局解手术学杂志2017，Vol.26Issue(10)：759-763,5.DOI:10.11659/jjssx.05E017095
三维可视化辅助股骨近端防旋髓内钉治疗高龄股骨粗隆间骨折
3D visualization assisted proximal femoral nail anti-rotation surgery in the treatment of elderly intertrochanteric fracture
梁爱军 1李佳怡 2黄辰宇 2刘帅 3徐燕 2姚庆强 3王黎明2
作者信息
- 1. 姜堰中医院骨科,江苏泰州225500
- 2. 南京医科大学附属南京医院骨科,江苏南京210006
- 3. 南京医科大学数字医学研究所,江苏南京210006
- 折叠
摘要
Abstract
Objective To investigate the application of 3 D visualization (3 DV) assisted proximal femoral nail anti-rotation (PFNA) surgery in the treatment of elderly intertrochanteric fracture (ITF).Methods Totally 11 cases of elderly unstable ITF were treated with 3DV assisted PFNA fixation surgery.All these patients were examined with multi-row spiral CT volume scan,and the anatomical data of Dicom was reconstructed through M3 D software.Computer aided design (CAD) was performed based on 3 D reconstruction data,including anatomical data measurement,fracture reduction simulation,and proximal femoral head nail (PFNA) implant parameter design.And the CAD data were showed by S-3DV system during operation to guide the operation.Time of operation,intra-operative blood lose,post-operative drainage volume,hospital stay time and Harris hip score were recorded and compared to the non-3DV assisted PFNA procedure.Results In 3 DV-PFNA surgery,there was no significant difference between the preoperative planned average PFNA size and the implanted average PFNA size (P ＞ 0.05).Compared to the non-3DV-PFNA surgery,3 DV-PFNA surgery has less intra-operative blood lose and post-operative drainage volume,shorter time of preoperative traction reduction and operation (P ＜ 0.05).Harris hip function score of 3 DV-PFNA surgery was better than the conventional surgery 1 week after operation,and there was no significant difference in VAS score I month after operation.The 11 cases treated with 3DV-PFNA technology were healed well,and the rate of complications was lower than the conventional surgery.Conclusion 3DV technique can show accuracy CAD model of ITF,which may play an important role to improve efficiency and accuracy of PFNA surgery.关键词
股骨粗隆间骨折/股骨近端防旋髓内钉/三维可视化/计算机辅助设计Key words
intertrochanteric fracture/proximal femoral nail anti-rotation/3D visualization/computer aided design分类
医药卫生引用本文复制引用
梁爱军,李佳怡,黄辰宇,刘帅,徐燕,姚庆强,王黎明..三维可视化辅助股骨近端防旋髓内钉治疗高龄股骨粗隆间骨折[J].局解手术学杂志,2017,26(10):759-763,5.
