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[1]吳青松,孫鵬,李立,等.數(shù)字骨科技術(shù)輔助切開復(fù)位內(nèi)固定術(shù)治療 跟骨骨折的臨床研究[J].中醫(yī)正骨,2015,27(12):20-23.
　WU Qingsong,SUN Peng,LI Li,et al.Clinical study on open reduction internal fixation assisted by digital orthopaedic technique in the treatment of calcaneal fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):20-23.
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數(shù)字骨科技術(shù)輔助切開復(fù)位內(nèi)固定術(shù)治療 跟骨骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年12期
頁碼:
20-23
欄目:
臨床研究
出版日期:
2015-12-30

文章信息/Info

Title:
Clinical study on open reduction internal fixation assisted by digital orthopaedic technique in the treatment of calcaneal fractures
作者:
吳青松; 孫鵬; 李立; 韓明濤
山東省文登整骨醫(yī)院,山東 文登 264400
Author(s):
WU Qingsong; SUN Peng; LI Li; HAN Mingtao
Wendeng Osteopath Hospital,Wendeng 264400,Shandong,China
關(guān)鍵詞:
跟骨;  數(shù)字骨科;  3D打印;  骨折固定術(shù); 內(nèi);  治療; 臨床研究性
Keywords:
calcaneus;  digital orthopedics;  3D printing;  fracture fixation; internal;  therapies; investigational
摘要:
目的:探討數(shù)字骨科技術(shù)在跟骨骨折切開復(fù)位內(nèi)固定術(shù)中的應(yīng)用價值。方法:將44例符合要求的跟骨骨折患者隨機分為數(shù)字技術(shù)組和傳統(tǒng)手術(shù)組,每組22例。數(shù)字技術(shù)組術(shù)前利用Mimics 15.0軟件及跟骨3D打印模型進(jìn)行模擬復(fù)位和手術(shù),確定鋼板種類、位置及螺釘?shù)奈恢煤烷L度,同時對鋼板進(jìn)行塑形,術(shù)中按照根據(jù)模擬手術(shù)制定的手術(shù)方案進(jìn)行切開復(fù)位內(nèi)固定手術(shù); 傳統(tǒng)手術(shù)組按照傳統(tǒng)方式進(jìn)行切開復(fù)位內(nèi)固定術(shù)。比較2組患者的切口長度、手術(shù)時間、出血量、術(shù)中X線透視次數(shù)、住院時間及骨折復(fù)位情況。結(jié)果:數(shù)字技術(shù)組的術(shù)中X線透視次數(shù)和手術(shù)時間均少于傳統(tǒng)手術(shù)組[(7.4±3.6)次,(10.4±2.6)次,t=3.144,P=0.003;(51.0±7.7)min,(57.8±9.6)min,t=2.580,P=0.013],2組患者的出血量、切口長度、住院時間比較,組間差異均無統(tǒng)計學(xué)意義[(25.4±3.8)mL,(26.6±4.3)mL,t=1.043,P=0.303;(12.4±1.3)cm,(13.0±1.2)cm,t=1.831,P=0.074;(10.5±2.3)d,(10.4±1.7)d,t=0.226,P=0.823]。按照Burwell-Charnley放射學(xué)評價標(biāo)準(zhǔn),數(shù)字技術(shù)組解剖復(fù)位15例、復(fù)位一般3例、復(fù)位差4例,傳統(tǒng)手術(shù)組解剖復(fù)位12例、復(fù)位一般2例、復(fù)位差8例; 2組患者的復(fù)位情況比較,差異無統(tǒng)計學(xué)意義(Z=-1.113,P=0.266)。結(jié)論:數(shù)字骨科技術(shù)輔助下行切開復(fù)位內(nèi)固定術(shù)治療跟骨骨折,可獲得較好的骨折復(fù)位,而且能減少術(shù)中X線透視次數(shù)、縮短手術(shù)時間,值得臨床推廣應(yīng)用。
Abstract:
Objective:To explore the applied value of digital orthopaedic technique in open reduction internal fixation(ORIF)for treatment of calcaneal fractures.Methods:Forty-four patients with calcaneal fracture enrolled in the study were randomly divided into digital technique group and conventional surgery group,22 cases in each group.Simulated ORIF were performed on patients in digital technique group before the surgery by using Mimics 15.0 software and calcaneal 3D printing model to determine type and location of the steel plate and location and length of the screws,and the steel plates were reshaped.During the surgery ORIF were performed in digital technique group according to the operation plan which was formulated on the basis of simulated surgery,while conventional ORIF were performed in conventional surgery group.The incision length,operative time,blood loss,frequency of intraoperative X-ray exposure,hospital stays and fracture reduction results were compared between the 2 groups.Results:The frequency of intraoperative X-ray exposure and operative time were less in digital technique group compared to conventional surgery group(7.4+/-3.6 vs 10.4+/-2.6,t=3.144,P=0.003; 51.0+/-7.7 vs 57.8+/-9.6 min,t=2.580,P=0.013).There was no statistical difference in the blood loss,incision length and hospital stays between the 2 groups(25.4+/-3.8 vs 26.6+/-4.3 ml,t=1.043,P=0.303; 12.4+/-1.3 vs 13.0+/-1.2 cm,t=1.831,P=0.074; 10.5+/-2.3 vs 10.4+/-1.7 days,t=0.226,P=0.823).According to Burwell-Charnley radiological evaluation standard,15 patients obtained anatomical reduction,3 fair and 4 poor in digital technique group; while 12 patients obtained anatomical reduction,2 fair and 8 poor in conventional surgery group.There was no statistical difference in the fracture reduction results between the 2 groups(Z=-1.113,P=0.266).Conclusion:In the treatment of calcaneal fractures,ORIF assisted by digital orthopaedic technique leads to better fracture reduction results,less intraoperative X-ray exposure and shorter operative time,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
2015-09-06收稿 2015-10-29修回
更新日期/Last Update: 2015-12-30