Objective To explore the clinical effects of 3D printing technology in the rapid treatment of intertrochanteric fracture in elderly patients. Methods Thirty patients treated with PFNA (Proximal Femoral Nail Antirotation) surgery were involved in our hospital from July 2018 to April 2019. After signing the informed consent, the patients were randomly divided into an experimental group and a control group, with 15 cases in each group. 3D printing technology was used to communicate before operation for the experimental group, while routine pre-operative communication method was used for the control group. After that, the information from the questionnaire of doctor-patient communication before and after operation were collected for the two groups. At the same time, the operation timing (days between admission and operation), operation time and bleeding volume were recorded and analyzed statistically. Results The application of 3D printing technology in the communication between doctors and patients before operation had obvious advantages in the understanding and recognition of patients' condition, operation program and nursing plan. Then patients' satisfaction was higher. At the same time, the experimental group also had better performance in operation timing (2.92±1.16) d, while the operation timing of the control group was (4.36±2.10) d (P<0.05). Conclusions 3D printing technology has a significant effect on doctor-patient communication in the rapid treatment of intertrochanteric fracture of the femur in the elderly, which can shorten the preoperative interval and improve the patient satisfaction.
Key words
Three- dimensional printing /
Rapid treatment /
Intertrochanteric fracture /
Doctor-patient communication 
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References
[1] 张瑞鹏, 尹英超, 李石伦, 等. 髋部骨折指南解读与诊疗现状分析[J]. 河北医科大学学报, 2018, 39(6): 621-622. DOI: 10.3969/j.issn.1007-3205.2018.06.001.
[2] 冒锋涌, 姚庆强, 郑朋飞, 等. 3D打印骨折模型在股骨转子间骨折治疗中的应用[J]. 中华创伤骨科杂志, 2016, 18(8): 725-728. DOI: 10.3760/cma.j.issn.1671-7600.2016.08.015.
[3] 王燎, 戴尅戎. 骨科个体化治疗与3D打印技术[J]. 医用生物力学, 2014, 29(3): 193-199. DOI: CNKI:SUN:YISX.0.2014-03-001.
[4] Ftouh S, Morga A, Swift C. Management of hip fracture in adults: summary of NICE guidance[J]. BMJ, 2011, 342: d3304. DOI: 10.1136/bmj.d3304.
[5] Quinn RH, Murray JN, Pezold R. The american academy of orthopaedic surgeons appropriate use criteria for management of hip fractures in the elderly[J]. J Bone Joint Surg, 2016, 98(14): 1222-1225. DOI: 10.2106/JBJS.16.00260.
[6] Quinn RH, Mooar PA, Murray JN, et al. Treatment of hip fractures in the elderly[J]. J Am Acad Orthop Surg, 2017, 25(5): e102-e104. DOI: 10.5435/JAAOS-D-16-00431.
[7] 吴小宁, 张淑云, 彭聪, 等. 多学科协作在老年人髋部骨折治疗中的作用[J]. 中华老年医学杂志, 2019, 38(3): 283-287. DOI: 10.3760/cma.j.issn.0254-9026.2019.03.014.
[8] 刘军川, 文良元, 纪泉, 等. 老年髋部骨折行保守治疗的原因和疗效观察[J]. 中华老年医学杂志, 2018, 37(12): 1343-1347. DOI: 10.3760/cma.j.issn.0254-9026.2018.12.012.
[9] Sharma A, Mahajan A, John B. A comparison of the clinico-radiological outcomes with proximal femoral nail (PFN) and proximal femoral nail antirotation (PFNA) in fixation of unstable intertrochanteric fractures[J]. J Clin Diagn Res,2017, 11(7): RC05-RC09. DOI: 10.7860/JCDR/2017/28492.10181.
[10]Huang SG, Chen B, Zhang Y, et al. Comparison of the clinical effectiveness of PFNA, PFLCP, and DHS in treatment of unstable intertrochanteric femoral fracture[J]. Am J Ther, 2017, 24(6): e659-e666. DOI: 10.1097/MJT.0000000000000346.
[11] Sadic S, Custovic S, Jasarevic M, et al. Proximal femoral nail antirotation in treatment of fractures of proximal femur[J]. Med Arch, 2014, 68(3): 173-177. DOI: 10.5455/medarh.2014.68.173-177.
[12] Yu WG, Zhang XC, Zhu XF, et al. Proximal femoral nails anti-rotation versus dynamic hip screws for treatment of stable intertrochanteric femur fractures: an outcome analyses with a minimum 4 years of follow-up[J]. BMC Musculoskelet Disord, 2016, 17: 222. DOI: 10.1186/s12891-016-1079-7.
[13] 曹磊, 纪方. 股骨粗隆间骨折治疗方法进展[J]. 中国矫形外科杂志, 2008, 16(4): 276-278. DOI: 1005-8478(2008)-04-0276-03.
[14] Hsieh TY, Dedhia R, Cervenka B, et al. 3D Printing: current use in facial plastic and reconstructive surgery[J]. Cur Opinion Otolaryngol Head Neck Surg, 2017, 25(4): 291-299. DOI: 10.1097/MOO.00000 00000000373.
[15]林钢, 李鹏, 肖菊姣, 等. 3D打印技术在股骨髁上骨折医患沟通中的效果研究[J]. 中国临床解剖学杂志, 2017, 35(3): 336-340. DOI: 10.13418/j.issn.1001-165x.2017.03.021.
[16]Foo GL, Kwek EBK. Are three-dimensional printed models useful for preoperative planning of tibial plafond fractures[J]? J Foot Ankle Surg, 2019, 58(4): 723-729. DOI: 10.1053/j.jfas.2018.12.005.