84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]王海濤,田剛,孫炳龍,等.電磁導(dǎo)航系統(tǒng)在股骨干A型骨折閉合復(fù)位中的應(yīng)用價值[J].中醫(yī)正骨,2023,35(01):17-19.
　WANG Haitao,TIAN Gang,SUN Binglong,et al.Application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(01):17-19.
點擊復(fù)制

電磁導(dǎo)航系統(tǒng)在股骨干A型骨折閉合復(fù)位中的應(yīng)用價值()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年01期
頁碼:
17-19
欄目:
基礎(chǔ)研究
出版日期:
2023-01-20

文章信息/Info

Title:
Application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures
作者:
王海濤; 田剛; 孫炳龍; 崔云芬; 叢海波
(威海高區(qū)利民醫(yī)院有限公司,山東 威海 264400)
Author(s):
WANG Haitao; TIAN Gang; SUN Binglong; CUI Yunfen; CONG Haibo
Limin Hospital of Weihai High District Co.,Ltd.,Weihai 264400,Shandong,China
關(guān)鍵詞:
股骨骨折;  正骨手法;  閉合復(fù)位;  電磁導(dǎo)航系統(tǒng)
Keywords:
femoral fractures;  bone setting manipulation;  closed reduction;  electromagnetic navigation system
摘要:
目的:探討電磁導(dǎo)航系統(tǒng)在股骨干A型骨折閉合復(fù)位中的應(yīng)用價值。方法:提取3例股骨干A型骨折患者(A1型、A2型、A3型各1例)的CT數(shù)據(jù)并進行三維重建,采用3D打印機打印股骨干骨折模型。每種骨折類型打印8個骨折模型。在電磁導(dǎo)航系統(tǒng)輔助下,術(shù)者以顯示器上的三維動態(tài)影像為參考,采用正骨手法進行骨折閉合復(fù)位實驗。復(fù)位固定后,記錄骨折復(fù)位時間,測量復(fù)位固定后骨折端的側(cè)方移位距離、軸向分離距離、內(nèi)外翻角、前后成角、內(nèi)外旋角。結(jié)果:24個股骨干A型骨折模型均順利復(fù)位,復(fù)位時間(163.71±22.47)s,側(cè)方移位距離(1.25±0.62)mm,軸向分離距離(0.26±0.20)mm,內(nèi)外翻角1.53°±0.48°,前后成角2.85°±0.25°,內(nèi)外旋角2.51°±0.97°。結(jié)論:采用電磁導(dǎo)航系統(tǒng)輔助股骨干A型骨折閉合復(fù)位,復(fù)位時間短,復(fù)位效果滿意,具有一定的應(yīng)用價值。
Abstract:
Objective:To discuss the application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures.Methods:The CT data of three patients with type A femoral shaft fractures(one type A1,one type A2,and one type A3)were extracted and three-dimensionally reconstructed,and the femoral shaft fracture model was printed with a 3D printer.Eight fracture models were printed for each fracture type.With the assistance of the electromagnetic navigation system and guided by the 3D dynamic images on the monitor,the surgeon performed the fracture closed reduction experiment with bone setting manipulations.After reduction and fixation,the reduction time was recorded,and the sideward displacement distance,axial separation distance,inversion and eversion angle,anteroposterior angulation,and inward and outward rotation angle of broken ends were measured.Results:The 24 models of type A femoral shaft fractures were successfully reduced,with reduction time of(163.71±22.47)s,the sideward displacement distance of(1.25±0.62)mm,the axial separation distance of(0.26±0.20)mm,inversion and eversion angle of 1.53°±0.48°,anteroposterior angulation of 2.85°±0.25°,and inward and outward rotation angle of 2.51°±0.97°.Conclusion:The use of the electromagnetic navigation system to assist with the closed reduction of type A femoral shaft fractures can achieve short reduction time and satisfactory reduction effect,which has a certain application value.

參考文獻/References:

