应用3D打印技术联合组配式S-ROM假体人工髋关节置换术治疗成人CroweⅣ DDH

杨佳; 杨毅; 赵云宏; 张正学; 杨清; 杨柳; 溪应龙; 段于平; 李彪

应用3D打印技术联合组配式S-ROM假体人工髋关节置换术治疗成人CroweⅣ DDH

昆明医科大学第一附属医院骨科

基金项目:

基金：国家自然科学基金资助项目 (8176010097); 云南省医疗卫生单位内设研究机构科研基金资助项目 (2016NS 023);

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出版历程
- 收稿日期: 2018-02-22

Application of 3D Printing Combined with S-ROM Total Hip Arthroplasty in the Treatment of Adult Crowe Ⅳ DDH

Funds:

基金：国家自然科学基金资助项目 (8176010097); 云南省医疗卫生单位内设研究机构科研基金资助项目 (2016NS 023);

摘要

摘要: 目的探讨3D打印技术联合组配式S-ROM假体人工髋关节置换术在治疗成人CroweⅣ DDH的应用.方法 2014年9月至2017年9月, 随机选取10例成人CroweⅣ DDH患者, 分为3D组 (5例) 和常规组 (5例) .男性4例, 女性6例, 年龄2763岁, 平均43.6岁.2组病例术前均进行Harris评分, 3D组根据患者三维CT数据, 制作髋关节3D打印模型.并依据模型测量选择假体大小、确定手术方案并进行模拟手术.随后采用组配式S-ROM假体进行人工关节置换术, 记录术中髋关节实际情况、假体型号、手术时间及出血量等.术后1周再次行Harris评分, 随访早期疗效和并发症发生率.结果 3D组术中髋关节实际情况与术前3D打印模型一致, 术中出血量、手术时间、术后Harris评分提高情况均优于常规组, 术后髋关节功能改善明显, 活动良好.结论应用3D打印技术联合组配式S-ROM假体人工髋关节置换术治疗成人CroweⅣ DDH, 可以进一步提高手术精确度和成功率, 减少手术时间、出血量及并发症发生率等.
- DDH /
- 3D打印 /
- 组配式S-ROM假体 /
- 人工全髋关节置换术
Abstract: Objective To investigate the application of 3 D printing combined with S-ROM total hip arthroplasty in the treatment of adult Crowe IV DDH. Me thods Between September 2014 and June 2017, 10 patients of adult Crowe IV DDH were selected and divided into 3 D group (5 cases) and non-3 D group (5 cases) . There were 4 males and 6 females with an average age of 43.6 years (range, 27-63 years) . Harris scores were recorded in both groups before the operation, and in the group 3 D, patients underwent spiral CT scanning to make the hip 3 D models. According to the hip 3 D models, the sizes of prosthesis and operation schemeswere estimated before the operation, and the surgery simulation was performed. Then the S-ROM prosthesis was used for total hip arthroplasty. The actual situation of hip joint, the size of prosthesis, time of operation and blood loss were recorded.Harris Score at 1 week post-operationwere recorded again. All patients were followed up related postoperative complications for at least 2 weeks.Re s ults The 3 D printing models coordinated with the actual sizes of the hips in the3 D group.The time of operation and blood loss were less than the non-3 D group. Higher Harrisscore was observed at 1 week post-operation in the 3 D group, compared to non-3 D printing group.The follow-up showed that the motion of the hips was improved obviously. Conclus ion The Application of 3 D Printing combined with S-ROM total hip arthroplasty in the treatment of adult crowe IV DDH can improve efficiency and accuracy of the operation, shorten time of operation, reduce operative blood loss and rate of complications.
- Developmental dysplasia of the hip /
- Three dimensional printing /
- S-ROMprosthesis /
- Total hip arthroplasty

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参考文献(31)

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