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3D打印个性化截骨模块导板辅助单髁膝关节置换术的临床疗效 被引量:3
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作者 郭东辉 马世强 +5 位作者 董军 郭彬芳 邢宝瑞 赵云超 孟郑鑫 李晓明 《临床骨科杂志》 2022年第3期368-373,共6页
目的探讨3D打印个性化截骨模块(PSI)导板辅助单髁膝关节置换术(UKA)的临床疗效。方法采用3D打印PSI导板辅助UKA(PSI导板组)与传统UKA(对照组)分别治疗26例、28例膝内侧间室骨关节炎患者。比较两组手术时间、术后下地时间、住院时间。记... 目的探讨3D打印个性化截骨模块(PSI)导板辅助单髁膝关节置换术(UKA)的临床疗效。方法采用3D打印PSI导板辅助UKA(PSI导板组)与传统UKA(对照组)分别治疗26例、28例膝内侧间室骨关节炎患者。比较两组手术时间、术后下地时间、住院时间。记录术后股骨假体翻转角(A角)、股骨假体屈伸角(B角)、胫骨平台内外翻角(E角)、胫骨假体后倾角(F角)与目标值的偏差值。采用疼痛VAS评分、HSS评分、膝关节屈曲活动度评价临床疗效。结果患者均获得随访,时间11~14个月。手术时间、住院时间PSI导板组明显短于对照组(P<0.05);术后下地时间两组比较差异无统计学意义(P>0.05)。术后3个月疼痛VAS评分、HSS评分、膝关节屈曲活动度两组均明显优于术前(P<0.05),两组比较差异均无统计学意义(P>0.05)。术后A、E、F角偏差值两组比较差异均有统计学意义(P<0.05);B角偏差值两组比较差异无统计学意义(P>0.05)。结论3D打印PSI导板辅助UKA治疗膝内侧间室骨关节炎,可提高胫骨假体的精准性及股骨假体在冠状面的精准性,具有手术时间短、创伤小、患者恢复快的优点,短期临床疗效较好。 展开更多
关键词 膝关节置换 单间室膝关节骨关节炎 3D打印 个性化截骨模块导板
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Three-dimensional printing in paediatric orthopaedic surgery
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作者 Sven Goetstouwers Dagmar Kempink +3 位作者 Bertram The Denise Eygendaal Bart van Oirschot Christiaan JA van Bergen 《World Journal of Orthopedics》 2022年第1期1-10,共10页
Three-dimensional(3D)printing is a rapidly evolving and promising field to improve outcomes of orthopaedic surgery.The use of patient-specific 3D-printed models is specifically interesting in paediatric orthopaedic su... Three-dimensional(3D)printing is a rapidly evolving and promising field to improve outcomes of orthopaedic surgery.The use of patient-specific 3D-printed models is specifically interesting in paediatric orthopaedic surgery,as limb deformity corrections often require an individual 3D treatment.In this editorial,various operative applications of 3D printing in paediatric orthopaedic surgery are discussed.The technical aspects and the imaging acquisition with computed tomography and magnetic resonance imaging are outlined.Next,there is a focus on the intraoperative applications of 3D printing during paediatric orthopaedic surgical procedures.An overview of various upper and lower limb deformities in paediatrics is given,in which 3D printing is already implemented,including posttraumatic forearm corrections and proximal femoral osteotomies.The use of patient-specific instrumentation(PSI)or guiding templates during the surgical procedure shows to be promising in reducing operation time,intraoperative haemorrhage and radiation exposure.Moreover,3D-printed models for the use of PSI or patient-specific navigation templates are promising in improving the accuracy of complex limb deformity surgery in children.Lastly,the future of 3D printing in paediatric orthopaedics extends beyond the intraoperative applications;various other medical applications include 3D casting and prosthetic limb replacement.In conclusion,3D printing opportunities are numerous,and the fast developments are exciting,but more evidence is required to prove its superiority over conventional paediatric orthopaedic surgery. 展开更多
关键词 Three-dimensional printing PAEDIATRIC Orthopaedic surgery INTRAOPERATIVE patient-specific instrumentation guidING
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