3D打印在拇外翻矫形中的应用与展望  

Application and prospect of 3D printing in hallux valgus orthopedics

作　　者：冯浩 高超[1] 黄成校[1] 余化龙[1] Feng Hao;Gao Chao;Huang Chengxiao;Yu Hualong(Department of Hand and Foot Surgery,Sinopharm Dongfeng General Hospital,Hubei University of Medicine,Shiyan 442008,China)

机构地区：[1]湖北医药学院附属国药东风总医院手足外科,十堰442008

出　　处：《国际外科学杂志》2023年第11期766-769,共4页International Journal of Surgery

基　　金：2019年湖北省卫生健康科研基金(WJ2019F069)。

摘　　要：拇外翻是足踝外科常见的疾病之一,主要表现为足拇趾外翻、第一跖骨内收及第一跖趾关节脱位或半脱位,从而引起一系列的病理改变。其手术方式多达200余种,其中截骨手术只能凭经验进行,对于大多数医师是一个极大的挑战。通过3D打印技术生成的实物模型可以很直观地看到患者拇趾的具体形态,并可通过模型进行更好地术前规划,为拇外翻的手术方式及术中导板的设计提供更优的选择和方法。随着微创技术的快速发展,近年来拇外翻的治疗方案也有了较大改进。本文主要对拇外翻的诊治及3D打印的应用进展作一综述。Hallux valgus is one of the common diseases in foot and ankle surgery,mainly manifested as hallux toe valgus,first metatarsal adduction and first metatarsophalangeal joint dislocation or subluxation,resulting in a series of pathological changes.There are more than 200 surgical methods,and osteotomy can only be performed empirically,which is a great challenge for most doctors.The physical model generated by 3D printing technology can intuitively see the speifie shape of the patient's heel toes,and can make better preoperative planning through the model,which provides a better choice and method for the surgical method of hallux valgus and the design of intraoperative guide plate.With the rapid development of minimally invasive technology,the treatment of hallux valgus has also been greatly improved.This article mainly reviews the diagnosis and treatment of hallux valgus and the application progress of 3D printing.

关 键 词：拇外翻 外科手术 微创性 截骨术 治疗应用 3D打印 

分 类 号：R658.3[医药卫生—外科学]