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基于3D打印的个性化截骨技术与传统方式行全膝关节表面置换的临床对比

牛鸣 马飞 马菊蓉 李军伟 吴旭年 王同 汪玉良

南方医科大学学报2017,Vol.37Issue(11):1467-1475,9.
南方医科大学学报2017,Vol.37Issue(11):1467-1475,9.DOI:10.3969/j.issn.1673-4254.2017.11.07

基于3D打印的个性化截骨技术与传统方式行全膝关节表面置换的临床对比

Total knee arthroplasty with 3D printing technique versus conventional surgery:comparison of the outcomes

牛鸣 1马飞 1马菊蓉 1李军伟 1吴旭年 1王同 1汪玉良2

作者信息

  • 1. 甘肃省张掖市甘州区人民医院骨科,甘肃 张掖 734000
  • 2. 兰州大学第二医院创伤骨科,甘肃 兰州 730000
  • 折叠

摘要

Abstract

Objective To compare the clinical outcomes of patients receiving total knee arthroplasty (TKA) using 3D printing technique and conventional surgical methods. Methods From October, 2015 to February, 2017, 17 patients (20 knees) underwent TKA with the assistance of individualized navigation template and 16 concurrent patients (18 knees) matched for age, gender and knee society score received conventional TKA. The operation time, blood loss, and osteotomy data of the femoral condyle and tibia plateau were recorded. The mean femorotibial angle (MFTA) and sagittal tibial component angle (STCA) after the operation and the KSS at the last follow-up were compared between the two groups. Results All the patients were followed up for 7-23 months, during which no infection or prosthesis loosening or motion was found. In patients receiving surgery with 3D printing technique, the osteotomy data of the femoral condyle and tibia plateau in the actual surgeries were consistent with those in surgical plans (P>0.05). The patients in the 3D group had a significantly shorter operation time and a higher KSS score than those in the conventional group (P<0.05). Significant differences were found between the two groups in postoperative MFTA and STCA (P<0.05). Conclusion The application of 3D printing technique can simplify the surgical procedure and improve the surgical precision and efficacy of TKA.

关键词

膝关节/置换/3D打印/截骨/个性化

Key words

knee/arthroplasty/3D printing/resection/personalized

引用本文复制引用

牛鸣,马飞,马菊蓉,李军伟,吴旭年,王同,汪玉良..基于3D打印的个性化截骨技术与传统方式行全膝关节表面置换的临床对比[J].南方医科大学学报,2017,37(11):1467-1475,9.

南方医科大学学报

OA北大核心CSCDCSTPCDMEDLINE

1673-4254

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