[1] 郭自斌.股骨髓內(nèi)釘閉合復(fù)位內(nèi)固定治療AO分型C型股骨干骨折患者的療效及安全性分析[J].實用中西醫(yī)結(jié)合臨床,2021,21(18):34-35.
[2] 王智勇,陳柯,葉曄,等.微創(chuàng)小切口器械輔助復(fù)位治療股骨干骨折合并同側(cè)轉(zhuǎn)子間骨折[J].中國中醫(yī)骨傷科雜志,2015,23(8):62-64.
[3] LIN Y,RAO S,CHEN B,et al.Electromagnetic navigation-assisted percutaneous endoscopic foraminoplasty and discectomy for lumbar disc herniation:technical note and preliminary results[J].Ann Palliat Med,2020,9(6):3923-3931.
[4] 賈國慶,余志平,胡鵬宇,等.前交叉韌帶重建中電磁導(dǎo)航系統(tǒng)輔助骨隧道定位的準(zhǔn)確性[J].中國組織工程研究,2020,24(15):2374-2380.
[5] 胡鵬宇,王海濤,余志平,等.虛擬現(xiàn)實技術(shù)聯(lián)合電磁導(dǎo)航手術(shù)機器人輔助治療復(fù)雜骨盆骨折一例[J].中國修復(fù)重建外科雜志,2020,34(6):807-808.
[6] JOSKOWICZ L,MILGROM C,SIMKIN A,et al.FRACAS:a system for computer-aided image-guided long bone fracture surgery[J].Comput Aided Surg,1998,3(6):271-288.
[7] BOUAZZA-MAROUF K,BROWBANK I,HEWIT J R.Robotic-assisted internal fixation of femoral fractures[J].Proc Inst Mech Eng H,1995,209(1):51-58.
[8] DU H,HU L,LI C,et al.Advancing computer-assisted orthopaedic surgery using a hexapod device for closed diaphyseal fracture reduction[J].Int J Med Robot,2015,11(3):348-359.
[9] TANG P,HU L,DU H,et al.Novel 3D hexapod computer-assisted orthopaedic surgery system for closed diaphyseal fracture reduction[J].Int J Med Robot,2012,8(1):17-24.
[10] WANG J,HAN W,LIN H.Femoral fracture reduction with a parallel manipulator robot on a traction table[J].Int J Med Robot,2013,9(4):464-471.
[11] 穆曉蘭,王滿寧,宋志堅.手術(shù)導(dǎo)航中精度問題的探討[J].中國微創(chuàng)外科雜志,2004,4(5):444-446.
[12] PEACOCK Z S,MAGILL J C,TRICOMI B J,et al.Assessment of the osteomark-navigation system for oral and maxillofacial surgery[J].J Oral Maxillofac Surg,2015,73(10):2005-2016.
[13] SOMERSON J S,ROWLEY D,KENNEDY C,et al.Electromagnetic navigation reduces surgical time and radiation exposure for proximal interlocking in retrograde femoral nailing[J].J Orthop Trauma,2014,28(7):417-421.
[14] 吳晗,許新忠,程文丹,等.電磁導(dǎo)航系統(tǒng)定位脛骨髓內(nèi)釘遠端鎖定治療脛骨骨折的療效觀察[J].局解手術(shù)學(xué)雜志,2019,28(1):34-37.
[15] NOUSIAINEN M T,OMOTO D M,ZINGG P O,et al.Training femoral neck screw insertion skills to surgical trainees:computer-assisted surgery versus conventional fluoroscopic technique[J].J Orthop Trauma,2013,27(2):87-92.
[16] STATHOPOULOS I,KARAMPINAS P,EVANGELOPOULOS D S,et al.Radiation-free distal locking of intramedullary nails:evaluation of a new electromagnetic computer-assisted guidance system[J].Injury,2013,44(6):872-875.
(收稿日期:2022-08-06 本文編輯:呂寧)

相似文獻/References:

[1]朱峰,宋相建,吳蔚,等.手法復(fù)位經(jīng)皮克氏針內(nèi)固定治療 兒童閉合性肱骨遠端全骨骺分離[J].中醫(yī)正骨,2015,27(11):51.
[2]張容超,徐衛(wèi)國,萬春友,等.手法整復(fù)小夾板固定治療橈骨遠端骨折168例[J].中醫(yī)正骨,2015,27(11):61.
[3]沈海,劉昕,彭玉蘭,等.復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定治療 兒童肱骨髁上骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):1.
　SHEN Hai,LIU Xin,PENG Yulan,et al.Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):1.
[4]伍輝國,江克羅,張文正,等.手法復(fù)位杉樹皮小夾板固定治療兒童閉合性指骨骨折[J].中醫(yī)正骨,2015,27(10):63.
[5]魏嵐,吳晶晶,康永生.自我效能感理論在股骨干骨折圍手術(shù)期護理中的應(yīng)用[J].中醫(yī)正骨,2015,27(09):77.
[6]袁榮霞,董霞,趙純,等.改良折頂手法復(fù)位小夾板固定治療兒童尺橈骨遠端雙骨折[J].中醫(yī)正骨,2015,27(08):18.
[7]劉震,胡志國,付偉.抖牽旋按復(fù)位結(jié)合鋼針撬撥復(fù)位空心釘內(nèi)固定治療 難復(fù)性股骨頸骨折[J].中醫(yī)正骨,2015,27(08):28.
[8]郭振平,李占國,劉一,等.陳氏正骨手法治療肩關(guān)節(jié)脫位的優(yōu)勢及特色[J].中醫(yī)正骨,2015,27(08):67.
[9]江克羅,伍輝國,張文正,等.手法復(fù)位經(jīng)皮穿針內(nèi)固定治療 開放性掌骨骨折合并腕掌關(guān)節(jié)脫位[J].中醫(yī)正骨,2015,27(07):63.
[10]江克羅,伍輝國,張文正,等.中醫(yī)正骨手法復(fù)位經(jīng)皮穿針內(nèi)固定治療 新鮮閉合性拇指近節(jié)指骨骨折[J].中醫(yī)正骨,2015,27(12):57.
[11]王 強.脛腓下聯(lián)合骨牽引配合手法整復(fù)小夾板外固定治療 兒童閉合移位性股骨干骨折[J].中醫(yī)正骨,2015,27(10):15.
[12]任東坡.傳統(tǒng)雙下肢皮牽引手法整復(fù)聯(lián)合自制橋膝架固定治療幼兒股骨干骨折[J].中醫(yī)正骨,2017,29(02):38.
[13]吳天然,陳夏平,王瑞雄,等.克氏針協(xié)助手法復(fù)位在股骨干骨折順行髓內(nèi)釘內(nèi)固定術(shù)中的應(yīng)用[J].中醫(yī)正骨,2017,29(06):49.
[14]馬文龍,田可為,葉曄,等.撬撥技術(shù)在成人股骨干骨折復(fù)位內(nèi)固定術(shù)中的應(yīng)用[J].中醫(yī)正骨,2018,30(04):66.
[15]馬文龍,陳洪干,田可為,等.鉗夾技術(shù)在成人股骨干骨折微創(chuàng)復(fù)位內(nèi)固定術(shù)中的應(yīng)用[J].中醫(yī)正骨,2018,30(05):59.

備注/Memo

備注/Memo:
基金項目:山東省醫(yī)藥衛(wèi)生科技發(fā)展計劃項目(202104070389)通訊作者:叢海波 E-mail:[email protected]
更新日期/Last Update: 1900-01-01