河北医学2023，Vol.29Issue(12)：2016-2022,7.DOI:10.3969/j.issn.1006-6233.2023.12.015
实体镜像对比技术联合切割预制技术在特殊类型踝关节骨折中应用的临床疗效评价
Evaluation of Clinical Efficacy of Solid Image Contrast Technique Combined with Cutting Prefabrication Technique in The Treatment of Special Ankle Fracture
摘要
Abstract
Objective:To evaluate the clinical efficacy of solid image contrast technique combined with cutting prefabrication technique in the treatment of special ankle fracture.Methods:A retrospective study was conducted on 63 cases of special type ankle fractures admitted to the Affiliated Hospital of Chengde Medical U-niversity from May 2015 to June 2022.According to the preoperative planning method,the patients were di-vided into the digital technology group(using solid image comparison technology combined with cutting prefab-rication technique for preoperative planning,31 cases)and the radiological technology group(using radiologi-cal data for preoperative planning,32 cases).Ankle bone reconstruction surgery was performed at a scheduled time,and data of various indicators before,during,and after surgery were collected for comparative analysis.Results:The preoperative planning cost,preoperative planning time,and Burwell-Charnley anatomical re-duction rate in the digital technology group were higher than those in the radiological technology group,and the differences between the two groups were statistically significant(P<0.05).The total intraoperative blood loss and intraoperative time in the digital technology group were lower than those in the radiological technology group,and the differences between the two groups were statistically significant(P<0.05).All patients were followed up for 9 to 13 months with an average of(11.23±2.62)months.The fracture healing time,full weight-bearing time,and complication rate in the digital technology group were lower than those in the radio-logical technology group,and the differences between the two groups were statistically significant(P<0.05).The AOFAS score in the digital technology group was higher than that in the radiological technology group,and the differences between the two groups were statistically significant(P<0.05).The main effects of time,group,and the interaction between time and group on the plantar pressure and ROM degrees on the affected side in both groups were statistically significant(P<0.001).Conclusion:The application of solid image comparison technology combined with cutting prefabrication technique in the treatment of special type ankle fractures has a definite clinical efficacy,with a low incidence of complications.However,it may increase pa-tient medical expenses and preoperative planning time.关键词
镜像/切割/踝关节/骨折/效果Key words
Mirror image/Cutting/Ankle/Fracture/Effect引用本文复制引用
严晓薇,隋磊,李小东,薛鑫鑫,司景元,刘飞,姜洪涛,孔宇,王培..实体镜像对比技术联合切割预制技术在特殊类型踝关节骨折中应用的临床疗效评价[J].河北医学,2023,29(12):2016-2022,7.基金项目
2022年度河北省"三三三人才工程"资助项目,(编号:C20221093) （编号:C20221093）
2022年承德市科学技术研究与发展计划项目,(编号:202204A042) （编号:202204A042）
