中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (3): 291-294.doi: 10.13418/j.issn.1001-165x.2015.03.013

• 数字解剖 • 上一篇    下一篇

基于薄层CT数据的胫骨近端接骨板标准件库的建立及意义

杨洋1, 张国栋1, 陈宣煌2, 郑晓晖3, 黄华军1, 吴章林1, 欧阳汉斌1, 陆俭军4, 黄文华1   

  1. 1.南方医科大学基础医学院人体解剖学教研室  广东省医学生物力学重点实验室,  广州   510515;   
    2.莆田医学院附属医院,  福建   莆田    351100;    3.武警福建总队医院,  福州   350003;   
    4.贵港市人民医院,  广西  贵港 537100
  • 收稿日期:2014-11-04 出版日期:2015-05-25 发布日期:2015-07-24
  • 通讯作者: 黄文华,教授,博士生导师,Tel:(020)61648181,Email: 13822232749@139.com
  • 作者简介:杨洋(1987-),男,湖南岳阳市人,在读硕士,主要从事数字化骨科学研究,Tel:15625055563,E-mail:15625055563@163.com
  • 基金资助:

    国家高技术研究发展计划(863计划)(2012AA02 A603);福建省自然科学基金(2010J01224);广州市科技计划项目(2014J4100153)

The establishment and significance of standard parts library of proximal tibia plates based on thin-section CT image

YANG Yang1,   ZHANG Guo-dong1,   CHEN Xuan-huang2,   ZHENG Xiao-hui3,   HUANG Hua-jun1,   WU Zhang-lin1,   OUYANG Han-bin1,   LU Jian-jun4,   HUANG Wen-hua1   

  1. 1.Department of Anatomy, Guangdong Provincial Key laboratory of Medical Biomechanics, School of Basic Medicine Science, Southern Medical University, Guangzhou 510515,China; 2.The Affiliated Hospital of Putian University, Putian, Fujian 351100, China; 3.General Unit of People's Armed Police Hospital in Fujian, Fuzhou 350003, China; 4. The People's Hospital of Guigang City, Guangxi 537300, China
  • Received:2014-11-04 Online:2015-05-25 Published:2015-07-24

摘要:

目的 探讨胫骨近端接骨板标准件库建立的方法及临床意义。  方法 采集6套全规格胫骨近端接骨板薄层CT扫描的原始数据,导入Mimics14.0中进行三维重建,以STL格式文件输出至Geomagic对三维模型进行形态学优化。在Mimics中进行体积恢复。利用MedCAD绘制圆柱体状钉道模拟现实锁定钉方向,并完成带钉接骨板形态学标准件库建立。   结果  (1) 完成186块带钉的接骨板标准件的建立;(2) 经Geomagic外观优化以及Mimics体积恢复,使接骨板三维模型具有较高仿真度。  结论 (1) 基于CT扫描的数据,通过逆向工程软件处理可以实现骨科接骨板的标准件库制备; (2) 接骨板与钉道选择性的组合方式适用于骨折内固定植入手术的数字化设计。

关键词: 胫骨平台骨折, 接骨板, 标准件库, 逆向工程, 仿真手术

Abstract:

 Objective   To discuss the method of establishing standard parts library of proximal tibia plates and its clinical significance.    Methods    The original image of six sets of full-size proximal tibia plates date were collected which is scanned by thin-section CT, and processed with Mimics 14.0 for the three-dimensional reconstruction, then the models were exported to Geomagic by STL format for morphological optimizing.  The optimized models were exported to Mimics for volume rendering. Cylinder-shaped screw channels was drawn by MedCAD for simulation of channel direction of real-locking screws, and the establishment of standard parts library of plates with screws was then completed.   Results   (1) The establishment of 186 standard parts library of plates with screws was completed. (2) By morphological optimizing in Geomagic and volume rendering in Mimics, the 3D model of plate has high simulation degree. Conclusions   (1) Based on CT scan data ,the standard parts library of orthopedic plate can be achieved by reverse engineering software.  (2) The selective combinations between plate and screw channels were suitable for digital design of fracture internal fixation operation.

Key words: tibial plateau fracture, Plate, Standard parts library, Reverse engineering, Virtual surgery