首页|3D打印技术辅助关节镜微创内固定手术治疗胫骨平台骨折患者的效果

3D打印技术辅助关节镜微创内固定手术治疗胫骨平台骨折患者的效果

扫码查看
目的:观察 3D打印技术辅助关节镜微创内固定手术治疗胫骨平台骨折患者的效果.方法:选取 2021 年 12 月至 2022 年12 月瑞昌市中医医院收治的 60 例胫骨平台骨折患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各 30 例.对照组采用关节镜下微创内固定手术治疗,研究组采用 3D打印技术辅助的关节镜下微创内固定手术治疗.比较两组术中出血量、手术时间、骨折愈合时间、术后膝关节功能[美国特种外科医院膝关节功能量表(HSS)]评分、术后日常生活活动能力[Barthel指数(BI)]评分、近期疗效及并发症发生率.结果:研究组术中出血量少于对照组,手术时间、骨折愈合时间均短于对照组,术后 3 个月时的HSS、BI评分均高于对照组,差异有统计学意义(P<0.05);研究组治疗优良率为96.67%(29/30),高于对照组的73.33%(22/30),差异有统计学意义(P<0.05);研究组并发症发生率为 6.67%(2/30),低于对照组的 26.67%(8/30),差异有统计学意义(P<0.05).结论:3D打印技术辅助关节镜下微创内固定手术治疗胫骨平台骨折患者可提高治疗优良率,缩短手术时间,减少术中出血量,加快术后骨折愈合,提高膝关节功能和日常生活活动能力,效果优于单纯关节镜下微创内固定手术治疗.
Effects of 3D printing technology-assisted arthroscopic minimally invasive internal fixation in treatment of patients with tibial plateau fractures
Objective:To observe effects of 3D printing technology-assisted arthroscopic minimally invasive internal fixation in treatment of patients with tibial plateau fractures.Methods:A prospective study was conducted on 60 patients with tibial plateau fractures admitted to Ruichang Hospital of Traditional Chinese Medicine from December 2021 to December 2022.According to the random number table method,they were divided into study group and control group,30 cases in each group.The control group was treated with arthroscopic minimally invasive internal fixation,while the study group was treated with 3D printing technology-assisted arthroscopic minimally invasive internal fixation.The intraoperative blood loss,the operation time,the fracture healing time,the postoperative knee function[hospital for special surgery knee function scale(HSS)]score,the postoperative activities of daily living[Barthel index(BI)]score,the short-term efficacy,and the incidence of complications were compared between the two groups.Results:The intraoperative blood loss in the study group was less than that in the control group,the operation time and the fracture healing time were shorter than those in the control group,the HSS and BI scores 3 months after the surgery were higher than those in the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of treatment in the study group was 96.67%(29/30),which was higher than 73.33%(22/30)in the control group,the difference was statistically significant(P<0.05).Further,the incidence of complications in the study group was 6.67%(2/30),which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).Conclusions:3D printing technology-assisted arthroscopic minimally invasive internal fixation for the patients with tibial plateau fractures can improve the excellent and good rate of treatment,shorten the operation time,reduce the intraoperative blood loss,accelerate the postoperative fracture healing,and improve the knee function and the activities of daily living.Moreover,it is superior to simple arthroscopic minimally invasive internal fixation.

Tibial plateau fracture3D printingArthroscopyKnee functionMinimally invasive surgery

黄少华、袁小平、李昌杰

展开 >

瑞昌市中医医院外二科,江西 九江 332000

共青城市人民医院外科,江西 九江 332000

九江市中医医院骨伤二科,江西 九江 332000

胫骨平台骨折 3D打印 关节镜 膝关节功能 微创手术

江西省卫生健康委科技项目

SKJP220210370

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
  • 11