改良Stoppa联合Kocher-Langenbeck 入路辅助3D打印技术治疗复杂髋臼骨折
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作者Author单位AddressE-Mail
徐琳 XU Lin 西安交通大学医学院附属3201医院, 陕西 汉中 723000 Department of Joint and Trauma Surgery, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, Shaanxi, China hzxulin000@163.com 
卫永鲲 WEI Yong-kun 西安交通大学医学院附属3201医院, 陕西 汉中 723000 Department of Joint and Trauma Surgery, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, Shaanxi, China  
欧阳振 OUYANG Zhen 西安交通大学医学院附属3201医院, 陕西 汉中 723000 Department of Joint and Trauma Surgery, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, Shaanxi, China  
尹伟 YIN Wei 西安交通大学医学院附属3201医院, 陕西 汉中 723000 Department of Joint and Trauma Surgery, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, Shaanxi, China  
期刊信息:《中国骨伤》2022年,第35卷,第11期,第1015-1019页
DOI:10.12200/j.issn.1003-0034.2022.11.002
基金项目:
中文摘要:

目的: 探讨通过改良Stoppa联合Kocher-Langenbeck (K-L)入路辅助3D打印技术治疗复杂髋臼骨折的临床疗效。

方法: 对2013年4月至2019年7月收治的70例复杂髋臼骨折患者手术方式进行回顾性分析。其中25例采用3D打印技术辅助手术(3D打印组),45例采用常规手术方式(常规手术组)。分别记录两组患者的手术时间、术中出血量、术中透视次数以及并发症、髋关节功能恢复情况等指标。

结果: 两组患者的手术时间、术中出血量、术中透视次数等各项指标比较,差异均有统计学意义(P<0.01)。患者均获随访,时间(15.8±3.5)个月,患者均获骨性愈合。两组术后Matta复位评价结果比较差异无统计学意义(P>0.05);两组术后6个月Harris评分比较差异无统计学意义(P>0.05)。

结论: 采用3D打印技术辅助,利用改良Stoppa联合K-L入路治疗复杂髋臼骨折,可以帮助临床医生术前制定合理手术方案,避免术中不必要的操作及创伤,缩短手术时间,减少术中出血量,提高围术期的安全性且更便于术中骨折精准复位,有利于患者恢复。
【关键词】髋臼  骨折  打印,三维  骨折固定术,内
 
Treatment of complex acetabular fractures with improved Stoppa combined with Kocher-Langenbeck approach assisted by 3D printing technology
ABSTRACT  

Objective: To explore the clinical effect of the modified Stoppa combined with Kocher-Langenbeck(K-L) approach and 3D printing technology in the treatment of complex acetabular fractures.

Methods: The surgical methods of 70 patients with complex acetabular fractures admitted from April 2013 to July 2019 were retrospectively analyzed. Among them,25 cases were operated with 3D printing technology(3D printing group) and 45 cases were operated with conventional operation(conventional operation group). The operation time,intraoperative blood loss,intraoperative fluoroscopy times,complications and functional recovery of the hip joint of two groups were recorded.

Results: There were statistically significant differences between two groups in terms of operation time,intraoperative bleeding volume and intraoperative fluoroscopy times(P<0.01). All patients were followed up for (15.8±3.5) months,and all patients achieved bony healing. There was no significant difference in the results of Matta reduction between two groups(P>0.05). There was no significant difference in Harris score at 6 months after operation between two groups(P>0.05).

Conclusion: With the aid of 3D printing technology,the improved Stoppa combined with K-L approach is used to treat complex acetabular fractures. It has certain advantages in helping clinicians to formulate a reasonable operation plan before operation,avoid unnecessary operation and trauma during operation,shorten the operation time and reduce the amount of bleeding during operation. It can improve the safety during the perioperative period,facilitate the accurate reduction of fractures during operation and facilitate the recovery of patients.
KEY WORDS  Acetabulum  Fractures  Printing,Three-Dimensional  Fracture fixation,internal
 
引用本文,请按以下格式著录参考文献:
中文格式:徐琳,卫永鲲,欧阳振,尹伟.改良Stoppa联合Kocher-Langenbeck 入路辅助3D打印技术治疗复杂髋臼骨折[J].中国骨伤,2022,35(11):1015~1019
英文格式:XU Lin,WEI Yong-kun,OUYANG Zhen,YIN Wei.Treatment of complex acetabular fractures with improved Stoppa combined with Kocher-Langenbeck approach assisted by 3D printing technology[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(11):1015~1019
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