3D RECONSTRUCTION OF MULTISTRUCTURAL INJURIES OF THE UPPER SHOULDER GIRDLE FOLLOWING GUNSHOT TRAUMA: A CASE REPORT
DOI:
https://doi.org/10.11603/2414-4533.2025.4.15751Keywords:
3D modeling, polystructural damage, clavicle fracture, gunshot injury, patient-specific implant, locking compression plateAbstract
The aim of the work: to present a clinical case illustrating the use of virtual 3D modeling and an individualized locking compression plate (LCP) in the surgical management of a comminuted gunshot fracture of the clavicle with bone loss.
Materials and Methods. A 42-year-old male soldier sustained a gunshot fracture of the right clavicle with associated scapular and rib injuries. Preoperative computed tomography was used to create a mirrored 3D model of the contralateral clavicle, allowing the design of a customized titanium Ti-6Al-4V ELI LCP plate. A bone defect of approximately 2 cm was reconstructed using an autologous iliac crest graft modeled on a 3D template.
Results. The use of a patient-specific plate provided anatomical restoration of the clavicular contour and stable fixation without intraoperative bending. The surgical time was 85 minutes, blood loss did not exceed 200 ml, and wound healing occurred by primary intention. Radiographic evaluation at four weeks confirmed correct implant position and bone alignment. At three months, complete bone union and full functional recovery of the shoulder girdle were achieved.
Conclusions. This case demonstrates that patient-specific 3D-modeled implants enable accurate anatomical reconstruction, mechanical stability, and rapid rehabilitation in complex post-traumatic clavicular injuries.
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