3D打印技术在桡骨远端骨折手术治疗中的应用  

作　　者：吴军 包秀芬 楼溢桯 

机构地区：[1]杭州市临安区第一人民医院

出　　处：《浙江临床医学》2025年第3期367-369,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市卫生科技计划项目(B20200601)。

摘　　要：目的探讨3D打印技术在桡骨远端骨折手术治疗中的应用效果。方法选择2022年8月至2023年10月桡骨远端骨折患者40例,随机分为观察组与对照组,各20例。对照组采用传统切开复位内固定手术,观察组采用3D打印技术+传统切开复位内固定手术。比较两组腕关节活动度、影像学参数及并发症。结果观察组围术期各指标优于对照组,差异有统计学意义(P<0.05);术前及术后3个月,两组腕关节功能优良率比较差异无统计学意义(P>0.05);术后3个月,两组腕关节各活动度比较差异无统计学意义(P>0.05);术前及术后3个月,两组掌倾角、桡骨高度、尺偏角比较差异无统计学意义(P>0.05);两组随访期间均无骨折不愈合、感染、神经血管损伤等并发症。结论相比传统切开复位内固定手术,3D打印技术用于切开复位内固定手术可有效缩短患者手术时间、骨折愈合时间,创伤小,值得临床推广。Objective To explore the application effect of 3D printing technology in the surgical treatment of radial fractures.Methods A total of 40 patients with radial fractures from August 2022 to October 2023 were selected and randomly divided into an observation group and a control group,with 20 cases in each group.The control group underwent traditional open reduction and internal fixation(ORIF)surgery,while the observation group underwent 3D printing technology combined with traditional ORIF surgery.Wrist joint mobility,imaging parameters,and complications were compared between the two groups.Results The perioperative indicators in the observation group were superior to those in the control group,with statistically significant differences(P<0.05).There were no significant differences in the excellent and good rates of wrist joint function between the two groups before surgery and at 3 months postoperatively(P>0.05).At 3 months postoperatively,there were no significant differences in wrist joint mobility between the two groups(P>0.05).Additionally,there were no significant differences in volar tilt,radial height,and ulnar deviation angle between the two groups before surgery and at 3 months postoperatively(P>0.05).No complications such as nonunion,infection,or neurovascular injury were observed in either group during the follow-up period.Conclusion Compared to traditional ORIF surgery,the application of 3D printing technology in ORIF surgery can effectively reduce operative time and fracture healing time,with minimal trauma.It is worthy of clinical promotion.

关 键 词：3D打印技术 桡骨骨折 围术期指标 关节功能 

分 类 号：R687.3[医药卫生—骨科学]