3D打印胫骨隧道导航模块辅助前交叉韧带重建的临床研究

doi:10.13418/j.issn.1001-165x.2019.01.021

Abstract

Abstract:

Objective　To investigate the feasibility and effect of 3D-printed navigational templates of tibial tunnel on the anterior cruciate ligament reconstruction.　Methods　56 patients of anterior cruciate ligament reconstruction from January 2015 to May 2016 in the orthopaedics department of the Affiliated Hospital of Putian University were selected and randomized into two groups: the control group and the 3D-printed group. The surgical duration and the number of intraoperative tibial tunnel location were recorded and analyzed. The IKDC knee function score, the Lysholm score on the postoperative 6th and 9th months, and the range of motion(ROM) of knee 9 months after operation were examined. The data were analyzed by chi-square test and two-sample t-tests.　Results　Fifty-two patients were included in the analysis(27 case in control group and 25 cases in the 3D-printed group). There were significant differences in the surgical duration and the number of intraoperative tibial tunnel location（t=4.186，P<0.05；t=3.069，P<0.05）. The IKDC knee function score ,the Lysholm score on the postoperative 6th and 9th months, and ROM of knee 9 months after operation showed no significant difference between the two groups（P>0.05）.　Conclusion　It was a viable alternative to use the 3D-printed navigational template of tibial tunnel for anterior cruciate ligament reconstruction.

Key words: Knee, 　Anterior cruciate ligament, 　Reconstruction, 　Printing, three-dimensional

CHEN Guo-li, HU Hong-xin, WU Xian-wei, LIN Mei, DAI Yu-lin, LIN Hai-bin. Clinical study on anterior cruciate ligament reconstruction assisted by 3D-printed navigational templates of tibial tunnel[J]. Chinese Journal Of Clinical Anatomy, 2019, 37(1): 102-106.

References

[1] Kim HS, Seon JK, Jo AR. Current trends in anterior cruciate ligament reconstruction[J]. Knee Surg Relat Res，2013, 25(4):165-173.
[2] Samuelsson K, Andersson D, Ahldén M, et al. Trends in surgeon preferences on anterior cruciate ligament reconstructive techniques[J]. Clin Sports Med，2013, 32(1):111-126.
[3] Wang B, Lee KT. Results of revision anterior cruciate ligament reconstruction using a transportal technique[J]. Acta Orthop Belg，2015, 81(4):752-758.
[4] Vander Bracht H, Goubau L, Stuyts B, et al. Surgical management of anterior cruciate ligament injuries in Belgiumanno 2013[J]. Acta Orthop Belg，2015,81(4):738-746.
[5] Nguyen DT, Ramwadhdoebe TH, van der Hart CP, et al. Intrinsic healing response of the human anterior cruciate ligament: an histological study of reattached ACL remnants[J]. J Orthop Res，2014, 32(2):296-301.
[6] Wong TM, Jin J, Lau TW, et al. The use of three-dimensional printing technology in orthopaedic surgery[J]. J Orthop Surg(Hong Kong)，2017, 25(1):2309499016684077.
[7] Riboh JC, Hasselblad V, Godin JA, et al. Transtibial versus independent drilling techniques for anterior cruciate ligament reconstruction: a systematic review, meta-analysis, and meta-regression[J]. Am J Sports Med，2013,41:2693-2702.
[8] 徐丛, 陈永良, 吕永明, 等. ACL断裂单束重建及胫骨隧道扩大的临床研究[J]. 中国临床解剖学杂志，2016, 34(5):572-576.
[9] 周波, 白希壮, 郜玉忠, 等. 三维重建CT与X线测量前交叉韧带重建后骨道位置对比研究[J]. 中国运动医学杂志，2008, 27(3):290-293.
[10]Samitier G, Marcano AI, Alentorn-Geli E, et al. Failure of anterior cruciate ligament reconstruction[J]. Arch Bone Jt Surg, 2015, 3(4):220-240.
[11]Kraeutler MJ, Welton K, McCarty EC, et al. Revision anterior cruciate ligament reconstruction[J]. JBJS, 2017, 99(19):1689-1696.
[12]Wilde J, Bedi A, Altchek DW. Revision anterior cruciate ligament reconstruction[J]. Sports Health, 2014, 6(6):504-518.
[13]Brown GA, Firoozbakhsh K, DeCoster TA, et al. Rapid prototyping: the future of trauma surgery? [J]. J Bone Joint Surg Am, 2003, 85(Suppl 4):49-55.
[14]Paiva WS, Amorim R, Bezerra DA, et al. Aplication of the stereolithography technique in complex spine surgery[J]. Arq Neuropsiquiatr, 2007, 65(2B):443-445.
[15]Doornberg JN, Rademakers MV, van den Bekerom MP, et al. Two-dimensional and three-dimensional computed tomography for the classification and characterisation of tibial plateau fractures[J]. Injury, 2011, 42(12):1416-1425.
[16]林海滨, 黄文华, 陈宣煌, 等. 基于3D打印和接骨板标准件库数字化的股骨远端骨折内固定[J]. 中华医学杂志, 2016, 96(5):344-348.

Clinical study on anterior cruciate ligament reconstruction assisted by 3D-printed navigational templates of tibial tunnel

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