3D打印技术指导胫骨平台SchatzkerⅡ、Ⅲ型骨折复位的初步应用

doi:10.13418/j.issn.1001-165x.2016.06.020

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (6): 697-699.doi: 10.13418/j.issn.1001-165x.2016.06.020

3D打印技术指导胫骨平台SchatzkerⅡ、Ⅲ型骨折复位的初步应用

邱卫华¹，　孔祥雪²，　李鉴轶²，　林荔军³，　罗春强¹

1. 广州市增城区新塘医院（南方医院新塘医院），广州 511340；　2.南方医科大学基础医学院人体
解剖学教研室，广州 510515； 3. 南方医科大学珠江医院骨科，广州 510282

收稿日期:2016-01-17 出版日期:2016-11-25 发布日期:2016-12-20
通讯作者: 罗春强，Tel: 13602229250, E-mail:2812170149@qq.com
作者简介:邱卫华（1979-），男，江苏南通人，主治医师，医学学士，主要从事创伤骨科、组织修复与重建，Tel：13826021302, E-mail:7251563@qq.com

Preliminary clinical application of 3D printing technology on treatment of SchatzkerType II and III fractures of tibial plateau

QIU Wei-hua¹, KONG Xiang-xue², LI Jian-yi², LIN Li-jun³, LUO Chun-qiang¹

1.Department of Orthopaedics,XintangHospital, Nanfang Hospital, Southern Medical University,Guangzhou511340, China; 2.Department of Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China; 3.Department of Orthopedics, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China

Received:2016-01-17 Online:2016-11-25 Published:2016-12-20

摘要/Abstract

摘要：

目的　探讨3D打印等技术对胫骨平台SchatzkerⅡ、Ⅲ型骨折关节面复位的应用价值。方法　采集胫骨平台SchatzkerⅡ、Ⅲ型骨折CT数据11例进行胫骨3D打印（3D打印组），并采集胫骨平台SchatzkerⅡ、Ⅲ型骨折16例进行传统手术（传统组），对比两组关节面复位后的最大阶梯高度、手术时间，采用独立样本t检验进行统计学分析。结果　3D打印组平均手术时间为(112.3±6.8)min，略低于传统组的(121.7±12.8) min (t=2.223，P=0.036)；3D打印组平均最大阶梯高度为(2.8±0.4)mm，少于传统组为(3.1±0.5) mm（t=2.123，P=0.044）。结论　3D打印技术可提高胫骨平台SchatzkerⅡ、Ⅲ型骨折关节面复位效果。

关键词: 数字化设计, 3D打印, 胫骨平台骨折, 关节面复位

Abstract:

Objective　To investigate the application value of 3D printing technology on articular surface reduction of Schatzkertype II and IIIfractures of the tibial plateau.　Methods　11 patients of tibial plateau fracture (Schatzkertype II and III) were recruited whose CT data were used for three-dimensional (3D) printing to guide the articular surface reductions (3D printinggroup). As a contrast, 16 patientsof tibial plateau fractures (Schatzkertype II and III) were recruited and were treated by conventional surgical methods (Traditionalgroup). The maximum step height of articular surface after reduction and operation time were recorded and compared using independent-sample T test.　Results　The average operation time in the 3D printing group was(112.3±6.8)min, which was significantly shorter than that in the traditional group (121.7±12.8 min)(t=2.223，P=0.036). The maximum step height of articular surface in the 3D printing group were (2.8±0.4)mm, which was significantly less than that in the traditional group (3.1±0.5)mm (t=2.123，P=0.044). Conclusion　The 3D printing technology could improve the articular surface reduction of tibial plateaufractures(Schatzkertype II and III) and decrease the operation time.

Key words: Digital design, Three-dimensional printing, Tibial plateau fracture, Articular surface reduction

邱卫华,孔祥雪,李鉴轶,林荔军,罗春强. 3D打印技术指导胫骨平台SchatzkerⅡ、Ⅲ型骨折复位的初步应用[J]. 中国临床解剖学杂志, 2016, 34(6): 697-699.

QIU Wei-hua, KONG Xiang-xue, LI Jian-yi, LIN Li-jun, LUO Chun-qiang. Preliminary clinical application of 3D printing technology on treatment of SchatzkerType II and III fractures of tibial plateau[J]. Chinese Journal Of Clinical Anatomy, 2016, 34(6): 697-699.

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3D打印技术指导胫骨平台SchatzkerⅡ、Ⅲ型骨折复位的初步应用

Preliminary clinical application of 3D printing technology on treatment of SchatzkerType II and III fractures of tibial plateau

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