3D打印导航模板在股骨滑车成形术中的应用研究-国际外科研究杂志-科技核心数据库

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3D打印导航模板在股骨滑车成形术中的应用研究

Application of 3D printing navigation template in femoral trochlear plasty

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DOI	10.12208/j.ijsr.20220109
刊名	国际外科研究杂志 International Journal of Surgical Research
年，卷(期)	2022, 5(4)
作者	马航,王久清,单晓威,王思宇,刘爱国*,
作者单位	河南大学第一附属医院河南开封 ;
摘要	分析3D打印导航模板在股骨滑车成形术中的应用研究。方法选取2020年8月至2022年8月，我院收治的股骨滑车严重发育不良导致的髌骨脱位患者60例，随机分为实验组和对照组，每组各30例。对照组使用股骨滑车成形术和治疗，实验组使用3D打印导航模板联合股骨滑车成形术治疗。比较两组患者手术治疗后胫骨结节滑车沟间距（TT-TG值）、髌骨适合角（CA）、髌骨倾斜角（PTA）、髌骨外移率（PLSR）、膝关节功能、髌骨关节不稳症状。结果实验组的胫骨结节滑车沟间距（TT-TG值）、髌骨适合角（CA），髌骨倾斜角（PTA）、髌骨外移率（PLSR）均更优于对照组；实验组的膝关节功能评分以及髌骨关节稳定性评分均高于对照组；实验组的并发症发生率明显低于对照组，有统计学意义（P＜0.05）。结论 3D打印导航模板在股骨滑车成形术中有显著的效果，能够改善髌骨关节指标，增加膝关节的功能以及髌骨关节的稳定性，减少手术后并发症的发生率，具有临床使用价值。 Objective To analyze the application of 3D printing navigation template in femoral trochnoplasty. Methods A total of 60 patients with patellar dislocation caused by severe trochlea dysplasia admitted to our hospital from August 2020 to August 2022 were randomly divided into experimental group and control group, with 30 cases in each group. The control group received femoral trochloplasty and treatment, and the experimental group received 3D printed navigation templates combined with femoral trochloplasty. The spacing of tibial tuberotrochlear groove (TT-TG value), patellar fitting Angle (CA), patellar inclination Angle (PTA), patellar displacement rate (PLSR), knee function and patellar joint instability symptoms were compared between the two groups after surgery. Results The tibial tuberotrochlear distance (TT-TG value), patellar fitting Angle (CA), patellar inclination Angle (PTA) and patellar displacement rate (PLSR) in the experimental group were better than those in the control group. The knee function scores and patellar joint stability scores of the experimental group were higher than those of the control group. The complication rate of the experimental group was significantly lower than that of the control group, with statistical significance (P < 0.05). Conclusion 3D printing navigation template has a significant effect in femoral trochlear arthroplasty, which can improve patellar joint indicators, increase the function of the knee joint and the stability of the patella joint, reduce the incidence of postoperative complications, and has a clinical value.
关键词	3D打印导航模板；股骨滑车成形术；股骨滑车发育不良 3D printing navigation template; Trochloplasty of femur; Femoral trochlear dysplasia
基金项目
页码	66-68

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