personalized design leading
to better outcomes/accuracy

Imaging Guide

It is important to closely follow this protocol, as this will produce a more accurate 3D model and enhance the precision of the personalized restoration. A high-quality image will provide the best results in terms of a high level of accuracy.

1 Published Literature:

  • Paley D. (2005). Principles of Deformity Correction (3rd printing ). New York, NY: Springer.
  • Agneskirchner Jens D., Lobenhoffer P., Wrann D. C. (2008). In: Osteotomies around the Knee: Indications-Planning-Surgical Techniques using Plate Fixators. Lobenhoffer P., van Heerwaarden R. J, Staubli A. E., Jakob R.P. (Chapter 11). Davos, Switzerland: AO Publishing.
  • Amendola A., Parker D. A ., Trivett A .J. (2006). Techniques des ostéotomies tibiales. In : La gonarthrose: Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris, France: Springer Verlag.
  • Christel P. (2006). Principes, concepts et résultats des différents types d'ostéotomies. In : La gonarthrose. Approche pratique en orthopédie-traumatologie. Bonnin M. and Chambat P. Paris, France: Springer Verlag.
  • Clatworthy M. (2006). L'arthrose du genou sur laxité. In : La gonarthrose. Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris: Springer Verlag.
  • Di Matteo, B., Tarabella, V., Filardo, G., Vigano, A., Tomba, P., Maracacci, M. (2013). John Rhea Barton: The Birth of Osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy, 21 (9), 1957-1962.
  • Cartier J-L, Revue de chirurgie Orthopédique et traumatologique volume 103, Issu 7, supplement, November 2017, (pp. 586-587).
  • Puddu G., Franco V., Cipolla M., Cerullo G., Gianni E. (2006). Ostéotomies Fémorale d'Ouverture dans le Genou Valgum. In : La gonarthrose. Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris: Springer Verlag.