机器人外科学杂志（中英文）2025，Vol.6Issue(3)：368-372,5.DOI:10.12180/j.issn.2096-7721.2025.03.003
3D打印导向器在镜下前交叉韧带胫骨撕脱骨折固定术中的应用效果
Application of 3D printing guide in microscopic anterior cruciate ligament tibial avulsion fracture fixation
摘要
Abstract
Objective:To analyze the clinical application and efficacy of 3D printing guide in microscopic anterior cruciate ligament(ACL)tibial avulsion fracture fixation.Methods:100 patients with ACL tibial avulsion fractures in the Department of Trauma Orthopedics of the Yanan University Affiliated Hospital from October 2020 to October 2024 were selected and randomly divided into the conventional group(conventional microscopic ACL tibial avulsion fracture fixation,n=50)and the 3D group(3D printing guide-assisted microscopic ACL tibial avulsion fracture fixation,n=50).The perioperative indicators,knee function,quality of life,incidence of flexion contracture,and complication rate were compared between the two groups.Results:Patients in the 3D group experienced less intraoperative bleeding,postoperative drainage,operative time,fracture healing time,time to start knee function exercises,and length of hospital stay than those in the conventional group(P<0.05).The International Knee Documentation Committee score,Tegner knee motion score,Lysholm knee score,and Health Survey Short Form Score showed no statistically significant difference between the two groups before treatment(P>0.05).While all scores in both groups increased after treatment,and the 3D group outperformed the conventional group(P<0.05).In the 3D group,there was a decreased incidence of 5° flexion contracture,total flexion contracture,and complications compared to the conventional group(P<0.05).Conclusion:The clinical efficacy of 3D printing guides in microscopic ACL tibial avulsion fracture fixation is remarkable,it can effectively promote postoperative knee joint function recovery,improve the quality of life,reduce the incidence of flexion contracture and complications,which is worthy of clinical promotion.关键词
前交叉韧带/胫骨撕脱骨折/3D打印导向器/膝关节功能Key words
Anterior Cruciate Ligament/Tibial Avulsion Fracture/3D Printing Guide/Knee Joint Function分类
医药卫生引用本文复制引用
赵程锦,冯阳阳,李楠楠..3D打印导向器在镜下前交叉韧带胫骨撕脱骨折固定术中的应用效果[J].机器人外科学杂志（中英文）,2025,6(3):368-372,5.基金项目
国家自然科学基金(82160431)National Natural Science Foundation of China(82160431) （82160431）
