| 付强,刘曦明,兰生辉,等.3D打印技术在Schatzker Ⅴ、Ⅵ型胫骨平台骨折术前规划中的应用.骨科,2020,11(1): 30-34. |
| 3D打印技术在Schatzker Ⅴ、Ⅵ型胫骨平台骨折术前规划中的应用 |
| Application of 3D printing technology in preoperative planning of Schatzker Ⅴ and Ⅵ tibial plateau fractures |
| 投稿时间：2019-08-02 |
| DOI：10.3969/j.issn.1674-8573.2020.01.006 |
| 中文关键词: 胫骨 骨折 3D打印技术 骨折固定术，内 |
| 英文关键词: Tibial Fracture 3D printing technology Fracture fixation, internal |
| 基金项目:湖北省卫生和计划生育委员会面上项目（WJ2018H0064） |
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| 中文摘要: |
| 目的 探讨3D打印技术在Schatzker Ⅴ、Ⅵ型胫骨平台骨折术前规划中的应用效果。方法 回顾性分析2014年3月至2018年7月我院骨科收治的74例胫骨平台骨折病人的病例资料，根据术前是否使用3D打印技术进行手术规划分为3D打印组和常规组。其中3D打印组31例（31膝），男20例，女11例，年龄为（45.71±9.98）岁，Schatzker Ⅴ型19膝，Schatzker Ⅵ型12膝。常规组43例（43膝），男26例，女17例，年龄为（45.86±9.94）岁，Schatzker Ⅴ型30膝，Schatzker Ⅵ型13膝。记录并比较两组手术时间、术中出血量、术中透视次数、术后住院时间、骨折愈合时间、末次随访时影像学Rasmussen评分、美国特种外科医院膝关节评分（hospital for special surgery knee score, HSS）、疼痛视觉模拟量表（visual analogue scale, VAS）评分及并发症情况。结果 3D打印组手术时间为（96.29±8.92） min，术中出血量为（221.94±47.50） ml，术中透视次数为6（5，6）次，术后住院时间为9（7，14）d；常规组手术时间为（112.53±12.19） min，术中出血量为（296.28±74.26） ml，术中透视次数为8（7，9）次，术后住院时间为12（9，15） d，以上项目两组间比较，差异均有统计学意义（P均＜0.05）。所有病人随访记录完整，3D打印组随访时间为（15.94±2.26）个月，常规组为（15.63±1.94）个月。两组间骨折愈合时间、末次随访时影像学Rasmussen评分、HSS评分、VAS评分的差异均无统计学意义（P均＞0.05）。结论 3D打印技术在Schatzker Ⅴ、Ⅵ型胫骨平台骨折术前规划中的应用能缩短手术时间，减少手术中出血量，减少术中透视次数并能缩短术后住院时间。 |
| 英文摘要: |
| Objective To investigate the effect of 3D printing technique in preoperative planning of Schatzker Ⅴ and Ⅵ tibial plateau fractures. Methods From March 2014 to July 2018, the clinical data of 74 patients with tibial plateau fractures in our hospital were retrospectively analyzed. According to whether 3D printing technology was used before operation, the patients were divided into 3D printing group and conventional group. There were 31 cases (31 knees) in the 3D printing group, including 20 males and 11 females with age of (45.71±9.98) years, and 19 cases of Schatzker Ⅴ and 12 Schatzker Ⅵ. There were 43 cases (43 knees) in the conventional group, including 26 males and 17 females with age of (45.86±9.94) years, and 30 cases of Schatzker Ⅴ and 13 cases of Schatzker Ⅵ. Operation time, intraoperative blood loss, intraoperative number of fluoroscopy, postoperative hospital stay, fracture healing time, imaging Rasmussen score, hospital for special surgery knee score (HSS), visual analogue scale (VAS) score at the last follow-up, and complications of each group were compared and statistically analyzed. Results In 3D printing group, operation time was (96.29±8.92) min, intraoperative blood loss was (221.94±47.50) ml, intraoperative fluoroscopy times were 6 (5, 6), postoperative hospital stay was 9 (7, 14) days. In conventional group, average operation time was (112.53±12.19) min, intraoperative blood loss was (296.28±74.26) ml, intraoperative fluoroscopy times were 8 (7, 9), and postoperative hospital stay was 12 (9, 15) days. There were significant differences in the data above between the two groups (P＜0.05 for all). All patients were followed up for 12 to 18 months [for 3D printing group, (15.94±2.26) months; for conventional group, (15.63±1.94) months]. There were no significant differences in fracture healing time, imaging Rasmussen score, HSS score and VAS score between the two groups (all P＞0.05). Conclusion The application of 3D printing technology in preoperative planning was beneficial to the treatment of Schatzker Ⅴ and Ⅵ tibial plateau fractures, which can shorten the operation time, reduce the blood loss during surgery, decrease intraoperative fluoroscopy times and shorten the postoperative hospital stay. |
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