3D导板联合混合现实在后交叉韧带重建隧道定位中的应用  

Application of 3D printing guide plate combined with mixed reality technique in posterior cruciate ligament reconstruction of tibial tunnel location

作　　者：谢旭华[1] 范顺云 李靖龙 罗浩天 张俊 王锋 XIE Xuhua;FAN Shunwu;LI Jinglong;LUO Haotian;ZHANG Jun;WANG Feng(Orthopedics Department,The First People's Hospital of Yunnan Province/Yunnan Provincial Clinical Medical Research Center of Orthopedics and Exercise Rehabilitation/Yunnan Provincial Key Laboratory of Digital Orthopedics/Yunnan Province LV Weijia Expert Workstation/Yunnan Provincial Digital Orthopedics Innovation Team,Kunming Yunnan 650000,China;Orthopedics Department,The People's Hospital of Lincang City,Lincang,Yunnan 650000,China;The First People's Hospital of Yunnan Province/Medical School of Kunming University of Science and Technology,Kunming Yunnan 650000,China)

机构地区：[1]云南省第一人民医院骨科/云南省骨科与运动康复临床医学研究中心/云南省数字骨科重点实验室/云南省吕维加专家工作站/云南省数字骨科创新团队,云南昆明650000 [2]云南省临沧市人民医院骨科,云南临沧677000 [3]云南省第一人医院/昆明理工大学医学院,云南昆明650000

出　　处：《云南医药》2023年第3期8-12,共5页Medicine and Pharmacy of Yunnan

基　　金：云南省骨科与运动康复临床医学研究中心课题项目(2022YJZX-GK10)。

摘　　要：目的通过在后交叉韧带重建胫骨隧道定位中应用3D打印导板联合混合现实技术,能准确按术前设计定位骨道制备。方法通过5例患者术前建模,设计骨道,打印3D导板,术中运用混合现实技术制备骨道情况,术后通过复查的影像资料测量验证制备骨道与术前设计的差异。结果通过术后对制备骨道的影像测量,观察到通过该技术制备的骨道能够精准还原术前设计,准确性高。结论通过3D打印导板联合混合现实技术在后交叉韧带重建胫骨隧道定位中初步应用研究,验证了该技术的可行性和准确性,为后期进一步与传统技术的优劣对比研究,优化设计流程,制备简便、易用、准确的3D导板提供了支持。Objective Through the application of 3D printing guide plate combined with mixed reality technology in the positioning of tibial tunnel reconstruction of posterior cruciate ligament,the bone canal preparation can be accurately positioned according to the preoperative design.Methods Five patients underwent preoperative modeling,bone tunnel design,and 3D guide plate printing.During the operation,mixed reality technology was used to observe the location and preparation of bone tunnel in real time,and the difference between the preparation of bone tunnel and the preoperative design was verified by the image data of postoperative review.Results Through the postoperative image measurement of the prepared bone tunnel,it was observed that the bone tunnel prepared by this technology could accurately restored the preoperative design with high accuracy.Conclusions Through the preliminary application study of 3D printing guide combined with mixed reality technology in the positioning of tibial tunnel reconstructed from the posterior cruciate ligament,the feasibility and accuracy of this technology are verified,which provides support for further comparative study with the advantages and disadvantages of traditional technology,optimization of design process,and preparation of simple,easy-to-use and accurate 3D guide plate.

关 键 词：膝关节 后交叉韧带 3D打印导板 混合现实技术 关节镜 

分 类 号：R687.4[医药卫生—骨科学]