| Mimics辅助虚拟复位个体化辅助股骨近端防旋髓内钉固定治疗外侧壁不稳定型股骨转子间骨折 |
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Received:July 12, 2019
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| 作者 | Author | 单位 | Unit | E-Mail |
| 管国平 |
GUAN Guo-ping |
南京医科大学附属江宁医院骨二科, 江苏 南京 211100 |
The Second Department of Orthopaedics, Jiangning Affiliated Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu, China |
guanguoping2003@163.com |
| 蒋旭 |
JIANG Xu |
南京医科大学附属江宁医院骨二科, 江苏 南京 211100 |
The Second Department of Orthopaedics, Jiangning Affiliated Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu, China |
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| 易进 |
YI Jin |
南京医科大学附属江宁医院骨二科, 江苏 南京 211100 |
The Second Department of Orthopaedics, Jiangning Affiliated Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu, China |
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| 王超 |
WANG Chao |
南京医科大学附属江宁医院骨二科, 江苏 南京 211100 |
The Second Department of Orthopaedics, Jiangning Affiliated Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu, China |
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| 期刊信息：《中国骨伤》2020年33卷，第4期，第302-305页 |
| DOI：10.12200/j.issn.1003-0034.2020.04.003 |
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目的：探讨Mimics辅助虚拟复位个体化辅助股骨近端防旋髓内钉（proximal femoral nail anti-rotation，PFNA）内固定治疗外侧壁不稳定型股骨转子间骨折的疗效。
方法：回顾分析2015年1月至2018年6月收治的不稳定性外侧壁损伤的股骨转子间骨折11例患者资料，男3例，女8例，年龄64~81岁。骨折AO分型，A3.1型3例，A3.2型6例，A3.3型2例。所有患者作CT扫描，根据CT扫描数据，采用Mimics重建三维重建骨折，先进行虚拟复位，复位满意后，模拟置入PFNA。根据外侧壁骨折特征与拉力螺钉尾在外侧壁的位置关系，采用PFNA+钛缆或钢丝4例，PFNA+重建锁定钢板7例。通过术后随访评估骨折复位质量及愈合情况，最后一次复查行髋关节Harris评分。
结果：所有患者获得随访，时间12~18个月。骨折均获得良好复位，无术后切口感染、内固定松动发生。骨折愈合时间12~20周。末次随访时髋关节Harris评分结果，优6例，良3，可2例。
结论：采用Mimics辅助虚拟复位个体化辅助PFNA固定治疗股骨转子间骨折，有助于术前计划，能提高手术疗效。 |
| [关键词]:股骨骨折 髋骨折 骨折固定术,髓内 Mimics软件 |
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| Virtual reduction and personalized additional fixation by Mimics software in treatment of unstable external wall type intertrochanteric fracture with proximal femoral nail antirotation |
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Abstract:
Objective: To explore the effect of Mimics assisted virtual reduction and personalized additional fixation with proximal femoral nail anti-rotation in the treatment of unstable intertrochanteric fracture of lateral wall.
Methods: From January 2015 to June 2018,11 cases of intertrochanteric fracture with unstable lateral wall injury were analyzed retrospectively,including 3 males and 8 females,aged 64 to 81 years old. There were 3 cases of A3.1,6 cases of A3.2 and 2 cases of A3.3 according to AO classification. All patients underwent CT scanning,according to the CT scanning data,three-dimensional reconstruction of fracture was performed by Mimics soft. Virtual reduction was performed first,and PFNA was implanted after satisfactory reduction. According to the relationship between the fracture characteristics of the lateral wall and the position of the lag screw tail in the lateral wall,4 cases were treated with PFNA and titanium cable or steel wire,and 7 cases were treated with PFNA and reconstruction locking plate. The quality of reduction and healing were evaluated by follow-up,and Harris score of hip joint was performed in the last reexamination.
Results: All patients were followed up for 12 to 18 months. No postoperative infection of incision and loosening of internal fixation occurred. The time of fracture healing was 12 to 20 weeks. At the final follow-up,Harris score of hip joint was excellent in 6 cases,good in 3 cases and fair in 2 cases.
Conclusion: The treatment of intertrochanteric fracture of femur with Mimics assisted virtual reduction and PFNA is helpful to preoperative planning and improve the surgical effect. |
| KEYWORDS:Femoral fractures Hip frcatures Fracture fixation,intramedullary Mimics soft |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 管国平,蒋旭,易进,王超.Mimics辅助虚拟复位个体化辅助股骨近端防旋髓内钉固定治疗外侧壁不稳定型股骨转子间骨折[J].中国骨伤,2020,33(4):302~305 |
| 英文格式: | GUAN Guo-ping,JIANG Xu,YI Jin,WANG Chao.Virtual reduction and personalized additional fixation by Mimics software in treatment of unstable external wall type intertrochanteric fracture with proximal femoral nail antirotation[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(4):302~305 |
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