摘要
背景:踇外翻的手术治疗包括骨性手术及软组织的平衡手术,目前多凭借术者的经验制定手术方案。踇外翻的手术方式众多,病理变化复杂多样,没有一种手术能彻底解决踇外翻所有的问题,且手术疗效不确切,学习曲线也较长。目的:探讨数字化技术在踇外翻治疗中的应用。方法:检索PubMed数据库、万方数据库、CNKI中国期刊全文数据库收录的相关文献,英文检索词为"hallux valgus,digital technology,biomechanics,finiteelement,digitalorthopedics,osteotomy",中文检索词为"踇外翻,数字化技术,生物力学,有限元,数字骨科,截骨术",检索时间为2000年1月至2020年5月,总计英文文献571篇,中文文献350篇,根据纳入标准选择其中的42篇进行综述。结果与结论:(1)临床上治疗踇外翻时,利用软件进行三维仿真模型重建,在不同工况下模拟手术操作,分析矫形效果,这对于术前规划有着明确的指导意义,有利于降低踇外翻术后并发症的发生率,优化矫形效果;(2)利用计算机软件行三维建模及有限元足底应力分析,对于生物力学机制研究及术后临床疗效评估优势明显;(3)3D打印踇外翻截骨导板及骨骼模型的临床应用能够使踇外翻患者得到更精确、更个体化的治疗。
BACKGROUND:Surgical treatment of hallux valgus includes bone surgery and soft tissue balance surgery.At present,many surgical plans are made based on the experience of the surgeon.There are many surgical methods for hallux valgus,and the pathological changes are complex and diverse.No surgery can perfectly solve all the problems of hallux valgus,and the surgical effect is not accurate,and the learning curve is also long.OBJECTIVE:To explore the application of digital technology in the treatment of hallux valgus.METHODS:Databases of PubMed,Wanfang,and CNKI were searched.The key words were"hallux valgus;digital technology;biomechanics;finite element;digital orthopedics;osteotomy"in Chinese and English.Retrieval time was from January 2000 to May 2020.Among 571 articles in English and 350 articles in Chinese,42 articles were selected according to the inclusion criteria for review.RESULTS AND CONCLUSION:(1)When clinical treatment of hallux valgus is performed,the software is used to reconstruct the three-dimensional simulation model,to simulate the operation under different working conditions,and to analyze the orthopedic effect.This has a clear guiding significance for preoperative planning and is helpful to reduce the incidence of postoperative complication of hallux valgus and optimize the orthopedic effect.(2)The use of computer software for three-dimensional modeling and finite element plantar stress analysis has obvious advantages for the study of biomechanical mechanisms and the evaluation of postoperative clinical efficacy.(3)The clinical application of three-dimensional printed hallux valgus osteotomy guide plate and bone model can enable the patients with hallux valgus to get more accurate and personalized treatment.
作者
王文成
张兴飞
许亚军
Wang Wencheng;Zhang Xingfei;Xu Yajun(Department of Foot and Ankle Surgery,Wuxi Ninth People's Hospital Affiliated to Soochow University,Wuxi 214000,Jiangsu Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2021年第12期1911-1916,共6页
Chinese Journal of Tissue Engineering Research
基金
苏州大学附属无锡九院研究生科研经费,项目负责人:许亚军
无锡市卫生健康委科研面上项目经费(MS201902),项目负责人:许亚军、周建东。
关键词
骨
踇外翻
截骨术
数字化
生物力学
有限元
数字骨科
综述
bone
hallux valgus
osteotomy
digital
biomechanics
finite element
digital orthopedics
review
