数字优化设计在喙锁韧带重建术中骨隧道精准定位的应用

doi:10.13418/j.issn.1001-165x.2023.4.03

中国临床解剖学杂志 ›› 2023, Vol. 41 ›› Issue (4): 385-389.doi: 10.13418/j.issn.1001-165x.2023.4.03

数字优化设计在喙锁韧带重建术中骨隧道精准定位的应用

张磊^1,2，王锐涵^3,4，唐自慧⁵，易刚^1,2，周鑫^1,2

1.西南医科大学附属中医医院骨伤科，四川泸州 646000； 2.西南医科大学附属中医医院骨伤疾病研究中心，四川泸州 646000； 3.西南医科大学体育学院，四川泸州 646000； 4.宜宾市中西医结合医院康复科，四川宜宾 644100； 5.西南医科大学中西医结合学院，四川泸州 646000

收稿日期:2022-12-13 出版日期:2023-07-25 发布日期:2023-08-02
作者简介:张磊（1987-)，男，四川宜宾人，医学博士后，主要研究方向：肩肘及足踝疾病基础及临床研究，E-mail：307501597@qq.com
基金资助:
国家自然科学基金课题（青年科学基金项目，82004458）；四川省中医药管理局中医药科研课题（2020JC0138）；四川省医学会骨科（尚安通）专项科研课题（2020SAT26）；四川省科技厅中央引导地方科技发展资金面上项目（2021ZYD0078）；西南医科大学附属中医医院科研团队培育项目（2022-CXTD-08）；泸州市科技计划项目（2022-JYJ-163）

Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel

Zhang Lei^1,2, Wang Rui-han^3,4, Tang Zi-hui⁵, Yi Gang^1,2, Zhou Xin^1,2

1. Department of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China;2. Research Center for Bone Trauma Diseases, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China;3. Physical Education Institute of Southwest Medical University, Luzhou 646000, Sichuan Province, China;4. Department of Rehabilitation Yibin Integrated Traditional Chinese and Western Medicine Hospital, Yibin 644100, Sichuan Province, China;5. College of Integrated Chinese and Western Medicine of Southwest Medical University, Luzhou 646000, Sichuan Province, China

Received:2022-12-13 Online:2023-07-25 Published:2023-08-02

摘要/Abstract

摘要： 目的比较数字优化设计导航模板虚拟模型和3D打印模型之间的差异。方法收集2018年1月至2022年10月就诊西南医科大学附属中医医院的80名肩锁关节脱位患者的肩关节CT图像（37名女性和43名男性患者），将其CT图像导入Mimics软件，建立虚拟与真实导航骨隧道，设计并打印80个包括锁骨和肩胛骨在内的肩关节，分别测量虚拟与真实导航骨隧道的10个相关参数。结果两条骨隧道在9个参数上没有统计学差异（P>0.05），喙突针点到喙突尖的长度（OQ）有统计学差异（P<0.05）。女性患者的所有测量值低于男性（P<0.01）。结论数字优化设计导航模板的的虚拟模型具有与3D打印模型相似的准确性，可用于临床肩锁关节脱位需喙锁韧带重建术治疗的患者进行骨隧道定位。

关键词: , 数字优化设计, , , 喙锁韧带重建, , , 骨隧道, , , 3D打印, , , 导航模板

Abstract: Objective To compare the differences between the virtual model of the digital optimization design navigation template and the real model of 3D printing. Methods Shoulder CT images were collected from 80 patients (37 women and 43 men) from January 2018 to October 2022. The patient’s CT images were imported into Mimics software to create virtual and real navigation bone tunnels. The 10 parameters were measured for virtual and real navigator bone tunnels. Results We designed and printed 80 shoulder joints including collarbones and shoulder blades. There was no statistically significant difference in 9 parameters (P>0.05) between the two bone tunnels, but there was a statistically significant difference in OQ (the length of the coracoid needlepoint to the coracoid tine)(P<0.05). All measurements were lower in female patients than in male patients (P<0.01). Conclusions The virtual model of digital optimization design has similar accuracy to the real model of 3D printing. In clinical practice, patients with acromioclavicular dislocation requiring coracoclavicular ligament reconstruction can try to locate bone tunnels using a virtual model of the digitally optimized design navigation template.

Key words: Digital optimization design, , , Coracoclavicular ligament reconstruction, , , Bone tunnel, , , 3D printing, , , Navigation template

中图分类号:

R322.73

张磊, 王锐涵, 唐自慧, 易刚, 周鑫. 数字优化设计在喙锁韧带重建术中骨隧道精准定位的应用[J]. 中国临床解剖学杂志, 2023, 41(4): 385-389.

Zhang Lei, Wang Rui-han, Tang Zi-hui, Yi Gang, Zhou Xin. Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel[J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 385-389.

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数字优化设计在喙锁韧带重建术中骨隧道精准定位的应用

Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel

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