3D打印金属假体在关节外科的临床应用  

Clinical application of three-dimensional printed metal prosthesis in joint surgery

作　　者：崔宇韬 李祖浩 万谦 王香港 李升扬 任震晓 王中汉 杨帆[1] 刘贺[1] 吴丹凯[1] CUI Yutao;LI Zuhao;WAN Qian;WANG Xianggang;LI Shengyang;REN Zhenxiao;WANG Zhonghan;YANG Fan;LIU He;WU Dankai(Orthopaedic Medical Center,the Second Hospital of Jilin University,Changchun Jilin,130041,P.R.China;Clinical Medical College of Jilin University,Changchun Jilin,130041,P.R.China)

机构地区：[1]吉林大学第二医院骨科医学中心,长春130041 [2]吉林大学临床医学院,长春130041

出　　处：《中国修复重建外科杂志》2019年第6期774-777,共4页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家自然科学基金资助项目(81171681、81772456、81671804)~~

摘　　要：目的总结3D打印金属假体在关节外科的应用进展。方法广泛查阅相关文献,总结3D打印金属假体治疗关节外科疾病的疗效,包括假体稳定性、术后并发症、骨长入等假体移植中的关键性问题。结果 3D打印金属假体具有良好的匹配度,可精确重建并恢复关节功能,节省手术时间,早中期随访患者满意度较高,在关节外科的应用取得了良好进展。结论 3D打印技术可制造任意形状的个性化微孔结构假体,很好地解决了传统假体存在的特殊患者关节匹配度较差的问题,在骨科领域有巨大应用潜力。Objective To summarize the application progress of three-dimensional(3 D) printed metal prosthesis in joint surgery. Methods The related literature was extensively reviewed. The effectiveness of 3 D printed metal prosthesis in treatment of joint surgery diseases were discussed and summarized, including the all key issues in prosthesis transplantation such as prosthesis stability, postoperative complications, bone ingrowth, etc. Results 3 D printed metal prosthesis has good matching degree, can accurately reconstruct and restore joint function, reduce operation time, and achieve high patient satisfaction in short-and medium-term follow-up. Its application in joint surgery has made good progress. Conclusion The personalized microporous structure prostheses of different shapes produced by 3 D printing can solve the problem of poor personalized matching of joints for special patients existing in traditional prostheses. Therefore, 3 D printing technology is full of hope and will bring great potential to the reform of orthopedic practice in the future.

关 键 词：3D打印 关节外科 假体设计 临床应用 

分 类 号：R687.4[医药卫生—骨科学] TP391.73[医药卫生—外科学]