骨折地图在膝关节创伤中的应用  

Application of fracture mapping in knee injuries

作　　者：诸葛英杰 罗从风[1] Zhuge Yingjie;Luo Congfeng(Department of Orthopaedic Surgery,Shanghai Sixth People's Hospital,Shanghai Jiao Tong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院创伤骨科,上海200233

出　　处：《中华创伤骨科杂志》2022年第6期548-552,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家自然科学基金面上项目(82172521)。

摘　　要：骨折地图又称为骨折线分布地图,一般通过三维重建技术绘制整体骨折线,进而用于骨折线分布的表征。骨折地图可以描述骨折线走形和趋势,统计骨折线角度、骨块面积、累及范围等形态信息,也可用于内固定策略的选择、分型的提出与验证、损伤机制的验证及标准骨折模型的建立等。目前,骨折地图已成为骨折研究及临床决策的有力辅助工具。本文通过回顾骨折地图的技术进展,深入探讨了其在膝关节创伤中的应用,特别是在胫骨平台骨折、股骨远端骨折、髌骨骨折等创伤领域的研究进展,归纳了各骨折模型中骨折地图的技术方法及临床相关应用,以期为膝关节创伤的研究和临床决策提供参考。Fracture mapping,also known as mapping of fracture lines,is a technique of drawing fracture lines based on 3D reconstruction of radiological images.Fracture mapping can be used to describe fracture morphology,calculate fracture line angle and fragment area,improve clinical practice,propose a new classification system,clarify a fracture mechanism,and establish a model of bone fracture.At present,fracture mapping has become a powerful tool for study of morphology and clinical decision in orthopaedics.Reviewing the development of fracture mapping techniques,this paper addresses their clinical application in knee injuries,tibial plateau fracture,distal femur fracture and patellar fracture in particular.In addition,considering the trend of fracture mapping techniques and the morphology-related studies at present,we offer suggestions concerning improvement of techniques and morphology studies in knee injuries.

关 键 词：膝关节 骨折地图 胫骨骨折 股骨骨折 髌骨骨折 

分 类 号：R684[医药卫生—骨科学]