Actively Recruiting

Phase Not Applicable
Age: 2Years - 40Years
All Genders
NCT06380530

Advanced Surgical Simulation Processes in the Correction of Skeletal Defects and Deformities

Led by Istituto Ortopedico Rizzoli · Updated on 2025-12-26

100

Participants Needed

7

Research Sites

234 weeks

Total Duration

On this page

Sponsors

I

Istituto Ortopedico Rizzoli

Lead Sponsor

O

Ospedale Pediatrico Bambino Gesù

Collaborating Sponsor

AI-Summary

What this Trial Is About

Virtual Surgical Planning (VSP), Computer-Aided Surgical Simulation (CASS) for bone corrections, and the customization of implants and devices through 3D printing, known as Patient-Specific Instruments (PSI) and Graft-Specific Instruments (GSI), are assuming increasingly central roles in orthopedic clinical and surgical practice. One area witnessing notable advancement is the treatment of musculoskeletal disorders (MMS) in children, adolescents, and young adults. These disorders involve severe and rare abnormalities in skeletal formation and development across three-dimensional planes, often affecting multiple limbs. Managing such deformities is complex, challenging to standardize, and prone to unpredictable clinical, radiographic, and functional outcomes. The application of 3D modeling and printing technologies offers a deeper understanding of deformities and facilitates improved prediction, precision, reproducibility, and safety in surgical interventions. The Musculoskeletal Apparatus Network (RAMS Network) centers are equipped with advanced 3D laboratories for surgical simulation and planning, aligned with the overarching goal of improving surgery quality through "in-silico" medicine (ISM) principles. At present, numerous complex surgeries involving Virtual Surgical Planning (VSP) and sterilizable 3D-printed Patient-Specific Instruments (PSI) and/or Graft-Specific Instruments (GSI) are being simulated and performed at the Rizzoli Institute. Preliminary data from previous protocols indicate a significant reduction in surgical time with the implementation of VSP and the utilization of PSI and GSI. The aim of this study is to enhance the current process of simulating, planning, and designing surgical support tools within 3D Printing Point-of-Care (3D POC) facilities. To achieve this, it is imperative to expand case volumes and systematically organize, categorize, and standardize simulation and planning procedures.

CONDITIONS

Official Title

Advanced Surgical Simulation Processes in the Correction of Skeletal Defects and Deformities

Who Can Participate

Age: 2Years - 40Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of musculoskeletal disease (MSD) of the limbs
  • Need for mono- or polyaxial correction by one or more osteotomies
  • Presence of specific consent to participate in the trial
Not Eligible

You will not qualify if you...

  • Patients who refuse to participate in the study
  • Patients who do not undergo radiological follow-up examinations for VSP or have insufficient radiological records for VSP
  • Patients undergoing other interventions for MSD correction such as growth modulation by epiphysiodesis, hemiepiphysiodesis, or external fixation
  • Pregnant or lactating women

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

IRCCS Istituto Ortopedico Rizzoli

Bologna, BO, Italy, 40136

Actively Recruiting

2

Istituto Clinico Humanitas

Rozzano, MI, Italy

Not Yet Recruiting

3

Istituto Giannina Gaslini

Genova, Italy

Not Yet Recruiting

4

Galeazzi Orthopedic Institute

Milan, Italy

Not Yet Recruiting

5

Policlinico San Matteo

Pavia, Italy

Not Yet Recruiting

6

Istituto Nazionale Tumori Regina Elena

Roma, Italy

Not Yet Recruiting

7

Ospedale Pediatrico Bambino Gesù

Roma, Italy

Not Yet Recruiting

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Research Team

G

Grazia Chiara Menozzi

CONTACT

G

Giovanni Trisolino, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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