Yang Jia , Yang Yi , Zhao Yun Hong , Zhang Zheng Xue , Yang Qing , Yang Liu , Xi Ying Long , Duan Yu Ping , Li Biao . Application of 3D Printing Combined with S-ROM Total Hip Arthroplasty in the Treatment of Adult Crowe Ⅳ DDH[J]. Journal of Kunming Medical University, 2018, 39(05): 83-89.
Citation: Yang Jia , Yang Yi , Zhao Yun Hong , Zhang Zheng Xue , Yang Qing , Yang Liu , Xi Ying Long , Duan Yu Ping , Li Biao . Application of 3D Printing Combined with S-ROM Total Hip Arthroplasty in the Treatment of Adult Crowe Ⅳ DDH[J]. Journal of Kunming Medical University, 2018, 39(05): 83-89.

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);

  • Received Date: 2018-02-22
  • 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.
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