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胫骨近端骨折三维重建复位及数字钢板设计 被引量:8

Three-dimensional reconstruction reduction and design of digital plates for proximal tibia fracture
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摘要 背景:CT重建骨折三维模型不能进行虚拟复位、内固定,不能制定合理的修复方案,无法完全满足临床骨科医师的需要。目的:探讨应用软件在胫骨近端骨折中进行三维重建、复位并设计数字钢板的方法。方法:按照AO分类标准,将9具膝关节标本制作成胫骨近端A1-3、B1-3、C1-3类型骨折模型,进行高速CT薄层扫描,在Mimics中对9种类型的骨折模型进行重建、复位,以Solidworks进行内固定钢板、螺钉的设计,并在骨折复位三维模型上进行虚拟内固定。结果与结论:9种类型骨折均进行了三维重建、复位,完成内固定钢板及螺钉设计以及虚拟内固定,并以A3、B3、C3类型演示。提示应用Mimics及Solidworks可在个人电脑上设计出胫骨近端骨折数字钢板,可为现实修复手术提供参考。 BACKGROUND:In three-dimensional CT reconstruction model,fracture virtual reduction and internal fixation cannot be achieved,and reasonable operation scheme cannot be formulated.It cannot fully meet the needs of clinical orthopedics physicians.OBJECTIVE:To explore the methods to perform three-dimensional reconstruction,reduction on proximal tibial fracture and to design digital plate using software.METHODS:Nine specimens of knee joint were built to be A1-3,B1-3 and C1-3 types of proximal tibial fracture according to the AO standard.All specimens were treated with CT scan.Three-dimensional reconstruction and reduction on nine types of bone fracture models were performed in Mimics.The digital plates and screws were designed in Solidworks.Virtual internal fixation on the reduced three-dimensional models was performed.RESULTS AND CONCLUSION:All bone fracture models received three-dimensional reconstruction and reduction,and the design for internal fixational plates and screws as well as virtual internal fixation were accomplished.A3,B3 and C3 types were presented.These results suggest that the digital plates for proximal tibial fracture could be designed in Mimics and Solidworks with a personal computer.Our experience could be used in the real operation.
出处 《中国组织工程研究》 CAS 北大核心 2015年第26期4235-4241,共7页 Chinese Journal of Tissue Engineering Research
基金 福建省莆田市科技计划课题(2013S03(6))~~
关键词 植入物 数字化骨科 胫骨近端 骨折 软件 数字钢板 Tibial Fractures Imaging Three-Dimensional Internal Fixators Fracture Fixation
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  • 1RuediTP,BuckleyRE,MoranCG.骨折治疗的AO原则[M].危杰,刘瑶,吴新宝,等译.2版.上海:上海科学技术出版社,2010:431.
  • 2郑晓晖,张国栋,黄华军,吴章林,陈宣煌,陆俭军,黄文华.基于三维编辑的四肢骨折快速虚拟复位[J].中华临床医师杂志(电子版),2015,9(4):89-92. 被引量:8
  • 3张国栋,林海滨,陈宣煌,郑锋,陈国立,陶圣祥.基于多平面三维测量的髋臼骨折数字化内固定植入方案[J].中华临床医师杂志(电子版),2012,6(8):32-36. 被引量:14
  • 4Gosling T, Klingler K, Geerling J, et al. Improved intra-operative reduction control using a three-dimensional mobile image intensifier--a proximal tibia cadaver study. Knee 2009; 16(1 ):58-63.
  • 5Papagelopoulos P J, Partsinevelos AA, Themistocleous GS,et al. Complications after tibia plateau fracture surgery. Injury. 2006; 37(6):475-484.
  • 6蔡伟斌,胡鸿璇,郭新辉,杨俊,蔡维波.锁定加压钢板与解剖钢板置入内固定治疗复杂胫骨平台骨折[J].中国组织工程研究,2012,16(52):9750-9755. 被引量:37
  • 7Taylor J, Langenbach A, Marcellin-Little DJ. Risk factors for fibular fracture after TPLO. Vet Surg. 2011 ;40(6):687-693.
  • 8Yu Z,Zheng L,Zhang Y, et al.Functional and radiological evaluations of high-energy tibial plateau fractures treated with double -buttress plate fixation. E ur J Med Res. 2009;14(5): 200-2005.
  • 9刘俊,刘锦波,王生介,恽常军,朱建国,石岩,吴俊义.双钢板治疗胫骨平台粉碎性骨折的临床研究[J].实用临床医药杂志,2014,18(7):129-131. 被引量:12
  • 10Yu B, Han K, Zhan C, et aL Fibular head osteotomy., a new approach for the treatment of lateral or posterolateral tibial plateau fractures. Knee. 2010; 17(5):313.

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