基于3D金属打印技术IdebergⅡ型区域肩胛盂骨折解剖钢板的数字化研究
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作者Author单位AddressE-Mail
张燚 ZHANG Yi 宁波大学医学部, 浙江 宁波 315211 Health Science Center, Ningbo Univesity, Ningbo 315211, Zhejiang, China  
张嘉锴 ZHANG Jia-kai 宁波市第二医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Ningbo No. 2 Hospital., Ningbo 315010, Zhejiang, China  
吴君龙 WU Jun-long 宁波市第二医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Ningbo No. 2 Hospital., Ningbo 315010, Zhejiang, China  
郑轶 ZHENG Yi 宁波市第二医院骨科, 浙江 宁波 315010 Department of Orthopaedics, Ningbo No. 2 Hospital., Ningbo 315010, Zhejiang, China 15967868807@163.com 
期刊信息:《中国骨伤》2025年,第38卷,第3期,第293-297页
DOI:10.12200/j.issn.1003-0034.20240828
基金项目:浙江省医药卫生科技计划项目(编号:2024KY1547);宁波市医学重点学科建设项目(编号:2022-F15)
中文摘要:

目的: 建立3D金属打印技术IdebergⅡ型区域肩胛盂骨折解剖钢板的数字化模型。

方法: 回顾性选择1例34岁健康男性志愿者的肩胛骨影像学资料,运用Mimics 15.01,NX 12.0等软件设计IdebergⅡ型区域肩胛盂骨折导向钢板系统,将STL数据输入金属3D打印机打印1:1肩胛骨模型及带导向套筒的肩胛盂解剖钢板,并在体外试验钢板的贴合性和影像学评估螺钉位置的准确性,记录肩胛骨模型的打印时间、钉道设计及解剖导向钢板制作时间。

结果: 3D金属打印的IdebergⅡ型肩胛盂骨折导向钢板与3D打印肩胛骨模型贴合良好,锁定螺钉导向准确,X线及CT扫描显示螺钉位置良好。肩胛骨模型打印时间、钉道设计及异形解剖导向钢板制作的时间分别为52.0、15.0、320 min。

结论: 基于3D金属打印技术的解剖钢板可实现IdebergⅡ型区域骨折良好贴合和螺钉的精确置入,为IdebergⅡ型肩胛盂骨折的治疗方案提供一种新的精确手术方法。
【关键词】肩胛盂骨折  腋窝入路  3D打印  个性化
 
Digital study of IdebergⅡregional pelvic fracture anatomical plate based on 3D metal printing technology
ABSTRACT  

Objective To establish digital model of Ideberg typeⅡregional glenoid fracture anatomical plate with 3D metal printing technology.

Methods The scapular imaging data of a 34-year-old healthy male volunteer were retrospectively selected. Mimics 15.01,NX 12.0 and other software were used to design Ideberg typeⅡ regional scapular fracture guide plate system. STL data were input into a metal 3D printer to print 1:1 scapular model and anatomical plate of scapular pelvis with guide sleeve. The fit of the plate was tested in vitro and the accuracy of the screw position was evaluated by imaging. The printing time of scapular model,design of the nail path and making time of the anatomic guided plate were recorded.

Results 3D metal-printed Ideberg typeⅡ guide plate for scapular fracture fitted well to 3D printed scapular model,the locking screw was oriented accurately,and X-ray and CT showed good screw position. The printing time of scapula model,time of nail path design and special-shaped anatomical guide plate production were 52.0,15.0 and 320 min,respectively.

Conclusion Anatomical plates based on 3D metal printing technology could achieve good adhesion of Ideberg typeⅡ regional fractures and precise screw placement,providing a new and accurate surgical method for the treatment of Ideberg typeⅡ glenoid fractures.
KEY WORDS  Glenoid fractures  Axillary approach  3D printing  Individuation
 
引用本文,请按以下格式著录参考文献:
中文格式:张燚,张嘉锴,吴君龙,郑轶.基于3D金属打印技术IdebergⅡ型区域肩胛盂骨折解剖钢板的数字化研究[J].中国骨伤,2025,38(3):293~297
英文格式:ZHANG Yi,ZHANG Jia-kai,WU Jun-long,ZHENG Yi.Digital study of IdebergⅡregional pelvic fracture anatomical plate based on 3D metal printing technology[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(3):293~297
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