• 1

    de Prado M : “Minimally Invasive Foot Surgery: A Paradigm Shift,” in Minimally Invasive Surgery of the Foot and Ankle, ed by Maffulli, N, Easley, Mp 3, Springer, New York, 2011.

    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Louwerens JW, Valderrabano V, Winson I, et al: Minimal invasive surgery (MIS) in foot and ankle surgery. Foot Ankle Surg 17: 51, 2011.

  • 3

    Isham SA: The Reverdin-Isham procedure for the correction of hallux abducto valgus: a distal metatarsal osteotomy procedure. Clin Podiatr Med Surg 8: 81, 1991.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Roukis TS: Percutaneous and minimum incision metatarsal osteotomies: a systematic review. J Foot Ankle Surg 48: 380, 2009.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 5

    Martínez-Nova A, Sánchez-Rodríguez R, Leal-Muro A, et al: Dynamic plantar pressure analysis and midterm outcomes in percutaneous correction for mild hallux valgus. J Orthop Res 29: 1700, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6

    Ferrer-Torregrosa J, Garcia-Vicente S: Guiding and holding device for minimum incision foot surgery. European patent EP2997926 (A1). 2014.

    • Search Google Scholar
    • Export Citation
  • 7

    De Prado M: Complications in minimally invasive foot surgery. Fuß Sprunggelenk 11: 83, 2013.

  • 8

    Zeng Y, Zhang G, Lei T, et al: Clinical application of mimics software in three dimensional CT images for treatment of zygomatic complex fracture. Hua Xi Kou Qiang Yi Xue Za Zhi 30: 123, 2012.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Minns RJ: Surgical instrument design for the accurate cutting of bone for implant fixation. Clin Mater 10: 207, 1992.

  • 10

    Otani T, Whiteside LA, White SE: Cutting errors in preparation of femoral components in total knee arthroplasty. J Arthroplasty 8: 503, 1993.

  • 11

    Teter KE, Bregman D, Colwell CW: The efficacy of intramedullary femoral alignment in total knee replacement. Clin Orthop Relat Res 321: 117, 1995.

    • Search Google Scholar
    • Export Citation
  • 12

    Evans PD, Marshall PD, McDonnell B, et al: Radiologic study of the accuracy of a tibial intramedullary cutting guide for knee arthroplasty. J Arthroplasty 10: 43,1995.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Plaskos C, Hodgson AJ, Inkpen K, et al: Bone cutting errors in total knee arthroplasty. J Arthroplasty 17: 698, 2002.

  • 14

    Billings A, Scott DF, Camargo MP, et al: High tibial osteotomy with a calibrated osteotomy guide, rigid internal fixation, and early motion: long-term follow-up. J Bone Jt Surg Am 82: 70, 2000.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15

    Carson WG: A new technique of harvesting patellar tendon autografts for anterior cruciate ligament reconstruction. Arthrosc J Arthrosc Relat Surg 7: 368,1991.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16

    Hetherington VJ, Kawalec-Carroll JS, Melillo-Kroleski J, et al: Evaluation of surgical experience and the use of an osteotomy guide on the apical angle of an Austin osteotomy. Foot 18: 159, 2008.

    • Crossref
    • Search Google Scholar
    • Export Citation

Design of a Three-Dimensional–Printed Surgical Glove for Minimal-Incision Podiatric Surgery

Javier Ferrer-Torregrosa Departament of Podología, Universidad Católica de Valencia, Torrente, Valencia, Spain.

Search for other papers by Javier Ferrer-Torregrosa in
Current site
Google Scholar
PubMed
Close
 DPM
,
Sergio Garcia-Vicente Departament of Public Health, University of Valencia, Valencia, Spain. Dr. Garcia-Vicente is now with the Department of Public Health and Social Medicine, Valencia Catholic University, Valencia, Spain.

Search for other papers by Sergio Garcia-Vicente in
Current site
Google Scholar
PubMed
Close
 MD, PhD
,
Nadia Fernández-Ehrling Departament of Podología, Universidad Católica de Valencia, Torrente, Valencia, Spain.

Search for other papers by Nadia Fernández-Ehrling in
Current site
Google Scholar
PubMed
Close
 DPM
,
Javier Torralba-Estellés Departament of Podología, Universidad Católica de Valencia, Torrente, Valencia, Spain.

Search for other papers by Javier Torralba-Estellés in
Current site
Google Scholar
PubMed
Close
 PhD
, and
Carlos Barrios Institute for Research on Musculoskeletal Disorders, Valencia Catholic University, Valencia, Spain.

Search for other papers by Carlos Barrios in
Current site
Google Scholar
PubMed
Close
 PhD
Restricted access

Background:

Precision in minimal-incision surgery allows surgeons to achieve accurate osteotomies and patients to avoid risks. Herein, a surgical guide for the foot is designed and validated in vitro using resin foot models for hallux abducto valgus surgery.

Methods:

Three individuals with different experience levels (an undergraduate student, a master's student, and an experienced podiatric physician) performed an Akin osteotomy, a Reverdin osteotomy, and a basal osteotomy of the first metatarsal.

Results:

The average measurements of each osteotomy and the angle of the basal osteotomy do not reveal significant differences among the three surgeons. A shorter deviation from the planned measurements has been observed in variables corresponding to the Akin osteotomy (the maximum deviation in the measurement of the distance from the proximal medial end of the Akin osteotomy to the first metatarsophalangeal joint interline was 1.67 mm, and the maximum deviation from the proximal lateral end of the Akin osteotomy to the first metatarsophalangeal joint interline was 1.00 mm). As for the Reverdin osteotomies, the maximum deviations in the measurement of the distance from the proximal medial end of the osteotomy to the first metatarsophalangeal joint interline were 3.60 and 3.53 mm in the expert and undergraduate surgeons, respectively. All of the osteotomies were precise among the groups, reducing the learning curve to the maximum.

Conclusions:

The three-dimensional–printed prototype has been proven effective in guiding surgeons to perform different types of osteotomies. Minimal deviations from the predefined osteotomies were found among the three surgeons.

Corresponding author: Javier Ferrer-Torregrosa, DPM, Departament of Podología, Universidad Católica de Valencia, C/ Ramiro de Maeztu 14, Torrente, Valencia 46900, Spain. (E-mail: javier.ferrer@ucv.es)