中国骨伤2025，Vol.38Issue(2)：203-207,5.DOI:10.12200/j.issn.1003-0034.20231260
三维打印技术联合定制接骨板治疗髋臼骨折的临床应用
Clinical application of three-dimensional printing technology combined with customized bone plate in the treatment of acetabulum fracture
摘要
Abstract
Objective To explore the application value and clinical effect of 3D printing combined with customized bone plate in the treatment of acetabular fracture.Methods From June 2020 to June 2022,11 patients with acetabular fractures un-derwent preoperative planning using 3D printing technology and were treated with customized bone plates including 8 males and 3 females,aged 25 to 66 years old.The fractures were classified according to Letournel-Judet:4 posterior wall fractures,2 T-type fractures,2 transverse posterior wall fractures,2 double column fractures,and 1 anterior column with posterior semi-transverse fractures.The operative time,intraoperative blood loss,intraoperative fluoroscopy times,postoperative drainage vol-ume,postoperative fracture healing time,and hip function score were recorded and analyzed.Results The operation time of 11 patients was 80 to 150 min,intraoperative blood volume was 150 to 700 ml,fluoroscopy frequency was 2 to 6,postoperative drainage flow was 60 to 195 ml,and the fracture healing time was 2.5 to 6.0 months.Fracture reduction was evaluated accord-ing to Matta score:anatomical reduction in 3 cases and satisfactory reduction in 8 cases.Eleven patients were followed up for 7 to 18 months.The hip Merle d'Aubigne function scores were excellent in 6 cases,good in 3 cases,fair in 1 case and poor in 1 case.Incision fat liquefaction occurred in 1 case and obturator nerve traction in 1 case.Conclusion The application of 3D printing technology combined with customized bone plates in the treatment of acetabular fracture is effective.In addition,the printed model can provide the operator with the results of the three-dimensional shape of the fracture,which is convenient for surgical reduction and effectively improves the efficiency of surgery.关键词
髋臼/骨折/三维打印/定制接骨板/骨折内固定Key words
Acetabulum/Fractures/Thre-dimensional printing/Customized bone plate/Internal fixation of fracture分类
医药卫生引用本文复制引用
臧砚超,赵泉勇,杨丽,左金增,齐巍,梁卫东,邢捷..三维打印技术联合定制接骨板治疗髋臼骨折的临床应用[J].中国骨伤,2025,38(2):203-207,5.基金项目
河北省卫生健康委医学科学研究课题计划(编号:20241624)Medical Science Research Project of Hebei Provincial Health Commission(No.20241624) （编号:20241624）
