定制钢板治疗胫骨平台骨折的初期疗效探讨  

Initial efficacy of custom plates in the treatment of platform fracture

作　　者：刘瑞平[1] 黄勇[1] 孙荣彬[1] 张辉[1] 徐南伟[1] 

机构地区：[1]南京医科大学附属常州第二人民医院创伤骨科,江苏常州213003

出　　处：《实用临床医药杂志》2012年第19期129-131,共3页Journal of Clinical Medicine in Practice

基　　金：南京医科大学科技发展基金;编号06NMUZ045

摘　　要：目的探讨定制钢板治疗胫骨平台骨折的方法和初期疗效。方法 2011年3月～2011年12月,7例胫骨平台骨折患者采用定制钢板治疗。根据骨折的AO分型,B3型2例,C1型2例,C2型2例,C3型1例。入院后行骨折部位三维CT扫描(层厚0.7 mm),数据通过Mimics 10.01软件分析,再经过计算机辅助设计(CAD)制作个性化钢板,局部消肿后行有限切开定制钢板内固定术。结果随访时间8～14个月,平均12.3个月。骨折愈合时间12～35周,平均12.8周。无骨不愈合病例。膝关节应用Neer关节功能评分标准评分,优5例,良1例,中1例,差0例。优良率达85.7%。结论定制钢板结合微创技术治疗胫骨平台骨折具有良好的疗效。Objective To explore the making and initial effects of custom plates in the treatment of platform fractures. Methods From March to December 2011, 7 patients with platform fractures were treated with custom plates. According to AO fracture classification, 2 cases were of type B3, 2 cases were of type C1 and C2, and 1 case was of type C3. After CT scanning （0.7mm per slice）, three - dimensional reconstruction and operation mimesis were conducted with Mimics 10.01. The plates and screws were designed and made by the means of computer - assisted design （CAD）. The plates contoured perfectly to the reduced fracture area and mimicked for virtual inter- nal fixation. Techniques of minimally invasive plate osteosynthesis （MIPO） were used for the treat- ment of 7 cases during operation. Results The average follow-up duration was 12.3 months, rang- ing from 8 to 14 months. The average time of fracture healing was 12.8 weeks, ranging from 12 to 35 weeks. No ununion was found during the folio-up. According to scoring system based on the oc- currence of fracture site, the results were evaluated as excellent in 5 cases, good in 1 case, fair in 1 case and poor in 0 case. The rate of excellent and good was 85.7 %. Conclusion Virtual intro- op- eration internal fixation could be mimicked vividly. The satisfied curative effects could be achieved with custom plates and MIPO techniques for platform fractures.

关 键 词：计算机辅助设计 定制钢板 内固定 胫骨平台骨折 

分 类 号：R683.42[医药卫生—骨科学]