An 18-year-old man complained about persistent wrist pain and functional impairment due to intra-articular malunion, 1 year after volar plating of a distal radius fracture. We designed and produced patient-specific surgical guides (PSSGs) in-house with a benchtop three-dimensional printer to perform an arthroscopy-assisted intra-articular osteotomy of the radial column without dorsal arthrotomy. The procedure was performed without complications. After 1 year, there was no osteoarthritis and the patient's wrist function was practically normalized.
Virtual surgical planning, design, and production of PSSGs were feasible without consultation of an external medical engineering company and without dorsal arthrotomy.