3D打印用于青少年Salter-HarrisⅡ型桡骨远端骨折辅助治疗的临床效果分析

赵景新; 马雅昌; 朱雅文; 杨朝昕; 邱宇辰; 苗伟; 王瑜; 金宇

doi:10.13418/j.issn.1001-165x.2018.03.023

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (3) : 346-348. DOI: 10.13418/j.issn.1001-165x.2018.03.023

临床研究

3D打印用于青少年Salter-HarrisⅡ型桡骨远端骨折辅助治疗的临床效果分析

赵景新¹，　马雅昌²，　朱雅文²，　杨朝昕²，　邱宇辰²，　苗伟²，　王瑜¹，　金宇¹

作者信息 +

Clinical efficacy analysis of 3D printing as assisted therapy for youth Salter-HarrisⅡ distal fracture of radius

ZHAO Jing-xin¹, MA Ya-chang², ZHU Ya-wen², YANG Zhao-xin², QIU Yu-chen², MIAO Wei², WANG Yu¹, JIN Yu¹

Author information +

文章历史 +

摘要

目的　探讨3D打印技术在儿童及青少年Salter-HarrisⅡ型不稳定桡骨远端骨折手术中的应用价值。方法　回顾分析采用3D打印技术行手术治疗的19例Salter-HarrisⅡ型不稳定桡骨远端骨折患儿临床资料。记录手术时间、术中出血量等基本指标，随访术后患肢生长、腕关节功能恢复及并发症发生情况，初步评价其临床疗效。结果　19例患儿手术中进针方向、长度、直径均与术前模拟过程一致。手术时间17~39 min，平均21.6 min；术中出血量0~10 ml，平均4.5 ml；术中透视次数4~6次，平均5次，17例患儿骨折达解剖复位，2例术后骨折移位≤2 mm。19例患儿均获随访，随访时间12～20个月，平均14.5个月。患儿患肢均达骨性愈合。术后12个月采用Gartland-Werley 评分标准对腕关节进行功能评定：优18例，一般1例。结论　3D打印技术作为辅助技术对于儿童及青少年桡骨远端Salter-HarrisⅡ型不稳定骨折具有一定的临床应用价值。

Abstract

Objective　To investigate the value of 3D printing technology in the treatment of unstable distal radius fractures of children and adolescents with Salter-Harris II type. Methods The clinical data of 19 cases with unstable distal radius fractures of Salter-Harris type II with 3D printing technique were retrospectively analyzed. The basic parameters such as operation time and intraoperative blood loss were recorded. The growth of the affected limb, recovery of wrist joint function, and complications after follow-up were recorded. The clinical efficacy was preliminarily evaluated. Results The direction, length, and diameter of the needle in the 19 patients were consistent with the preoperative simulation. Operating time was 17~39 min, with an average of 21.6 min; intraoperative blood loss was 0~10 ml, with an average of 4.5 ml; intraoperative fluoroscopy was used 4 to 6 times, with an average of 5 times; anatomical reduction of fractures were achieved in 17 cases, and postoperative fracture displacement less than 2 mm was achieved in 2 cases. All 19 patients were followed up for 12 to 20 months with an average of 14.5 months. All the affected limbs reached bone healing. Postoperative assessment of wrist function was performed using the Gartland-Werley scoring system 12 months after surgery: excellent in 18 cases, and normal in 1 case. Conclusion 3D printing technology as an auxiliary technique has certain clinical application value for children and adolescents with unstable Salter-Harris type II distal humeral fracture.

导出引用

赵景新,马雅昌,朱雅文,杨朝昕,邱宇辰,苗伟,王瑜,金宇. 3D打印用于青少年Salter-HarrisⅡ型桡骨远端骨折辅助治疗的临床效果分析[J]. 中国临床解剖学杂志. 2018, 36(3): 346-348 https://doi.org/10.13418/j.issn.1001-165x.2018.03.023

ZHAO Jing-xin, MA Ya-chang, ZHU Ya-wen, YANG Zhao-xin, QIU Yu-chen, MIAO Wei, WANG Yu, JIN Yu. Clinical efficacy analysis of 3D printing as assisted therapy for youth Salter-HarrisⅡ distal fracture of radius[J]. Chinese Journal of Clinical Anatomy. 2018, 36(3): 346-348 https://doi.org/10.13418/j.issn.1001-165x.2018.03.023

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