中国中医骨伤科杂志2024，Vol.32Issue(2) ：32-37.DOI:10.20085/j.cnki.issn1005-0205.240206

三维打印截骨导板对膝关节置换平衡功能的影响

The Efficacy of Three-Dimensional Printed Personalized Osteotomy Guide Technology on the Balance Function of Total Knee Arthroplasty

凯沙尔·百合提亚尔 陈殿卿 张磊 努尔买买提·艾尼瓦尔 杨德勇 舒莉
中国中医骨伤科杂志2024，Vol.32Issue(2) ：32-37.DOI:10.20085/j.cnki.issn1005-0205.240206
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  • 维普
  • 万方数据

三维打印截骨导板对膝关节置换平衡功能的影响

The Efficacy of Three-Dimensional Printed Personalized Osteotomy Guide Technology on the Balance Function of Total Knee Arthroplasty

凯沙尔·百合提亚尔 1陈殿卿 2张磊 3努尔买买提·艾尼瓦尔 1杨德勇 1舒莉1
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作者信息

  • 1. 新疆医科大学第六附属医院(乌鲁木齐,830002)
  • 2. 武警河北总队医院
  • 3. 武警兵团总队医院
  • 折叠

摘要

目的:比较三维(3D)打印截骨导板技术与传统全膝关节置换术后下肢本体感觉及平衡功能的差异.方法:50例因重度骨关节炎拟行初次单侧全膝关节置换的患者,用随机数字法分为3D打印截骨导板组和传统手术组,每组各25例.术前两组患者年龄、性别、体重指数、畸形程度差异均无统计学意义(P＞0.05).比较两组患者术后冠状面髋-膝-踝角(HKA)偏差值、冠状面股骨假体组件角偏差值、冠状面胫骨假体组件角偏差值、股骨后髁角(PCA)、髌骨横轴-股骨通髁线角(PFA);比较两组术后3个月美国膝关节协会评分(KSS)临床评分、KSS功能评分、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数评分和膝关节活动度;用P-K252平衡仪评估患者本体感觉及平衡能力差异.结果:两组病例均未出现严重并发症.3D打印截骨导板组冠状面股骨假体偏差值、股骨后髁角及PFA小于传统手术组,差异有统计学意义(P＜0.05);3D打印截骨导板组KSS功能评分优于传统手术组,差异有统计学意义(P＜0.05);3D打印截骨导板组运动轨迹面积、运动轨迹周长小于传统手术组,差异有统计学意义(P＜0.05);Berg Balance Scale(BBS)评分大于传统手术组,差异有统计学意义(P＜0.05).两组患者髋-膝-踝角偏差值、冠状面胫骨假体偏差值差异无统计学意义(P＞0.05);两组患者KSS临床评分、WOMAC评分、膝关节活动度和平均摆动数值差异无统计学意义(P＞0.05).结论:全膝关节置换术应用3D打印截骨导板能够获得更好的下肢稳定性.

Abstract

Objective:To evaluate the proprioception and balance function of total knee arthroplasty between 3D printing personalized osteotomy guide technology and conventional instrumentation.Methods:50 patients with primary unilateral total knee arthroplasty were randomly divided into 3D printing personalized osteotomy guide technology group and conven-tional instrumentation group,25 patients in each group.There was no statistically significant difference in age,gender,body mass index,and degree of deformity between the two groups preoperative.The hip-knee-ankle angle(HKA),coronal femoral component component angle deviation,coronal tibial component component angle deviation,posterior femoral condyle(PCA)and transverse axis of patella to femoral con-dyle line angle(PFA)were compared between the two groups.The knee society scores(KSS)clinical score,KSS functional score,Western Ontario and McMaster Universities(WOMAC)score,and knee joint range of motion were com-pared between the two groups at 3 months after surgery.P-K252 balancing apparatus was used to evaluate the difference in proprioception and stability of patients.Results:There were no serious complications in both groups.The coronal femo-ral prosthesis deviation,PCA and PFA in the 3D printed osteotomy guide group were less than those in conventional instrumentation group(P＜0.05).The KSS functional score of the 3D printed osteotomy guide plate group was better than conventional instrumentation group(P＜0.05).The motion track area and motion track perimeter of the 3D printed osteotomy guide plate group were smaller than conventional instrumentation group(P＜0.05),and the Berg Balance Scale(BBS)score was higher than that of conventional instrumentation group(P＜0.05).There were no significant difference in HKA deviation and coronal plane tibial prosthesis deviation between the two groups(P＜0.05).There were no signifi-cant differences in KSS clinical score,WOMAC score,knee joint range of motion and average swing value and knee motion between the two groups(P＞0.05).Conclusion:The application of 3D printed personalized osteotomy guide plate in total knee replacement can achieve better lower limb stability in this study.

关键词

全膝关节置换术/三维打印/截骨导板/传统方法/本体感觉/平衡能力

Key words

total knee arthroplasty/three-dimensional print/personalized osteotomy guide/conventional instrumentation/proprioception/balance function

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基金项目

新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY-202024)

出版年

2024
中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子：0.732
ISSN：1005-0205
参考文献量23
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