[1]李雪丽,曾锁林△,裴军,等.三维打印截骨导板辅助治疗拇趾外翻的临床研究[J].中国中医骨伤科杂志,2025,33(11):81-84+88.[doi:10.20085/j.cnki.issn1005-0205.251115]
　LI Xueli,ZENG Suolin,PEI Jun,et al.Clinical Study on the Auxiliary Treatment of Hallux Valgus with Three-Dimensional-Printed Osteotomy Guide Plates[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(11):81-84+88.[doi:10.20085/j.cnki.issn1005-0205.251115]
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三维打印截骨导板辅助治疗拇趾外翻的临床研究()

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

卷:
第33卷
期数:
2025年11期
页码:
81-84+88
栏目:
临床报道
出版日期:
2025-11-15

文章信息/Info

Title:
Clinical Study on the Auxiliary Treatment of Hallux Valgus with Three-Dimensional-Printed Osteotomy Guide Plates
文章编号:
1005-0205(2025)11-0081-04
作者:
李雪丽1; 曾锁林1△; 裴军1; 黄平1; 涂敏1; 万丽丽1
1荆楚理工学院附属荆门市人民医院(湖北 荆门,448000)
Author(s):
LI Xueli1; ZENG Suolin1△; PEI Jun1; HUANG Ping1; TU Min1; WAN Lili1
1Jingmen People's Hospital Affiliated to Jingchu University of Technology,Jingmen 448000,Hubei China.
关键词:
拇趾外翻畸形;  数字化医学;  计算机辅助设计;  三维打印截骨导板;  精准矫形
Keywords:
hallux valgus deformity;  digital medicine;  computer-assisted design;  three-dimensional printed osteotomy guide plate;  precision orthopedic correction
分类号:
R682.1
DOI:
10.20085/j.cnki.issn1005-0205.251115
文献标志码:
B
摘要:
目的:探讨拇趾外翻患者采用三维打印截骨导板辅助Chevron截骨术的临床效果,寻找更精确的治疗方式。方法:研究40例中重度拇趾外翻患者,随机分为两组,观察组采用三维打印截骨导板辅助Chevron截骨术治疗,对照组采用传统器械进行Chevron截骨术治疗,比较分析两组患者手术切口愈合情况、手术时间、术后负重位第一跖骨间夹角(IMA)的改善情况及术后并发症。结果:两组患者基本资料、术前负重位第一跖骨间夹角和美国足踝外科协会(AOFAS)评分差异无统计学意义(P>0.05); 观察组术后第一跖骨间夹角为5.98°±1.23°,对照组为10.61°±2.69°,两组差异有统计学意义(P<0.05); 观察组AOFAS评分优良率为100%,对照组为65%,两组差异有统计学意义(P<0.05); 观察组手术时间为(0.88±0.17)h,对照组手术时间为(1.51±0.51)h,两组差异有统计学意义(P<0.05)。结论:利用数字化医学联合三维打印技术,于术前模拟制定矫形方案,术中制作截骨导板指导精准定位并辅助截骨矫形,为拇趾外翻患者提供个体化、精准化的矫形治疗方案,值得借鉴和参考。
Abstract:
Objective:To explore the clinical effect of using a three-dimensional printing osteotomy guide plate for Chevron osteotomy in patients with hallux valgus,and to find a more accurate treatment method.Methods:40 patients with moderate to severe hallux valgus were randomly divided into two groups.The observation group was treated with Chevron osteotomy assisted by a three-dimensional printing osteotomy guide plate,and the control group was treated with Chevron osteotomy using traditional instruments.The wound healing of the surgical incision,operation duration,improvement of the intermetatarsal angle(IMA)in the weight-bearing position after surgery,and postoperative complications of the two groups were compared and analyzed.Results:There was no statistical significance in the basic data,pre-operative weight-bearing IMA,and AOFAS scores between the two groups.The postoperative IMA of the observation group was 5.98°±1.23°,and that of the control group was 10.61°±2.69°,with a statistically significant difference between the two groups(P<0.05).The excellent and good rate of AOFAS scores in the observation group was 100%,while that in the control group was 65%,with a statistically significant difference between the two groups(P<0.05).The operation time of the observation group was(0.88±0.17)h,and that of the control group was(1.51±0.51)h,with a statistically significant difference between the two groups(P<0.05).Conclusion:Using digital medicine combined with three-dimensional printing technology,an orthopedic plan is simulated and formulated before the operation.During the operation,an osteotomy guide plate is fabricated to guide precise positioning and assist in osteotomy and orthopedic procedures.This provides individualized and precise orthopedic treatment plans for patients with hallux valgus,which is worthy of reference.

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(收稿日期:2025-03-12)

备注/Memo

备注/Memo:
基金项目:荆门市科学技术研究与开发计划项目(2023YFYB079)
△通信作者 E-mail:5011382@qq.com
更新日期/Last Update: 2025-11-15