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3D打印技术辅助内外侧锁定钢板内固定治疗胫骨平台Schatzker Ⅵ型骨折的疗效分析
Efficacy analysis of 3D printing assisted internal fixation with medial and lateral locking plates for Schatzker type Ⅵ fracture of tibial plateau
  
DOI:
中文关键词:  3D打印  胫骨平台骨折  锁定加压钢板  Schatzker Ⅵ型
英文关键词:3D printing  Tibial plateau fracture  Locking compression plate  Schatzker type Ⅵ
基金项目:
作者单位
胡浩1 曹开学1 黄攀1 黄传文1 万玲玲1 易利艳1 浦飞飞2*  
通讯作者:胡浩1 曹开学1 黄攀1 黄传文1 万玲玲1 易利艳1 浦飞飞2*    
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中文摘要:
      目的 分析3D打印技术辅助内外侧锁定钢板内固定治疗胫骨平台Schatzker Ⅵ型骨折的临床效果。方法 随机性选取武汉市江夏区第一人民医院骨科2018年6月至2020年6月40例胫骨平台Schatzker Ⅵ型骨折患者,随机分成2 组,每组各20 例。其中,对照组患者进行内外侧锁定钢板内固定治疗,实验组患者采用3D打印技术辅助内外侧锁定钢板内固定治疗。观测两组患者的手术时间、术中出血量、透视次数、术后伤口感染、Rasmussen解剖部位评分及功能评分。结果 与对照组比较,实验组患者的手术时间显著缩短,术中出血量和透视次数明显减少。但是两组患者术后6 个月解剖部位评分和功能评分的优良率均无显著差异。结论 3D打印技术辅助内外侧锁定钢板内固定治疗胫骨平台Schatzker Ⅵ型骨折可缩短手术时间,减少术中出血量和透视次数,值得临床推荐。
英文摘要:
      Objective To analyze the clinical effect of 3D printing assisted internal fixation with medial and lateral locking plates for Schatzker type Ⅵ fracture of tibial plateau. Methods Forty patients with Schatzker type Ⅵ fracture of tibial plateau in orthopedics department of the First People's Hospital of Jiangxia District, Wuhan City from June 2018 to June 2020 were randomly selected and randomly divided into two groups, with 20 cases in each group. Among them, patients in the control group were treated with medial and lateral locking plate internal fixation, and patients in the experimental group were treated with 3D printing technology assisted with medial and lateral locking plate internal fixation. The operative time, number of fluoroscopies, intraoperative blood loss, postoperative wound infection, Rasmussen anatomical position score and functional score were observed in two groups. Results Compared with the control group, the operative time, number of fluoroscopy and intraoperative blood loss in the experimental group were significantly shortened. However, there were no significant differences in the incidence of wound infection, the excellent and good rates of anatomical position score and functional score six months after operation between the two groups. Conclusion 3D printing assisted internal fixation with medial and lateral locking plates can shorten the operative time, reduce the intraoperative blood loss and the number of fluoroscopy in the treatment of Schatzker type Ⅵ fractures of tibial plateau, which is worthy of clinical recommendation.
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