摘要
目的对比研究3D打印结合关节镜治疗胫骨平台骨折与传统手术的临床疗效。方法回顾性分析2015年11月至2018年12月中国人民解放军联勤保障部队第九八五医院骨科收治的39例胫骨平台骨折患者资料。其中3D打印关节镜组16例,术前采用三维CT重建,建立并打印骨折3D模型,依据3D实物模型预演手术,最后在关节镜辅助下完成手术。传统手术组23例,行常规膝关节正侧位X线片、CT及MRI检查、术前准备及手术。对比两组手术时间、术中透视次数、手术并发症发生率及术后1年膝关节Rasmussen评分和纽约特种外科医院膝关节评分(HSS)。结果39例患者均获得随访,随访时间12~35个月,平均18个月。3D打印关节镜组比传统手术组手术时间缩短,术中透视次数减少,术后Rasmussen评分及术后1年膝关节功能HSS评分较高,两组间差异有统计学意义(P<0.05)。结论与传统手术相比,3D打印结合关节镜辅助治疗胫骨平台骨折,能够缩短手术时间,提高骨折复位满意度,获得更好的膝关节功能。
Objective To compare the clinical outcomes between application of 3D printing technology combined with arthroscopy and traditional surgery in treatment of the tibial plateau fractures.Methods The clinical data of 39 patients with tibial plateau fractures from November 2015 to December 2018 were retrospectively reviewed.Among the 16 patients in the 3D printing arthroscopy group,the preoperative 3D CT reconstruction was used to establish and print the 3D fracture model,and the operation was performed according to the 3D physical model.Finally,the operation was completed under the assistance of arthroscopy.In the traditional surgery group,23 patients received conventional anterior and lateral knee X-ray,CT and MRI examination,preoperative preparation and surgery.The operation time,number of intraoperative fluoroscopy,incidence of surgical complications,and 1 year after surgery,Rasmussen score of knee joint and hospital for Special Surgery knee joint Score(HSS)1 year after surgery were compared between the two groups.Results All 39 patients completed the follow-up.The mean follow-up time was 18 months(from 12 to 35).Compared with the traditional surgical group,the operation time shortened in the 3D printing arthroscopy group,fewer intraoperative fluoroscopy,Rasmussen score and 1 year after knee joint function after surgery for HSS score is higher,all differences between the two groups were statistically significant(P<0.05).Conclusion In the treatment of patients with tibial plateau fractures,compared with the traditional surgery,3D printing technology combined with arthroscopy could shorten operative time,satisfaction for fracture reduction and improve keen function.
作者
项毅
张政
韩喜
谢伟
杨柳
邓孝臣
XIANG Yi;ZHANG Zheng;HAN Xi;XIE Wei;YANG Liu;Deng Xiaochen(Department of Orthopaedics,the 985 Hospital of Logistics Support Forces of Chinese PLA,Taiyuan,Shanxi 030001,China;Department of Radiology,the 985 Hospital of Logistics Support Forces of Chinese PLA,Taiyuan,Shanxi 030001,China;Department of Joint Surgery,Southwest Hospital of Army Medical University,Chongqing 400038,China)
出处
《重庆医学》
CAS
2021年第1期49-53,共5页
Chongqing medicine
基金
国家高技术研究发展计划项目(2016YFB1101404)。
关键词
胫骨平台骨折
3D打印
关节镜
手术治疗
tibial plateau fracture
3D printing
arthroscopy
surgical treatment
