摘要
目的:探讨3D镜像打印结合微创经皮钢板内固定(minimally invasive percutaneous plate osteosynthesis,MIPPO)技术治疗成人锁骨中段骨折的临床疗效。方法:2019年10月至2020年10月采用3D镜像打印结合MIPPO技术治疗32例成人锁骨AllmanⅠ型移位骨折患者,其中男19例,女13例;年龄19~55(34.12±16.42)岁;按Allman分型,Ⅰb型14例,Ⅰc型18例;左侧17例,右侧15例。观察患者的并发症、手术时间、切口长度、术中出血量、透视次数和骨折愈合时间情况,并于术前,术后1、6个月采用Constant-Murley肩关节评分进行临床疗效评价。结果:32例患者均获得随访,时间6~8(6.67±2.13)个月。无刀口感染及术区皮肤麻木等并发症发生。手术时间(35.37±4.28)min;切口长度(3.78±0.45)cm,术中出血量(37.23±4.76)ml,透视次数(3.12±0.47)次,骨折愈合时间(8.18±2.58)周。术后1、6个月Constant-Murley肩关节评分分别为81.08±3.92、98.03±1.05,与术前54.62±5.25比较差异有统计学意义(P<0.05)。术后6个月根据Constant-Murley肩关节功能评分,结果优30例,良2例。结论:3D镜像打印可有效辅助MIPPO技术治疗成人锁骨Allman Ⅰ型移位骨折,具有创伤小、并发症少等优点,可缩短手术时间,提高手术可操作性,是治疗成人锁骨Allman Ⅰ型移位骨折的较好方法。
Objective:To retrospectively analyze clinical effect of 3 D mirror printing combining with minimally invasive percutaneous plate osteosynthesis(MIPPO)technology in the treatment of adult clavicle fracture.Methods:The clinical data of32 adult patients with collarbone AllmanⅠdisplacement of fracture who had undergone the combination of 3 D mirror printing with MIPPO technology treatment were collected from October 2019 to October 2020.There were 19 males and 13 females,aged from 19 to 55 years old with an average of(34.12±16.42)years old.According to Allman classification,there were 14 cases of AllmanⅠb and 18 cases of AllmanⅠc.Fracture occurred,on the left in 17 cases and on the right in 15 cases.Postoperative complications,operation time,incision length,intraoperative blood loss,the number of fluoroscopies,fracture healing time of all patients were retrospectively analyzed,and the curative effect was evaluated by Constant-Murley shoulder joint score before operation,1 and 6 months after operation.Results:All the 32 patients were followed up for 6 to 8 months,with an average of(6.67±2.13)months.All the patients did not have postoperative complications such as incision infection and skin numbness in the operating area.The operation time was(35.37±4.28)min.The incision length was(3.78±0.45)cm.Intraoperative blood loss was(37.23±4.76)ml.The number of fluoroscopies was(3.12±0.47)times.Fracture healing time was(8.18±2.58)weeks.Constant-Murley shoulder joint score of the affected side at 1 and 6 months after operation was 81.08±3.92 and 98.03±1.05 respectively,which had a significant difference compared with 54.62±5.25 before operation(P<0.05).According to Constant-Murley shoulder function score at 6 months after operation,30 cases were excellent and 2 cases were good.Conclusion:3 D mirror printing can effectively assist MIPPO technique in the treatment of adult clavicle Allman I displaced fracture.It not only has the advantages of less trauma and fewer complications of the MIPPO technique,but also can f
作者
穆胜凯
郝连升
刘君
田鸿来
MU Sheng-kai;HAO Lian-sheng;LIU Jun;TIAN Hong-lai(不详;Department of Minimally Invasive Orthopaedics,Shandong Provincial Hospital of Traditional Chinese Medicine,Jinan 250014,Shandong,China)
出处
《中国骨伤》
CAS
CSCD
2022年第8期775-778,共4页
China Journal of Orthopaedics and Traumatology
关键词
3D打印
外科手术
微创性
微创经皮钢板内固定
锁骨
骨折
3D printing
Surgical procedures
minimally invasive
Minimally invasive percutaneous plate osteosynthesis
Clavicle
Fractures
