3D打印胫骨隧道导航模块辅助前交叉韧带重建的临床研究

陈国立; 胡洪新; 吴献伟; 林妹; 戴玉林; 林海滨

doi:10.13418/j.issn.1001-165x.2019.01.021

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (1) : 102-106. DOI: 10.13418/j.issn.1001-165x.2019.01.021

临床研究

3D打印胫骨隧道导航模块辅助前交叉韧带重建的临床研究

陈国立^1,2，　胡洪新²，　吴献伟²，　林妹³，　戴玉林²，　林海滨²

作者信息 +

Clinical study on anterior cruciate ligament reconstruction assisted by 3D-printed navigational templates of tibial tunnel

CHEN Guo-li ^1,2, HU Hong-xin ², WU Xian-wei², LIN Mei³, DAI Yu-lin ², LIN Hai-bin ²

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文章历史 +

摘要

目的　探讨3D打印胫骨隧道导航模块辅助前交叉韧带重建的可行性及疗效评价。方法　选取2015年1月至2016年5月就诊于莆田学院附属医院骨科，符合标准，行前交叉韧带重建的56例患者，随机分为两组：3D打印组和对照组，评估两组手术时间、术中定位的次数、术后6、9个月IKDC膝关节功能评分、术后6、9个月Lysholm评分以及术后9个月膝关节活动度。计数资料采用卡方检验分析，计量资料采用两独立样本t检验分析。结果　最终52例患者进入统计学分析，对照组27例，3D打印组25例。对照组和3D打印组的手术时间及胫骨隧道的定位次数差异有统计学意义（t=4.186，P<0.05；t=3.069，P<0.05）。术后3个月、术后9个月IKDC膝关节功能评分、Lysholm评分以及术后9个月的膝关节活动度，两组比较差异均无统计学意义（P>0.05）。结论　3D打印胫骨隧道导航模块辅助前交叉韧带重建存在可行性。

Abstract

Objective　To investigate the feasibility and effect of 3D-printed navigational templates of tibial tunnel on the anterior cruciate ligament reconstruction.　Methods　56 patients of anterior cruciate ligament reconstruction from January 2015 to May 2016 in the orthopaedics department of the Affiliated Hospital of Putian University were selected and randomized into two groups: the control group and the 3D-printed group. The surgical duration and the number of intraoperative tibial tunnel location were recorded and analyzed. The IKDC knee function score, the Lysholm score on the postoperative 6th and 9th months, and the range of motion(ROM) of knee 9 months after operation were examined. The data were analyzed by chi-square test and two-sample t-tests.　Results　Fifty-two patients were included in the analysis(27 case in control group and 25 cases in the 3D-printed group). There were significant differences in the surgical duration and the number of intraoperative tibial tunnel location（t=4.186，P<0.05；t=3.069，P<0.05）. The IKDC knee function score ,the Lysholm score on the postoperative 6th and 9th months, and ROM of knee 9 months after operation showed no significant difference between the two groups（P>0.05）.　Conclusion　It was a viable alternative to use the 3D-printed navigational template of tibial tunnel for anterior cruciate ligament reconstruction.

导出引用

陈国立,胡洪新,吴献伟,林妹,戴玉林,林海滨. 3D打印胫骨隧道导航模块辅助前交叉韧带重建的临床研究[J]. 中国临床解剖学杂志. 2019, 37(1): 102-106 https://doi.org/10.13418/j.issn.1001-165x.2019.01.021

CHEN Guo-li, HU Hong-xin, WU Xian-wei, LIN Mei, DAI Yu-lin, LIN Hai-bin. Clinical study on anterior cruciate ligament reconstruction assisted by 3D-printed navigational templates of tibial tunnel[J]. Chinese Journal of Clinical Anatomy. 2019, 37(1): 102-106 https://doi.org/10.13418/j.issn.1001-165x.2019.01.021

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