Corrective Osteotomies Around the Elbow Using 3D Planning and Patient-Specific Instrumentation

  • Lucas H. B. Walschot
  • Roger P. van RietEmail author
  • Annemieke Van Haver
  • Frederik Verstreken


Malunions around the elbow can be a disabling condition for the patient and may warrant corrective surgery. Precise restoration of normal alignment, in order to improve pain and function, is the goal, but may be difficult to obtain with conventional techniques. The use of 3D technology can therefore be helpful to improve the outcome of corrective surgery. The technique requires a CT scan of both arms and further 3D assessment of the deformity. Using dedicated software, virtual planning of the surgical correction, based on the normal contralateral side, is possible. Based on the virtual 3D planning, patient-specific instrumentation (PSI) can be designed, 3D printed, and used during the surgical procedure. The technique allows predictable correction of elbow deformities with excellent clinical results, as will be illustrated.


Malunion Elbow Corrective osteotomy 3D planning Patient-specific instrumentation (PSI) 




Conflict of Interest: Roger van Riet has teaching and speaking agreements with Zimmer-Biomet, Acumed, and Wright Medical.

Frederik Verstreken has teaching and speaking agreements with Zimmer-Biomet and Acumed, and receives royalties from Materialise.

Copyright: Copyright authority of other author’s work is not needed as only original pictures from the authors themselves were used.


  1. 1.
    Murase T, Oka K, Moritomo H, Goto A, Yoshikawa H, Sugamoto K. Three-dimensional corrective osteotomy of malunited fractures of the upper extremity with use of a computer simulation system. J Bone Joint Surg Am. 2008;90(11):2375–89.CrossRefGoogle Scholar
  2. 2.
    Impelmans B, van Riet R, Verstreken F. Corrective osteotomies in malunions of the distal radius, using preoperative 3-dimensional computer planning and patient-specific surgical guides. J Hand Surg Am. 2013;38(10):e36–7.CrossRefGoogle Scholar
  3. 3.
    Omori S, Murase T, Oka K, Kawanishi Y, Oura K, Tanaka H, Yoshikawa H. Postoperative accuracy analysis of three-dimensional corrective osteotomy for cubitus varus deformity with a custom-made surgical guide based on computer simulation. J Shoulder Elb Surg. 2015;24(2):242–9.CrossRefGoogle Scholar
  4. 4.
    Friedman T, Michalski M, Goodman TR, Brown JE. 3D printing from diagnostic images: a radiologist’s primer with an emphasis on musculoskeletal imaging-putting the 3D printing of pathology into the hands of every physician. Skelet Radiol. 2016;45(3):307–21.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Lucas H. B. Walschot
    • 1
  • Roger P. van Riet
    • 1
    • 2
    Email author
  • Annemieke Van Haver
    • 3
  • Frederik Verstreken
    • 1
    • 2
  1. 1.AZ MonicaAntwerpBelgium
  2. 2.University Hospital AntwerpEdegemBelgium
  3. 3.Monica Orthopaedic Research Institute (MoRe Institute)AntwerpBelgium

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