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Preoperative Modeling for Mirror Hand

Simplifying a Difficult Problem Using 3-Dimensional Printing and Simulation

Podolsky, Dale J., MD, PhD*,†; Borschel, Gregory H., MD*,†

Plastic and Reconstructive Surgery – Global Open: January 8, 2019 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001929
Latest Articles: PDF Only

Summary: Mirror hand is an extremely rare congenital anomaly. We modeled and simulated the reconstruction of mirror hand in a 2-year-old boy utilizing a preoperative 3-dimensional model to aid surgical planning. A soft-tissue hand model was created using preoperative imaging, 3-dimensional printing, and silicone casting, and the model was used to perform trial surgery. Given the complexity of the deformity, the model greatly facilitated the final operative plan for reconstruction.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

From the *Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada

Division of Plastic & Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Published online 8 January 2019.

Received for publication June 28, 2017; accepted July 13, 2018.

Disclosure: Dr. Podolsky is a shareholder of Simulare Medical Corp. which produces and manufactures high-fidelity surgical simulators. The model presented in this article is not a commercial product and was not produced by Simulare Medical Corp. The charge was paid for by the authors.

Supplemental digital content is available for this article. Clickable URL citations appear in the text.

Dale J. Podolsky, MD, PhD, The Hospital for Sick Children, 555 University Avenue, Room 5420, M5G 1X8, Toronto, Ontario, Canada, E-mail:

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.