3D打印技术及其对锁骨骨折手术治疗效果的临床研究

Clinical Study of 3D Printing Technology and Its Effect on the Surgical Treatment of Clavicle Fracture

目的:对3D打印技术及其对锁骨骨折手术治疗效果的临床研究进行综述总结,为未来锁骨骨折患者的治疗方法提供参考,也为3D打印技术的治疗效果进行推广。方法:广泛查阅中国知网、维普、万方以及Web of Science和PubMed等英文数据库,以3D打印技术(3D printing technology)、锁骨骨折(clavicular fracture)等为检索词进行检索,及近年来应用3D打印技术作用于锁骨骨折的临床研究应用的文献,总结该技术的临床疗效。结果:既往的临床应用显示,3D打印技术相对于传统的治疗方法,明显取得了良好的治疗效果。3D打印技术与其他治疗方式的联合应用也取得了理想的术后效果,为不同的锁骨骨折提供了更多的治疗选择。结论:由于锁骨的独特解剖结构,传统的手术治疗难以达到理想的恢复效果。与传统的骨折复位手术相比,3D打印技术能直观地接触患者的骨折实体模型,并利用模型来模拟术前骨折处的复位操作,能在术前更好地调整内固定对于骨折端的贴合程度,简化手术步骤、优化术中塑形,并且减少术中C臂次数,对于降低手术时间及患者创伤具有显著意义,值得在临床实践中推广应用。Objective: To summarize the clinical research of 3D printing technology and its effect on the surgical treatment of clavicle fracture, so as to provide a reference for the treatment method of clavicle fracture patients in the future and promote the therapeutic effect of 3D printing technology. Methods: The CNKI, VIP, Wanfang and English databases such as Web of Science and PubMed were extensively reviewed, and 3D printing technology and clavicular fracture were used as search terms, and the literature of the clinical research and application of 3D printing technology in clavicle fracture in recent years to summarize the clinical efficacy of this technology. Results: Previous clinical applications showed that 3D printing technology achieved good therapeutic effects compared with traditional treatment methods. The combination of 3D printing technology and other treatment methods has also achieved ideal postoperative results, providing more treatment options for different clavicle fractures. Conclusion: Due to the unique anatomical structure of the clavicle, the traditional surgical treatment is difficult to achieve the ideal recovery effect. Compared with traditional fracture reduction surgery, 3D printing technology can intuitively contact the patient’s fracture solid model and use the model to simulate the reduction operation at the preoperative fracture site. It can better adjust the degree of internal fixation to the fracture end before operation, simplify the operation steps, optimize the intraoperative shaping, and reduce the number of intraoperative C-arms. It is of great significance to reduce the operation time and patient trauma and is worthy of popularization and application in clinical practice.