This walkthrough takes you through the Distal Radius Fracture (DRF) demo case from start to finish: creating the case, reviewing segmentation, reducing the fracture, placing the plate, designing the guide and approving the case. Each step has a short animation so you can follow along on your own screen.
The demo uses a sample scan and runs only in your browser session, so you can try anything without affecting real cases.
Note: Demo cases have no Save button. Your progress is kept in your current browser session only, and approving a demo case does not use a case from your organization's case allowance.
The steps at a glance
Open the demo and create the case.
Review the segmentation.
Reduce the fracture in the Reduction step.
Check the plate in Surgery Planning.
Review the guide in PSI Design.
Approve the case.
DRF has no Landmarks step and no plan report, so the workflow is shorter than for joint replacement cases.
1. Open the demo
On the home page, find Create New Case.
On the Distal Radius Fractures card, click Demo in the top-left corner.
The demo opens on the case creation page with the sample scan already loaded.
2. Create the case
Under Surgery Details, check the sample Surgery Date and the Operational Side. The demo uses Right. Click Next.
Under Case Details, the only field is Patient Hint. DRF has no Case Output Configuration choice.
Click Create Case in the top-right corner. CustoMED downloads the scan files and opens Segmentation.
3. Review the segmentation
Segmentation shows the 3D model and the CT scan in four views: 3D, Axial, Coronal and Sagittal. The panel on the right lists the segmented bones: Radius and Ulna, both marked (Operating Side).
Expand Radius to see its parts: Main and the fracture fragments, Fragment (1) to Fragment (4).
Hover a part to show its eye button, which hides or shows that part.
Scroll over a CT view to move through the slices. The bone outlines follow each slice.
Click the expand button in the corner of the 3D view to make it full size, and drag to rotate the wrist.
When the bones look right, click Confirm. The editor opens on Reduction.
4. Find your way around the editor
A few controls stay the same in every editor step:
Click the step name in the header (for example Reduction) to open the step menu. It lists every step, and completed steps have a check mark.
The back arrow next to the main button returns to the previous step.
Pre-Op and Post-Op at the top of the panel switch between the bone as scanned and the planned result.
Drag the Internal / Surrounding slider at the top of the 3D view to show the CT scan around the model.
Use Sagittal, Coronal and Axial under the 3D view to jump to a standard viewing angle.
5. Reduction
In the demo, the fragments are already reduced. Post-Op shows the reduced radius, and Pre-Op shows the fracture as scanned. Review the reduction carefully, because the plate and the guide are planned on the reduced bone.
Compare the fracture with the reduction
Click Sagittal to look at the radius from the side.
Switch between Pre-Op and Post-Op to see how the fragments moved.
Zoom in and rotate the model to check the joint surface from other angles.
Adjust a fragment
Expand Radius to list Main and Fragment (1) to Fragment (4). Hover a fragment to preview it.
Click a fragment to select it. In Sagittal, Coronal or Axial view, dials appear along the edges of the 3D view. Click an arrow on a dial to move or turn the fragment one step at a time. Hover an arrow to see its direction.
In any other view, handles appear on the selected fragment instead. Drag an arrow to move it or a ring to turn it.
To take back a move, click the undo button next to Post-Op.
When the alignment looks right, click Confirm Reduction. CustoMED places the plate and opens Surgery Planning.
Note: For more on moving fragments, see Fracture Reduction (DRF).
6. Surgery Planning
Surgery Planning shows the plate on the reduced radius. DRF has no measurements panel. You plan with the plate card instead.
Check the plate position
Rotate and zoom the model to check how the plate sits on the bone. A side view shows the plate's profile.
Hover the plate card to highlight the plate in blue.
Change the plate
Expand the plate card to change the implant: Manufacturer, Sets, Type, Size and Width, then click Select Template. Open Type, Size or Width to see the available options.
With the card open in Coronal view, use the dials along the edges of the 3D view to move the plate one step at a time, for example Move lateral or Move medial, or to turn it.
Below the template fields, the card lists the plate's parts: two K Wire rows, the Drill Distal-screw and Drill Proximal-screw rows, and Proximal Screw Compression. The drills are hidden at first. Hover a row and click its eye button to show it, or expand a drill row to see its Max Contact Length (mm).
7. PSI Design
Look at the guide
Click Generate PSI. A Psi creation... bar shows the progress. This can take a few minutes.
PSI Design opens with the guide on the radius. The plate is hidden so you can see the guide, and its card is dimmed.
Rotate the model to look at the guide from every side.
Check the guide with the plate
Hover the Psi card to highlight the guide, and click the card to select it. The selected guide turns see-through, so you can see the bone under it.
Click the eye button on the Psi card to hide or show the guide.
Click the eye button on the plate card to show the plate together with the guide.
Click Sagittal to see the guide and the plate from the side, then switch to Pre-Op to see the guide on the bone before reduction.
8. Approve the case
Click Confirm PSI. CustoMED prepares the export files and opens Approve.
Check that Output Pack 1 lists Radius with its plan and PSI Output.
Use the arrows on the preview to switch between the plan and the plan with the guide.
Expand Files to see the Delivery Note, the Case Files and the Plan Report (SFU) row. DRF has no plan report, so that row has nothing to preview.
Click Approve Case.
Read the Responsibility Acknowledgment and click Approve & Acknowledge.
With no plan report to create, the case is approved right away.
9. After approval
The header shows Approved, and the main button changes to View Only (Approved Case).
Use the arrows on the preview to switch between the plan and the guide.
Under Files, click Preview PDF to open the Delivery Note in a new browser tab, or download the Case Files.
That's the whole DRF workflow. When you're ready, create a real case from the same Distal Radius Fractures card.