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Crowe Ⅳ DDH

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Crowe Ⅳ DDH
杨佳;杨毅;赵云宏;张正学;杨清;杨柳;溪应龙;段于平;李彪
【期刊名称】《昆明医科大学学报》
【年(卷),期】2018(039)005
【摘要】Objective To investigate the application of 3D printing combined with S-ROM total hip arthroplasty in the treatment of adult Crowe IV DDH. Methods Between September 2014 and June 2017, 10 patients of adult Crowe IV DDH were selected and divided into 3D group (5 cases) and non-3D group (5 cases) . There were 4 males and 6 females with an average age of 43.6 years (range,27-63years) . Harris scores were recorded in both groups before the operation, and in the group 3D, patients underwent spiral CT scanning to make the hip 3D models. According to the hip 3D 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.Results The 3D printing models coordinated with the actual sizes of the hips in the3D group.The time of operation and blood loss were less than the non-3D group. Higher Harris score was observed at 1 week post-
operation in the 3D group,compared to non-3D printing group.The follow-up showed that the motion of the hips was improved obviously. Conclusion The Application of 3D 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.%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CroweⅣDDH的应用.方法2014年9月至2017年9月,随机选取10例成人CroweⅣDDH患者,分为3D组(5例)和常规组(5例).男性4例,女性6例,年龄27～63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CroweⅣDDH,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.
【总页数】7页(P83-89)
【作者】杨佳;杨毅;赵云宏;张正学;杨清;杨柳;溪应龙;段于平;李彪
【作者单位】昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明650032;昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明 650032;
昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明 650032;昆明医科大学第一附属医院骨科,云南昆明 650032
【正文语种】中文
【中图分类】R687.4+2
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