A closer look at a complex pelvic correction.
- Khanh TRAN DUY
- Apr 10
- 1 min read
Updated: 4 days ago
Every case is unique, but some require us to push the boundaries of personalization even further.
We were recently involved in a particularly delicate case where the patient had a heterotopic fusion bridge in the rectus femoris and iliopsoas muscle belly. The goal? Take this fusion bridge down.
Our discussion led us to design a fully customized cutting guide to resect and prevent injury to the acetabulum and proximal femur. This provides the best chance of removing maximum amount of bone while preserving normal anatomy and preventing iatrogenic fracture.
Our solution included:
🔹 A single cutting guide, stabilized by seven 3.0 mm K-wires, five of which served as mechanical stops to control resection depth.
🔹 Two precisely defined cutting planes, each featuring engraved grooves and cutting depths directly on the guide’s surface to guide the saw blade throughout the procedure.
🔹 A careful reworking of the guide’s structure to accommodate surrounding muscles, while preserving access to critical bone areas.
A couple iterations with the surgeon allowed us to refine the design until it perfectly matched the surgical requirements.
Our solution aimed to turn this complex and risky case into a simplified and safe procedure.
On the day of the surgery, everything was ready: cutting guide, anatomical models, 3D planning and a detailed surgical procedure in the report.
All the elements were in place to ensure a smooth and precise workflow in the OR.
🙏A big thank you to everyone involved in this case for their dedication and accuracy.
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