Abstract：Objective: To investigate the effect of 3D CT reconstruction combined with 3D printing to assist internal fixation in the treatment of acetabular fractures.Methods: From May 2013 to March 2018, 88 patients with acetabulum fracture in our hospital were selected as the research objects and categorized into the control group (n=44) and the observation group (n=44) with the random number table method.The patients in the control group were treated with 3D CT reconstruction and internal fixation, while the patients in the observation group were treated with 3D CT reconstruction and 3D printing.The operative indexes, knee joint score (HSS) and postoperative complications were recorded and analyzed.Results: The operation time, fracture healing time, intraoperative blood loss, length of hospital stay, fluoroscopy irradiation times and postoperative Hss score in the observation group were significantly lower than those in the control group (P<0.05), and the excellent and good rate of Matta score in the observation group was 88.64% (39/44), which was not significantly different from 81.82% in the control group (36/44).After operation, there were 1 case of abnormal healing, 1 case of internal fixture broken and 1 case of incision infection in the observation group, 1 case of joint adhesion and 3 cases of internal fixture broken in the control group.There was no statistically significant difference between the number of complications in the observation group(3/44) and the control group (4/44) (P>0.05).Conclusion: The application of 3D CT reconstruction combined with 3D printing in acetabular fracture internal fixation can improve the quality of operation, promote the recovery of fracture site after operation, and reduce the incidence of complications.It is worth promoting in related clinical treatment.
熊树鸿, 陈思, 李宁, 宋志会, 陈进, 袁健冰, 马俊昌. CT扫描三维重建联合3D打印辅助内固定治疗髋臼骨折的临床效果分析[J]. 河北医学, 2020, 26(9): 1536-1540.
XIONG Shuhong, CHEN Si, LI Ning, et al. Clinical Analysis of 3D CT Reconstruction Combined with 3D Printing to Assist Internal Fixation in the Treatment of Acetabular Fractures. HeBei Med, 2020, 26(9): 1536-1540.
[1] Patrick D. G. Henry, Sam Si-Hyeong Park, J. Michael Paterson,et al. Risk of hip arthroplasty after open reduction internal fixation of a fracture of the acetabulum: a matched cohort Study[J]. Journal of Orthopaedic Trauma, 2017, 32(3):1. [2] 黄复铭,樊仕才.3D打印技术辅助治疗骨盆髋臼骨折的研究进展[J].中国临床解剖学杂志,2019,37(3):347~350. [3] 吴发财,杨东辉,陈琦,等.CT三维重建在股骨转子间骨折分型中的应用[J].中国CT和MRI杂志,2018,16(11):140~143. [4] 徐辉煌.CT三维重建技术在髋臼骨折诊断中的应用价值[J].浙江创伤外科,2019,24(4):745~746. [5] 程辉光,张育民,段宁,等.3D打印技术在髋臼骨折患者诊治中的应用效果及对肢体功能的影响研究[J].河北医科大学学报,2018,39(2):164~166,170. [6] Clay A. Spitler, Dirk W. Kiner, Elliot R. Row,et al. Tranexamic acid use in open reduction and internal fixation of fractures of the pelvis, acetabulum, and proximal femur: a randomized controlled Trial[J]. Journal of Orthopaedic Trauma, 2019, 33(8):1. [7] 陆俭军,谭海涛,陆声榆,等.3D打印技术辅助手术治疗髋臼双柱骨折的临床疗效分析[J].广西医科大学学报,2017,34(1):28~32. [8] 龚立,孔令超,王延鹤,等.CT扫描三维重建联合3D打印辅助内固定治疗原位股骨髁部骨折的疗效[J].中华创伤骨科杂志,2019,21(8):687~692. [9] 王凯,晏美俊,李聪,等.Stoppa入路与传统手术对不稳定型骨盆骨折合并髋臼骨折患者的临床比较研究[J].河北医学,2017,23(2):287~290.
2020, Vol. 26 
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