[1]刘二龙,宋 楹△.3D打印技术在全膝关节置换术中的应用及对患者膝关节活动度、HSS评分、下肢力线的影响研究[J].陕西医学杂志,2019,(11):1485-1488.
 LIU Erlong,SONG Ying.The effect of 3D printing technology on knee joint mobility,HSS score and lowerlimb force line in total knee arthroplasty[J].,2019,(11):1485-1488.
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3D打印技术在全膝关节置换术中的应用及对患者膝关节活动度、HSS评分、下肢力线的影响研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1485-1488
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
The effect of 3D printing technology on knee joint mobility,HSS score and lowerlimb force line in total knee arthroplasty
文章编号:
DOI:10.3969/j.issn.10007377.2019.11.021
作者:
刘二龙宋 楹△
陕西省铜川市人民医院(铜川727100)
Author(s):
LIU ErlongSONG Ying
Tongchuan People’s Hospital in Shaanxi Province (Tongchuan 727100)
关键词:
全膝关节置换术3D打印技术膝关节活动度下肢力线关节功能并发症
Keywords:
Key words Total knee arthroplasty3D printing technologyRange of motion of knee jointLower limb force lineJoint functionComplication
分类号:
R6843
文献标志码:
A
摘要:
摘 要 目的:探讨3D打印技术在全膝关节置换术(TKA)中的应用及对患者膝关节活动度、HSS评分、下肢力线的影响。方法:TKA患者80例为研究对象,按电脑随机法分为观察组和对照组,各40例。对照组给予常规TKA术治疗,观察组则在TKA手术基础上以3D打印技术进行辅助治疗,对比两组手术指标、膝关节活动度、HSS评分和下肢力线变化情况。结果:观察组手术时间和术中出血量低于对照组(P<005);两组住院时间对比无统计学差异(P>005);两组术前1周膝关节活动度、下肢力线变化和膝关节HSS评分对比无统计学差异(P>005);术后1周两组膝关节活动度均有所提高且下肢力线降低(P<005);观察组术后1周膝关节活动度高于对照组且下肢力线低于对照组(P<005);术后1周和术后3个月两组HSS评分均有所提高且观察组HSS评分高于对照组(P<005);两组并发症发生率对比无统计学差异(P>005)。结论:将3D打印技术用于TKA术中可改善患者膝关节活动、下肢力线以及HSS评分且安全性高。
Abstract:
Abstract Objective:To investigate the effect of 3D printing technology on knee motion,HSS score and lower limb force line in total knee arthroplasty Methods:80 patients who underwent total knee arthroplasty (TKA) were enrolled in the study They were randomly divided into observation group and control group,40 cases in each group The control group was treated with conventional TKA,while the observation group was assisted with 3D printing technology on the basis of TKA The operation indexes,knee joint mobility,HSS score and lower limb force line were compared between the two groups Results:The operation time and bleeding volume in the observation group were lower than those in the control group (P<005);there was no significant difference in hospitalization time between the two groups (P>005);there was no significant difference in knee joint activity,lower limb force line change and knee joint HSS score between the two groups one week before operation (P>005);knee joint activity in the two groups increased one week after operation (P>005) The lower limb force line decreased (P<005);the knee joint activity in the observation group was higher than that in the control group and the lower limb force line was lower than that in the control group one week after operation(P<005);the HSS score in the observation group was higher than that in the control group one week and three months after operation (P<005);there was no significant difference in the incidence of complications between the two groups (P>005) Conclusion:The application of 3D printing technology in TKA can improve knee joint activity,lower limb force line and HSS score with high safety,which is worthy of application

参考文献/References:

[1] 孙振国,朱佳俊,崔 岩,等.基于3D打印技术行全膝关节置换治疗内翻畸形膝骨性关节炎[J].中国组织工程研究,2017,21(15):23952399.
[2] 孙保飞,张敬东,韩文锋,等.应用3D打印个性化截骨模具行全膝关节置换手术时间及失血量的变化[J].解放军医药杂志,2016,28(11):1012.
[3] 牛 鸣,马 飞,马菊蓉,等.基于3D打印的个性化截骨技术与传统方式行全膝关节表面置换的临床对比[J]. 南方医科大学学报,2017,37(11):14671475.
[4] 王 玄,于卓力,纪 楠,等.3D打印个性化截骨导板与传统截骨方法在全膝关节置换中的应用与比较[J].中国组织工程研究,2018,22(19):103108.
[5] 周 武,曹发奇,刘国辉,等.3D打印技术辅助手术对复杂胫骨平台骨折治疗的价值[J].中华骨科杂志,2017,37(17):11001105.
[6] 何志勇,张擎柱,林影影,等.传统手术与应用3D打印技术后手术治疗复杂胫骨平台骨折的疗效比较[J]. 中国矫形外科杂志,2016,24(8):682686.
[7] Rumpf TH. Liposomal bupivacaine injection technique in total knee arthroplasty[J]. Journal of Knee Surgery,2017,30(01):8896.
[8] 潘卫宇,袁梅梅,寇晓平,等.应用3D打印技术对严重骨缺损患者行髋关节翻修术的护理[J]. 中华护理杂志,2016,51(9):10641067.
[9] 刘云涛,张新安,王 鹏,等.3D打印技术在胫骨高位截骨治疗膝内翻畸形骨关节炎中的临床应用[J]. 中华创伤骨科杂志,2019,21(3):247253.
[10] 周 进,姚庆强,胡 军,等.3D打印快速原型辅助全髋关节置换术在治疗成人发育性髋关节发育不良中的应用[J]. 中国数字医学,2017,12(2):3638.
[11] Sheth NP,Husain A,Nelson CL. Surgical techniques for total knee arthroplasty[J]. Journal of the American Academy of Orthopaedic Surgeons,2017,25(7):499.
[12] 陈 拥,王增辉,朴成哲. 3D打印个性化截骨导板辅助行全膝关节置换的应用[J]. 中国组织工程研究,2019,23(8):1318.
[13] 倪鹏辉,杨 晶,程 奎,等.3D打印截骨定位导向板在膝关节置换术中的应用研究[J]. 中国数字医学,2017,12(1):5254.
[14] 邱 冰,唐本森,邓必勇,等.基于三维反求技术和计算机辅助技术的3D打印导板在全膝关节置换术中的初步应用[J]. 中华创伤骨科杂志,2016,18(1):3541.
[15] Johnson JM,Mahfouz MR,Midillioglu MR,et al. Threedimensional analysis of the tibial resection plane relative to the arthritic tibial plateau in total knee arthroplasty[J]. J Exp Orthop,2017,4(1):27.
[16] 邬 波,柳 椰,马 旭,等.3D打印个性化导航模板在全膝关节置换术中的应用[J].中国骨与关节损伤杂志,2017,32(2):148151.
[17] 刘金辉,聂喜增,李 锋,等.3D打印技术在全膝关节置换术中的应用价值[J].现代中西医结合杂志,2016,25(16):17601763.
[18] 范士洁,赵 滨,陈洪强. 3D打印技术辅助手术治疗髋臼骨折初步体会[J].贵州医药,2016,40(4):380381.
[19] 邱 冰,张明娇,唐本森,等.基于3D打印个性化手术导航模板辅助下的人工全膝关节置换[J].中国组织工程研究,2015,19(48):77317735.

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更新日期/Last Update: 2019-11-15