| 3D打印导板在发育性髋关节发育不良全髋关节置换术中的应用 |
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投稿时间：2020-01-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 严亮 |
YAN Liang |
苏州大学附属第二医院, 江苏 苏州 215000
南通瑞慈医院, 江苏 南通 226010 |
Department of Orthopaedics, the Second Affiliated Hospital of Suzhou University, Suzhou 215000, Jiangsu, China |
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| 王彭 |
WANG Peng |
南通瑞慈医院, 江苏 南通 226010 |
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| 周海斌 |
ZHOU Hai-bin |
苏州大学附属第二医院, 江苏 苏州 215000 |
Department of Orthopaedics, the Second Affiliated Hospital of Suzhou University, Suzhou 215000, Jiangsu, China |
17155685@qq.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第11期，第1001-1005页 |
| DOI：10.12200/j.issn.1003-0034.2020.11.003 |
| 基金项目:南通市市级科技计划项目（编号：GJZ16103） |
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| 中文摘要:目的：探讨3D打印导板在发育性髋关节发育不良全髋关节置换中的应用价值。方法：回顾分析2016年2月至2018年5月行全髋关节置换术的发育性髋关节发育不良患者25例，男4例，女21例；年龄40~75岁；CroweⅡ型5例，Crowe Ⅲ型14例，Crowe Ⅳ型6例。应用3D打印术中导板组12例，传统全髋关节置换术13例，两组均为同一手术组医师完成。比较两组手术时间、术中出血、术后引流及术后6个月Harris评分，患侧和健侧髋臼外展角、前倾角，旋转中心至坐骨结节连线垂直距离。结果：25例获得随访，随访时间12~26个月，3D打印导板组相对传统手术组手术时间短、术中术后出血量少、术后6个月Harris评分高（P<0.05）。3D打印导板组臼杯位置（旋转中心距坐骨结节连线距离、前倾角、外展角）与健侧髋臼相比差异无统计学意义（P>0.05）；传统手术组患侧旋转中心距坐骨结节连线距离、前倾角与健侧相比差异有统计学意义（P<0.05），外展角差异无统计学意义（P=0.487），两组均无术后感染和假体松动。。结论：3D打印术中导板技术对于发育性髋关节发育不良全髋关节置换术是一种个体化、精准化，有应用前景的技术。 |
| 【关键词】髋脱位,发育性 关节成形术,置换,髋 外科手术,计算机辅助 打印,三维 |
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| Application of 3D printing guide plate in total hip arthroplasty for developmental dysplasia of the hip |
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| ABSTRACT Objective: To explore the value of 3D-printed navigation template using in total hip arthroplasty(THA)for developmental dysplasia of the hip(DDH). Methods: Twenty-five patients with DDH underwent total hip arthroplasty from February 2016 to May 2018 were analyzed retrospectively,including 4 males and 21 females,aged from 40 to 75 years old. Among them,5 cases were Crowe typeⅡ,14 cases were Crowe type Ⅲ and 6 cases were Crowe type Ⅳ. Twelve cases of them underwent THA with the 3D printing navigation plate,another 13 cases underwent the same operation but without the aid of navigation templates. All patients were treated by the same operators. The operating time,intra- and post-operative hemorrhage and Harris Hip Score(HHS) at six months postoperatively were compared,anteversion angle,abduction angle and the distance from rotation center to the ischial tuberosity connection between ipsilateral and contralateral sides were also compared. Results: All of the patients were followed up for 12 to 26 months. The operation time,intra- and post-operative hemorrhage and Harris score in the 3D printing group were better than those in the conventional hip replacement group(P<0.05). There were no significant differences in anteversion angle,abduction angle and the distance from rotation center to the ischial tuberosity connection between ipsilateral and contralateral sides in 3D printing group(P>0.05). The abduction angle and the distance from rotation center to the ischial tuberosity connection were significantly different between the two sides in the traditional group (P<0.05),the abduction angles had no statistical difference(P=0.487) between two sides. Conclusion: The 3D-printed operation navigation template technique is an individualized,accurate and promising technique for THA with DDH. |
| KEY WORDS Hip dislocation,developmental Arthroplasty,replacement,hip Surgery,computer-assisted Printing,three-dimensional |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 严亮,王彭,周海斌.3D打印导板在发育性髋关节发育不良全髋关节置换术中的应用[J].中国骨伤,2020,33(11):1001~1005 |
| 英文格式: | YAN Liang,WANG Peng,ZHOU Hai-bin.Application of 3D printing guide plate in total hip arthroplasty for developmental dysplasia of the hip[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(11):1001~1005 |
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