[1]蔡薇,张翔,郭锋,等.三维打印夹板治疗科雷氏骨折的临床观察[J].中国中医骨伤科杂志,2025,33(08):56-60.[doi:10.20085/j.cnki.issn1005-0205.250810]
　CAI Wei,ZHANG Xiang,GUO Feng,et al.Clinical Observation of 3D Printed Splint in the Treatment of Colles Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(08):56-60.[doi:10.20085/j.cnki.issn1005-0205.250810]
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三维打印夹板治疗科雷氏骨折的临床观察()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年08期
页码:
56-60
栏目:
临床研究
出版日期:
2025-08-15

文章信息/Info

Title:
Clinical Observation of 3D Printed Splint in the Treatment of Colles Fracture
文章编号:
1005-0205(2025)08-0056-05
作者:
蔡薇1; 张翔1; 郭锋1; 廖锡锵1; 冯锡文1
1广州中医药大学顺德医院(佛山市顺德区中医院)(广东 佛山,528300)
Author(s):
CAI Wei1; ZHANG Xiang1; GUO Feng1; LIAO Xiqiang1; FENG Xiwen1
1Shunde Hospital of Guangzhou University of Chinese Medicine(Foshan Shunde District Hospital of Traditional Chinese Medicine),Foshan 528300,Guangdong China.
关键词:
3D打印夹板;  桡骨远端骨折;  临床疗效
Keywords:
3D printing splint technology;  Colles fracture;  clinical efficacy
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.250810
文献标志码:
A
摘要:
目的:探讨三维(SD)打印夹板在科雷氏(Colles)骨折患者治疗中的临床效果。方法:选择2022年12月至2024年5月因外伤致Colles骨折且自愿保守治疗的60例患者纳入本研究,随机分为传统夹板组和3D打印夹板组(各30例)。所有患者接受标准的三柱牵引复位治疗后,传统夹板组采用杉树皮夹板固定,3D打印夹板组采用3D打印的个体化定制夹板固定。比较两组患肢肿胀程度、腕关节Gartland-Wreley评分、上肢功能障碍DASH评分、骨折临床愈合后影像学检查结果(掌倾角、尺偏角及桡骨高度)和临床治疗效果。结果:3D打印夹板组在治疗后4周和8周的患肢肿胀评分、腕关节功能Gartland-Wreley评分和上肢功能障碍DASH评分均低于传统夹板组,差异有统计学意义(P<0.05); 骨折临床愈合后,3D打印夹板组掌倾角、尺偏角及桡骨高度均优于传统夹板组,差异有统计学意义(P<0.05); 所有患者各项治疗指标随时间逐步改善,但两组最终临床治疗效果比较差异无统计学意义(P>0.05),其中3D打印夹板组的治疗有效率为100%,传统夹板组为90%。结论:3D打印夹板固定治疗Colles骨折,可改善患肢肿胀程度、腕关节功能和上肢功能恢复,提高愈合期内的生活质量,使骨折愈合更加精准,提供了一种个体化和精准化的治疗方案。
Abstract:
Objective:To investigate the clinical efficacy of 3D printing splint in the treatment of Colles fracture.Methods:From December 2022 to May 2024,60 patients with Colles fracture caused by trauma and voluntary conservative treatment were enrolled in this study.They were randomly divided into traditional splint group(n=30)and 3D printed splint group(n=30).All patients received standard three-column traction reduction treatment.The traditional splint group was fixed with fir tree splint,and the 3D printed splint group was fixed with 3D printed customized splint.The degree of limb swelling,wrist joint Gartland-Wreley score(GW score),Disability of the Arm,Shoulder,and Hand(DASH)score,imaging results(palmar inclination angle,ulnar deviation angle,and radial height)after fracture healing and clinical treatment effects were compared between the two groups.Results:The swelling score of the affected limb,GW score of wrist function and DASH score of upper limb in the 3D printed splint group were lower than those in the traditional splint group at 4 and 8 weeks after treatment(P<0.05).After fracture healing,the palmar inclination angle,ulnar deviation angle,and radial height of the 3D printed splint group were better than those of the traditional splint group(P<0.05).The treatment indicators of all patients gradually improved with time,but there was no significant difference in the final clinical treatment effect between the two groups(P>0.05).The effective rate of the 3D printing splint group was 100%,and that of the traditional splint group was 90%.Conclusion:3D printing splint fixation for Colles fracture can effectively improve the swelling degree of the affected limb,the recovery of wrist joint function and upper limb function,improve the quality of life during the healing period,make fracture healing more accurate,and provide an individualized and precise treatment plan.

