股骨近端外侧壁的骨折特征地图研究

doi:10.13418/j.issn.1001-165x.2017.02.001

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (2): 121-125.doi: 10.13418/j.issn.1001-165x.2017.02.001

• 应用解剖 • 下一篇

股骨近端外侧壁的骨折特征地图研究

张英琪¹，　张世民²，　熊文峰²，　马卓²，　杜守超²，　胡孙君²

1. 同济大学附属同济医院骨科，上海 200065; 2.同济大学附属杨浦医院骨科，上海 200090

收稿日期:2017-01-04 出版日期:2017-03-25 发布日期:2017-04-27
通讯作者: 张世民，主任医师，教授，博士生导师，E-mail: shiminchang11@aliyun.com
作者简介:张英琪（1985-），男，安徽芜湖人，医学博士，住院医师，主要研究方向：数字骨科，虚拟手术，Tel:(021) 66111092, E-mail：realzyq@126.com
基金资助:
上海市科委医学引导类基金资助（14411971900）

Fracture mapping of proximal femoral lateral wall

ZHANG Ying-qi¹，CHANG Shi-min²， XIONG Wen-feng², MA Zhuo²， DU Shou-chao²， HU Sun-jun²

1. Department of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai 200090, China; 2. Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China

Received:2017-01-04 Online:2017-03-25 Published:2017-04-27
Contact: CHANG Shi-min, E-mail:shiminchang11@aliyun.com

摘要/Abstract

摘要：

目的　通过骨折地图技术，明确股骨近端外侧壁的骨折特征，为临床及生物力学研究提供参考数据。方法　采集96例股骨转子间骨折的CT数据，进行分割建模、虚拟复位。其中有56例发生外侧壁骨折，测量其外侧壁及骨折区宽度、高度、面积，骨折线走行等参数，并在3D重建模型上绘制骨折特征地图。结果　96例患者中56例有外侧壁骨折，其中A2型71.4%（40例），外侧壁骨折块平均宽度（10.1±6.0）mm，高度（23.1±11.3）mm，面积（158.5±105.2）mm2，占外侧壁面积（12.1±8.1）%，骨折线与水平面成角（64.6±14.5）°；A3型28.6%（16例），外侧壁骨折块平均宽度（26.0±7.0）mm，高度（38.8±11.7）mm，面积（860.1±357.0）mm2，占外侧壁面积（64.5±25.9）%，骨折线与水平面成角（30.2±39.6）°。结论　不同类型转子间骨折的外侧壁特征有明显差异，通过骨折地图技术可直观展现骨折信息，可为制作转子间骨折模型及临床治疗提供参考。

关键词: 股骨转子间骨折, 骨折地图, 影像叠加, 股骨近端外侧壁, 转子外侧壁

Abstract:

Objective　Using fracture map technology to study characteristics of the proximal femoral wall fracture, providing reference data for clinical and biomechanical studies.　Method　CT data from 96 patients with trochanteric fracture were collected. In the cases with proximal femoral lateral wall fracture, the lateral wall and fracture area (width, height, area, fracture line direction) were measured and fracture mapping was created.　Result　In 96 patients, 56 had lateral wall fractures. 71.4% were A2 type(40 cases). The average width of fractures area was (10.1±6.0) mm, the height was (23.1±11.3) mm, and the area was (158.5±105.2) mm2, accounting for (12.1±8.1)%. The fracture line was (64.6±14.5) ° with the horizontal plane. 28.6% were A3 type (16 cases). The average width of fracture area was (26.0±7.0) mm, height was (38.8±11.7) mm, and area was (860.1±357.0) mm2, accounting for (64.5±25.9)%. The angle of fracture line was (30.2± 39.6) °.　Conclusion　Characteristics of different types of trochanteric fractures of the lateral wall are significantly different. The fracture map can directly display fracture information. The results of this study can provide a reference for the standard fracture model in clinical and experimental study.

Key words: Proximal femoral lateral wall, Lateral cortex, Trochanteric lateral wall, Fracture mapping, Trochanter fracture

张英琪,张世民,熊文峰,马卓,杜守超,胡孙君. 股骨近端外侧壁的骨折特征地图研究[J]. 中国临床解剖学杂志, 2017, 35(2): 121-125.

ZHANG Ying-qi，CHANG Shi-min， XIONG Wen-feng, MA Zhuo， DU Shou-chao， HU Sun-jun. Fracture mapping of proximal femoral lateral wall[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(2): 121-125.

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股骨近端外侧壁的骨折特征地图研究

Fracture mapping of proximal femoral lateral wall

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