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[1]戴喜安,梁衛(wèi)東,曾志奎,等.3D打印技術(shù)輔助下切開復(fù)位跟骨鎖定鋼板內(nèi)固定治療劈裂型肱骨大結(jié)節(jié)骨折[J].中醫(yī)正骨,2022,34(06):69-72.
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3D打印技術(shù)輔助下切開復(fù)位跟骨鎖定鋼板內(nèi)固定治療劈裂型肱骨大結(jié)節(jié)骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年06期
頁(yè)碼:
69-72
欄目:
臨床報(bào)道
出版日期:
2022-06-20

文章信息/Info

作者:
戴喜安1梁衛(wèi)東2曾志奎2梁超軼3
(1.永新縣人民醫(yī)院,江西 永新 343400; 2.江西中醫(yī)藥大學(xué)附屬醫(yī)院,江西 南昌 330006; 3.江西中醫(yī)藥大學(xué)臨床醫(yī)學(xué)院,江西 南昌 330004)
關(guān)鍵詞:
肱骨骨折 肩骨折 骨折固定術(shù)內(nèi) 三維打印
摘要:
目的:探討3D打印技術(shù)輔助下切開復(fù)位跟骨鎖定鋼板內(nèi)固定治療劈裂型肱骨大結(jié)節(jié)骨折的臨床療效和安全性。方法:2016年4月至2020年6月,采用3D打印技術(shù)輔助下切開復(fù)位跟骨鎖定鋼板內(nèi)固定治療肱骨大結(jié)節(jié)骨折患者12例。男7例,女5例; 年齡29~77歲,中位數(shù)56歲; 左側(cè)5例,右側(cè)7例。骨折Mutch分型均為Ⅱ型,即劈裂型。合并肩關(guān)節(jié)脫位6例,合并肩關(guān)節(jié)脫位和臂叢神經(jīng)損傷1例,合并肩袖損傷4例。受傷至手術(shù)時(shí)間3~6 d,中位數(shù)4 d。術(shù)前根據(jù)CT三維重建圖像打印患側(cè)肱骨近端骨折復(fù)位前和模擬復(fù)位后的3D模型,并參照模擬復(fù)位后的3D打印模型預(yù)彎、修剪跟骨鎖定鋼板用于骨折的固定。觀察骨折愈合、肩關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:本組12例患者均獲隨訪,隨訪時(shí)間12~26個(gè)月,中位數(shù)20個(gè)月。骨折均愈合,愈合時(shí)間8~13周,中位數(shù)10周。末次隨訪時(shí)Constant-Murley肩關(guān)節(jié)評(píng)分74~97分,中位數(shù)93分。評(píng)分最低的1例為合并肩關(guān)節(jié)脫位和臂叢神經(jīng)損傷的患者。均無(wú)骨折再次移位、感染、肩峰下撞擊征、內(nèi)固定物松動(dòng)等并發(fā)癥發(fā)生。結(jié)論:3D打印技術(shù)輔助下切開復(fù)位跟骨鎖定鋼板內(nèi)固定治療劈裂型肱骨大結(jié)節(jié)骨折,骨折愈合好,有利于肩關(guān)節(jié)功能恢復(fù),且并發(fā)癥少。

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備注/Memo:
通訊作者:曾志奎 E-mail:[email protected]
更新日期/Last Update: 1900-01-01