数字骨科应用与展望:更精确、个性、直观的未来前景

Applications and prospects of digital orthopedics: more precise, individual and intuitional outlook

背景:数字骨科技术是数字信息技术与临床骨科的结合,目前数字化的骨科技术已在骨科应用及研究方面贡献了部分学术成果,成为推动骨科临床发展的重要动力之一。目的:综述近年来数字骨科技术的应用与发展,为指导临床提供参考。方法:以"数字骨科,数字化模拟,有限元分析"为关键词,计算机检索PubM ed(2009年1月至2015年1月)、MEDLINE(2009年1月至2015年1月)、EMbase(2009年1月至2015年1月)、CNKI(2010年1月至2014年12月)、VIP(2010年1月至2014年12月)、万方数据库(2010年1月至2014年12月);同时手工检索6种中文主要骨科杂志,并查阅相关文章所附的参考文献。收集所有数字骨科相关研究文献,筛选出符合纳入标准的文献,对其进行严格的质量评价。结果与结论:最终44篇文章符合纳入标准。综述结果表明,数字技术与传统骨科互相促进、互相融合、互相影响,使得生物力学结构和解剖复杂的各种骨折的诊疗方法以及各项相关研究更加精确化、个性化、直观化。数字化技术对临床实践和骨科的研究产生了极大的影响。由于文章纳入病例有限,缺乏设计更为严格的多中心、大样本、长期的临床随机对照研究来进一步证实其可信度。

BACKGROUND：Digital orthopedic technology is the combination of digital information technology and clinical orthopedics. At present, digital orthopedic technology has been widely used in the field of orthopedics and achieved some progress, it is regarded as one of the important motivations to develop clinical orthopedics. OBJECTIVE：To summarize the application and prospects of digital orthopedic technology in recent years and provide a reference for clinical guidance. METHODS：A computer-based online retrieval of PubMed （between January 2009 and January 2015）, MEDLINE （between January 2009 and January 2015）, EMbase （between January 2009 and January 2015）, CNKI （between January 2010 and December 2014）, VIP （between January 2010 and December 2014） and Wanfang database （between January 2010 and December 2014） was performed, with the key words of“digital orthopedics, digital simulation, finite element analysis”in Chinese. At the same time, six orthopedic journals published in Chinese were manual y reviewed and the attached references were consulted. Documents addressing the digital orthopedics were screened according to the inclusion criteria, and the quality was strictly evaluated. RESULTS AND CONCLUSION：Final y 44 articles were included in this review. The review analysis showed that, digital orthopedic technology has a mutual correlation with traditional orthopedics, they promote, fuse and＆nbsp;influence each other. The mutual development al ows a more precise, individual and intuitional outlook of the diagnosis and treatment for various fractures with complex biomechanical structure and anatomy. Digital orthopedic technology has a great impact on the clinical practice and orthopedic studies. Due to limited cases in the present study, multicenter, large-sample-size, and long-term clinical randomized control ed studies are needed to further verify the reliability of digital orthopedic technology.