3D打印与虚拟现实设计在胫骨平台骨折的应用  

Three dimensional printing and virtual reality assisted open reduction and internal fixation of tibial plateau fractures

作　　者：陈涯 许长鹏[2] 王法正 杨青坡 李路 颜飞华 杨洋[2] 孙鸿涛[2] 齐勇 CHEN Ya;XU Chang-peng;WANG Fa-zheng;YANG Qing-po;LI Lu;YAN Fei-hua;YANG Yang;SUN Hong-tao;QI Yong(The Second Clinical Medical College,Southern Medical University,Guangzhou 510317;Department of Joint Surgery,The Second Guangdong Provincial People's Hospital,Guangzhou 510317,China;Department of Sports Medicine,Kashgar People's Hospital,Kashgar 844000,China)

机构地区：[1]南方医科大学第二临床医学院,广州510317 [2]广东省第二人民医院关节外科,广州510317 [3]新疆喀什地区人民医院运动医学科,新疆844000

出　　处：《中国矫形外科杂志》2020年第14期1324-1327,共4页Orthopedic Journal of China

基　　金：新疆维吾尔自治区科技支疆项目计划(指令性)项目(编号:2018E02056);新疆维吾尔自治区自然科学基金资助项目(编号:2018D01C014);清远市科技计划项目(编号:2017A019);广州市科技计划项目(编号:201804010226);广东省自然科学基金项目(编号:2017A030313736)。

摘　　要：[目的]探讨应用3D打印联合Solidworks虚拟手术设计治疗胫骨平台骨折中的临床效果。[方法]采集膝关节CT扫描数据,建立3D 1∶1打印骨折模型,模拟骨折复位内固定。此外,数据经Solidworks 2017软件处理,建立虚拟现实模型,制定个体化的手术方案。[结果]2017年1月~2017年12月21例胫骨平台骨折患者分为两组,11例采用3D打印联合虚拟现实设计手术(辅助组),10例常规手术(常规组)。辅助组在手术时间、钢板一次性放置率、Rasmussen优良率及HSS临床功能评分方面优于常规组(P<0.05)。[结论]应用3D打印联合Solidworks虚拟手术设计可提高胫骨平台骨折治疗的临床效果。[Objective]To introduce the technique and primary clinical outcomes of 3D printing and virtual reality assisted open reduction and internal fixation(ORIF)of tibial plateau fractures.[Methods]The CT scanning data was used to create a 3D real model of the knee in ratio of 1:1 for simulation of ORIF.In addition,the data were also processed by Solidworks 2017 software to form a virtual reality model for preoperative design.[Results]A total of 21 patents underwent ORIF for tibial plateau fractures.Of them,11 patients had the 3D printing and virtual reality assisted ORIF(the assisted group),while the remaining 10 patients had ORIF without assistance(the conventional group).The assisted group proved significantly superior to the conventional group regarding to operation time,accuracy of plate placement on the first time,excellent and good rate in Rasmussen criteria and HSS score at the latest follow up(P<0.05).[Conclusions]The 3D printing and virtual reality assisted ORIF does improve clinical outcomes of tibial plateau fractures.

关 键 词：胫骨平台骨折 开放复位内固定 3D 打印 虚拟现实 

分 类 号：R683.42[医药卫生—骨科学]