参考文献/References:

[1] 刘庆梁,高斌礼.桡骨远端骨折的治疗进展[J].骨科,2019,10(4):363-366.
[2] MACINTYRE N J,DEWAN N.Epidemiology of distal radius fractures and factors predicting risk and prognosis[J].J Hand Ther,2016,29(2):136-145.
[3] 严才平,蒋电明.桡骨远端骨折治疗方式的选择与挑战[J].中国骨伤,2024,37(10):941-946.
[4] SHEN O,CHEN C T,JUPITER J B,et al.Functional outcomes and complications after treatment of distal radius fracture in patients sixty years and over:a systematic review and network meta-analysis[J].Injury,2023,54(7):110767.
[5] BARBUR I,OPRIS H,CRISAN B,et al.Statistical comparison of the mechanical properties of 3D-printed resin through triple-jetting technology and conventional PMMA in orthodontic occlusal splint manufacturing[J].Biomedicines,2023,11(8):2155.
[6] HARICHANE Y.3D printing of thermoflexible therapeutic splints:treating bruxism more comfortably[J].Compend Contin Educ Dent,2023,44(9):518-521.
[7] 中国中医药学会骨伤科学会,佛山市中医院.中医骨伤科病证诊断疗效标准[S].北京:国家中医药管理局,1994:55.
[8] YE J J,QIAN W,CHEN N G,et al.The clinical efficacy of Zuqing Xu “Wuduling” powder for snake injury on the swelling of the affected limb bitten by Agkistrodon halys[J].Biotechnol Genet Eng Rev,2024,40(2):943-960.
[9] MA H,RUAN B,LI J,et al.Topology-optimized splints vs casts for distal radius fractures:a randomized clinical trial[J].JAMA Netw Open,2024,7(2):e2354359.
[10] SILVA E R,MAFFULLI N,MIGLIORINI F,et al.Function,strength,and muscle activation of the shoulder complex in CrossFit practitioners with and without pain:a cross-sectional observational study[J].J Orthop Surg Res,2022,17(1):24.
[11] RIKLI D A,REGAZZONI P.Fractures of the distal end of the radius treated by internal fixation and early function:a preliminary report of 20 cases[J].J Bone Joint Surg Br,1996,78(4):588-592.
[12] 姜自伟,高怡加,罗伟东,等.黄枫教授手法复位夹板固定治疗不稳定型桡骨远端骨折的经验[J].广州中医药大学学报,2012,29(5):590-592.
[13] MCIVER N D,SALAS C,MENON N,et al.Appropriately matched fixed-angle locking plates improve stability in volar distal radius fixation[J].J Hand Surg Glob Online,2022,4(3):135-140.
[14] 郭卫中,苏郁,林旺,等.两种牵引开放复位内固定胫骨平台三柱骨折[J].中国矫形外科杂志,2022,30(14):1249-1254.
[15] 张城源,庞向华,杨桂芳,等.杉树皮夹板结合火龙罐循经治疗桡骨远端骨折的研究[J].现代中西医结合杂志,2023,32(8):1123-1126.
[16] 陈明,李城,郭利俊,等.富阳张氏手法复位夹板外固定治疗儿童肱骨髁上骨折60例[J].中国中医骨伤科杂志,2022,30(12):50-53.
[17] CHOO Y J,BOUDIER-REVÉRET M,CHANG M C.3D printing technology applied to orthosis manufacturing:narrative review[J].Ann Palliat Med,2020,9(6):4262-4270.
[18] WU J,HENG M,BAI Y.A novel dice-inspired multifunctional 3D printing guided splint for minimally invasive access cavity preparation and canal orifice identification[J].Technol Health Care,2023,31(6):2381-2387.
[19] ARGYROPOULOS A,BOTSARIS P N.Modern applications of 3D printing:the case of an artificial ear splint model[J].Methods Protoc,2021,4(3):54.

备注/Memo

备注/Memo:
基金项目:2022年佛山市自筹经费类科技计划项目(2320001011375)
更新日期/Last Update: 2025-08-15