3D打印儿童脑瘫下肢矫形器专家共识  

Expert consensus recommendations for 3D-printed orthotics of lower limb for cerebral palsy in children

作　　者：郑朋飞[1] 王金武[2] ZHENG peng-fei;WANG Jin-wu(Department of Orthopedics,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Department of Orthopedics,Ninth People's Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200011,China)

机构地区：[1]南京医科大学附属儿童医院骨科,江苏南京210008 [2]上海交通大学医学院附属第九人民医院骨科,上海200011

出　　处：《中国矫形外科杂志》2023年第9期774-780,共7页Orthopedic Journal of China

基　　金：江苏省重点研发计划(社会发展)项目(编号:BE2019608);国家重点研发计划重点专项(编号:2020YFB1711505);上海市科委项目(编号:19441917500,19441908700)。

摘　　要：随着新生儿重症救治技术的发展,更多低胎龄、低体重及危重婴儿得以存活,脑瘫发病率有上升趋势。大量研究证明,下肢矫形器的佩戴对提高脑瘫患儿运动功能和改善姿势方面有非常重要的作用,能够限制踝关节跖屈、膝关节反张、膝关节屈曲,进一步提高行走速度并增加步行稳定性,达到改善步态的目的。而3D打印则是实现个性化定制的工艺,并可以结合计算机辅助设计、力学仿真等现代矫形技术赋予其更优性能。本文由19位骨科和康复专家针对3D打印儿童下肢矫形器进行讨论,形成共识,涉及3D打印儿童脑瘫下肢矫形器的定义、分类、适应证、设计、制备,以及使用全周期的临床监管。With the development of neonatal intensive care techniques,more and more infants with low gestational age,low body weight and in critical condition do survive,whereas which maybe also lead upgrading incidence of cerebral palsy(CP).A large number of studies have proved that the wearing of lower limb orthotics plays a very important role in improving the motor function and posture of CP children.It can be used to limit ankle plantar flexion,knee recurvature and knee flexion,further improve walking speed and increase walking stability,and achieve the purpose of improving gait.The 3D printing is a personalized and customized process,and can be combined with computeraided design,mechanical simulation and other modern corrective techniques to give the orthotics better performance.In this article,19 experts in orthopaedics,rehabilitation and related fields discussed on the issue of 3D printed orthoses for lower extremity of the CP children and formed a consensus,involving definition,classification,design,manufacture and apply indication of 3D orthoses,as well as clinical supervision of whole application cycle.

关 键 词：儿童 脑瘫 下肢 矫形器 3D打印 

分 类 号：R687[医药卫生—骨科学]