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岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (02): 213-216.DOI: 10.3969/j.issn.1009-976X.2017.02.020

• 论著与临床研究 • 上一篇    下一篇

定制 3D 打印切模辅助全膝关节置换术的临床疗效分析

曹恒 刘明廷 石辉 刘康   

  1. 滨州医学院附属医院骨关节外科
  • 通讯作者: 刘明廷

Analysis of clinical effect of customized 3D printing?assisted total knee replacement

CAO Heng, LIU Mingting,SHI Hui,LIU Kang.   

  • Online:2017-04-20 Published:2017-04-20
  • Contact: LIU Mingting

摘要:

目的 探讨定3D打印切模辅助全膝关节置换术的临床疗效。方法 选取我科从20161~7月期10切模辅助患者根据患者的术CT扫描数据在定3D打印模辅助下行全膝关节置换术再选10对照行传统全膝关节置换术的患者比较两组者术中出血量和术后引流量及手术时间并在术2周比较膝关节活动度变化情况然后术1个月比较患侧膝关HSS评分变化情况将以上数据并进行统计学分析。结果 切模辅助和对照组相比较前者在术中出血量和术后引流量手术时间方面均少于对照组差异具有统学意P<0.051个月的患侧膝关HSS评分两组比较差异无统计学意P>0.05术后2周患侧膝关节活动度两组比较差异无统计学意P>0.05结论 3D打印切模辅全膝关节置换术对患者术后膝关节功能恢复关节活动度的影响与传统的全膝关节置换术并差异但是手术时间缩短术中出血量和术后引流量减少

关键词: 3D 打印, 临床疗效 , 全膝关节置换

Abstract:

Objective To investigate the clinical effect of customized 3D printing?assisted total knee arthroplasty. Methods Ten patientscutting auxiliary groupfrom January2016 to July2016 were selected. According to the preoperative CT scan data total knee arthroplasty was performed under the help of customized 3D printing. The patients who underwent traditional total knee arthroplastyTAP were divided into two groupsthe amount of blood lossthe operation timethe complication ratepros? thetic fracturedislocationinfection and deep venous thrombosis. The changes of HHS score were com? pared between 2 weeks after operation1 month after operation and 3 months after operation. The above data were analyzed statistically. Results Compared with the control groupthe amount of bleedingthe amount of drainage and the time of operation were less in the former group than in the control group P<0.05but the difference was statistically significantP>0.05. There was no significant difference in the incidence of HHS in the ipsilateral knee between 2 weeks1 month and 3 months postoperatively. There was no significant difference between the two groups in the incidence of complications Statistical significanceP>0.05. Conclusion In the present studythere was no difference in the incidence of knee joint function and complication in patients with total knee arthroplasty after total 3D arthroplasty. Howeverthe operative time was shortenedpostoperative drainage decreased.

Key words: 3D printing, clinical curative effect, total knee arthroplasty

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