基于健侧三维数字解剖的桡骨头假体逆向工程研究

中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (4): 407-410.

基于健侧三维数字解剖的桡骨头假体逆向工程研究

陆建华¹，　王志刚²，　黄莉²，　张小飞¹，　施晓健¹，　朱建炜³，　黄希⁴

1.江苏省海门市人民医院骨科； 2.江苏省海门市人民医院影像中心，江苏南通 226100；
3.南通大学附属医院骨科； 4.南通大学机械工程学院，江苏南通 226001

收稿日期:2012-11-13 出版日期:2013-07-25 发布日期:2013-07-24
作者简介:陆建华 (1974-)，男，江苏海门人，硕士，主要从事脊柱、骨关节创伤微创治疗研究工作
基金资助:
江苏省海门市社会发展科技计划项目（SHS 201102）

The reverse engineering of radial head prosthesis: based on three-dimensional digital anatomy of proximal radius on uninjured side

LU Jian-hua¹，WANG Zhi-gang²，HUANG Li²，ZHANG Xiao-fei¹，SHI Xiao-jian¹，ZHU Jian-wei³, HUANG Xi⁴

1.Department of Orthopaedics, Haimen People's Hospital, Nantong, Jiangsu 226100 China; 2.Department of Imaging Center, Haimen People′s Hospital, Nantong, Jiangsu 226100 China; 3.Department of Orthopaedics, Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001 China; 4.School of Mechanical Engineering, Nantong University, Nantong, Jiangsu 226001 China

Received:2012-11-13 Online:2013-07-25 Published:2013-07-24

摘要/Abstract

摘要：

目的探讨基于健侧三维数字解剖结构逆向工程个体化计算机辅助设计桡骨头假体的方法以提供临床精确置换。方法采用GE Speed Light 16排螺旋CT薄层扫描健康成人1例双侧肘关节，排除桡骨头疾患，获取CT扫描dicom数据导入Mimics10.0软件三维重建肘关节。提取左健侧桡骨近端三维模型经镜像模拟右患侧桡骨近端，再经编辑处理分割为头颈两部分。利用Mimics10.0软件测量颈段髓内径、长度参数构建假体柄。桡骨头模型导入Geomagic studio 12软件模拟软骨加厚处理，导入假体柄模型生成头柄部实体。按解剖特点虚拟组装头柄部件，实现患侧桡骨头假体的逆向工程。结果依据健侧肘关节CT影像数据，利用Mimics和Geomagic studio软件，进行三维重建，编辑，测量和反求，可实现个体化桡骨头假体设计和头柄部件的虚拟组装成型。结论基于健侧桡骨数字解剖的逆向工程为个体化桡骨头假体的研制提供了一个有效的方法。

关键词: 桡骨头, 解剖, 三维重建, 个体化假体, 逆向工程

Abstract:

Objective To study the reverse engineering of radial head prosthesis based on three-dimensional digital anatomy of proximal radius on uninjured side with the technique of computer aided design in order to help the clinical accurate replacement. Methods　The double elbow joints of a healthy adult was thin slice scaned by GE Speed Light 16 CT to obtain the CT dicom data , which were then imported into Mimics10.0 software for reconstruction of the 3D image of the elbow joints. Establish the mirror image of the proximal segment of the radius on the left side which was presumed unjuried. Then edit and cut it into the head and neck sections, configure the stem through measurement of the diameter and length of the neck intermedullary canal. Meanwhile, the head DXF file was imported into Geomagic studio 12 , Finally, the reverse engineering of the radial head prosthesis was finished. Results By 3D reconstruction, edit, measurement and manipulation of the CT image data of the proximal radius on uninjured side in Mimics10.0 and Geomagic studio 12 software can reversely design the individual radial head prosthesis and simulate to make it up. Conclusion Reverse engineering based on three-dimensional digital anatomy of the proximal radius on the uninjured side provides an effective method to produce an individual radial head prosthesis.

Key words: Radial head, Anatomy, 3D reconstruction, Individual prosthesis, Reverse engineering

中图分类号:

R319
R323.71

陆建华, 王志刚, 黄莉, 张小飞, 施晓健, 朱建炜, 黄希. 基于健侧三维数字解剖的桡骨头假体逆向工程研究[J]. 中国临床解剖学杂志, 2013, 31(4): 407-410.

LIU Jian-Hua, WANG Zhi-Gang, HUANG Chi, ZHANG Xiao-Fei, SHI Xiao-Jian, SHU Jian-Wei, HUANG Xi. The reverse engineering of radial head prosthesis: based on three-dimensional digital anatomy of proximal radius on uninjured side[J]. Chinese Journal Of Clinical Anatomy, 2013, 31(4): 407-410.

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