[1]胡维界 刘峰 张军钰.计算机辅助设计和快速成型技术行复杂 髋臼骨折的治疗效果观察[J].中国中医骨伤科杂志,2016,24(01):36-39.
　HU Weijie LIU Feng ZHANG Junyu.Efficacy of Computer-aided Design and Rapid Prototyping in Treatment of Complicated Acetabular Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(01):36-39.
点击复制

计算机辅助设计和快速成型技术行复杂 髋臼骨折的治疗效果观察
分享到：

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

卷:
第24卷
期数:
2016年01期
页码:
36-39
栏目:
临床研究
出版日期:
2016-01-13

文章信息/Info

Title:
Efficacy of Computer-aided Design and Rapid Prototyping in Treatment of Complicated Acetabular Fractures
文章编号:
1005-0205(2016)01-0036-04
作者:
胡维界1 刘峰1 张军钰1
1.甘肃庆阳市第二人民医院骨科(甘肃 庆阳,745000)
Author(s):
HU Weijie1 LIU Feng1 ZHANG Junyu1
1.The Second People's Hospital of Qingyang City,Qingyang 745000,Gansu China.
关键词:
髋臼骨折;  数字骨科;  计算机辅助设计;  快速成型
Keywords:
acetabular fractures;  digital orthopedics;  computer-aided design;  rapid prototyping
分类号:
R683
文献标志码:
A
摘要:
目的:比较利用计算机辅助设计(Computer-aided Design,CAD)和快速成型技术(Rapid Prototyping,RP)与传统手术行切开复位内固定治疗复杂髋臼骨折的临床和放射学疗效。方法:2008年6月至2014年1月收治的45例复杂髋臼骨折患者,自2011年6月开始利用计算机辅助设计及快速成型技术治疗。其中CAD/RP组23例,传统手术组22例,术后采用改良Matta髋臼骨折复位标准评定骨折复位质量,末次随访时采用改良Postel-Merle d'Aubigné功能评分标准评定髋关节功能,并记录随访过程中出现的并发症。结果:45例患者均获得随访,随访时间为10～38个月,平均20.71个月。根据改良Matta髋臼骨折复位标准,CAD/RP组中解剖复位14例,良好复位8例,不满意复位1例; 传统手术组解剖复位10例,良好复位6例,不满意复位6例。末次随访改良Postel-Merle d'Aubigné髋关节功能评分:CAD/RP组中优15例,良6例,可1例,差1例; 传统手术组优8例,良8例,可4例,差2例。结论:与传统手术相比,利用CAD和RP进行切开复位内固定治疗复杂髋臼骨折,具有手术创伤小,出血量少,固定可靠,手术并发症少,安全性高,疗效可靠等优点。
Abstract:
Objective:To compare the clinical and radiological efficacy of computer-aided design(CAD)and rapid prototyping(RP)with traditional open reduction and internal fixation in treating complicated acetabular fractures.Methods:From June 2008 to January 2014,45 patients with complicated acetabular fractures were treated in our department,22 cases in CAD / RP group and 23 cases in traditional operation group.Modified Matta acetabular fractures reduction standard was used to assess the reduction quality.The modified Postel-Merle d'Aubigne functional assessment criteria was used to assess hip function,and complications were recorded during follow-up.Results:All 45 patients were followed up for 10～38 months,averaged 20.71 months.According to the modified Matta evaluation system,14 cases had anatomic reduction,8 cases satisfactory reduction,and 1 case dissatisfactory reduction in the CAD/RP group,while 10 cases had anatomic reduction,6 cases satisfactory reduction,and 6 case dissatisfactory reduction in the traditional surgical group.According to the Modified Postel-Merle d'Aubigné evaluation system at the last follow-up,15 excellent,6 good,1 fair and one poor in the CAD/RP group and 8 excellent,8 good,4 fair and 2 poor in the traditional surgical group.Conclusion:Compared with traditional operation,CAD and RP treating complicated acetabular fractures were safe and effective with less trauma,less bleeding,reliable fixation and few complications.

参考文献/References:

[1] Dunet B,Tournier C,Billaud A,et al.Acetabular fracture:long-term follow-up and factors associated with secondary implantation of total hip arthroplasty[J].Orthop Traumatol Surg Res,2013,99(3):281-290.
[2] 丁焕文,涂强,王迎军,等.数字化骨科手术新方法的建立及其临床广泛应[J].中国骨科临床与基础研究杂志,2010,2(2):92-97.
[3] Letournel E.Acetabulum fractures:classification and management[J].Clin Orthop Relat Res,1980,151:81-106.
[4] Matta JM.Fractures of the acetabulum:accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury[J].J Bone Joint Surg Am,1996,78(11):1632-1645.
[5] Andersson G.Hip assessment:a comparison of nine different methods[J].J Bone Joint Surg Br,1972,54(4):621-625.
[6] Brooker AF,Bowerman JW,Robinson RA,et al.Ectopic ossification following total hip replacement incidence and a method of classification[J].J Bone Joint Surg Am,1973,55(8):1629-1632.
[7] Laflamme GY,Herbert-Davies J,Rouleau D,et al.Internal fixation of osteopenic acetabular fractures involving the quadrilateral plate[J].Injury,2011,42(10):1130-1134.
[8] Hu Y,Li H,Qiao G,et al.Computer-assisted virtual surgical procedure for acetabular fractures based on real CT data[J].Injury,2011,42(10):1121-1124.
[9] Malhotra R,Singh DP,Jain V,et al.Acute total hip arthroplasty in acetabular fractures in the elderly using the octopus system:mid term to long term follow-up[J].J Arthroplasty,2013,28(6):1005-1009.
[10] De Bellis UG,Legnani C,Calori GM.Acute total hip replacement for acetabular fractures:a systematic review of the literature[J].Injury,2014,45(2):356-361.
[11] Wu XB,Yang MH,Zhu SW,et al.Surgical resection of severe heterotopic ossification after open reduction and internal fixation of acetabular fractures:a case series of 18 patients[J].Injury,2014,45(10):1604-1610.
[12] Lai O,Yang J,Shen B,et al.Midterm results of uncemented acetabular reconstruction for posttraumatic arthritis secondary to acetabular fracture[J].J Arthroplasty,2011,26(7):1008-1013.
[13] Kreder HJ,Rozen N,Borkhoff CM,et al.Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall[J].J Bone Joint Surg Br,2006,88(6):776-782.
[14] Hirvensalo E,Lindahl J,Kiljunen V.Modified and new approaches for pelvic and acetabular surgery[J].Injury,2007,38(4):431-441.
[15] Sarlak AY,Selek O,Lnanir M,et al.Management of acetabular fractures with modified posterior approach to spare external hip rotators[J].Injury,2014,45(4):732-737.

备注/Memo

备注/Memo:
收稿日期:2015-05-08
更新日期/Last Update: 2016-01-05