中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
39期
6940-6945
,共6页
骨关节植入物%骨科植入物%数字化骨科%复杂胫骨平台骨折%CT%三维重建%三维数字化模型%三柱分型%虚拟手术%修复前评估%修复前计划%省级基金
骨關節植入物%骨科植入物%數字化骨科%複雜脛骨平檯骨摺%CT%三維重建%三維數字化模型%三柱分型%虛擬手術%脩複前評估%脩複前計劃%省級基金
골관절식입물%골과식입물%수자화골과%복잡경골평태골절%CT%삼유중건%삼유수자화모형%삼주분형%허의수술%수복전평고%수복전계화%성급기금
背景：复杂胫骨平台骨折一直是创伤骨科的难题，全面的修复前评估及合理的修复前规划是临床手术的关键。<br> 目的：探讨三维重建及虚拟手术技术在复杂胫骨平台骨折修复前评估和修复前规划中的应用价值。<br> 方法：修复前将30例胫骨平台骨折患者CT扫描图像数据导入Mimics 13.0软件，建立复杂胫骨平台骨折三维数字化模型，对胫骨平台骨折模型进行三维数据测量，按胫骨平台三柱分型进行重新分型，在三维数字化模型上进行开窗、骨块复位、植骨的虚拟手术。<br> 结果与结论：重建的胫骨平台骨折三维数字化模型可准确反映出骨折特点，并可进行任意角度旋转观察，可以准确的进行三柱分型。Mimics13.0软件施行的胫骨平台骨折开窗、复位、植骨的虚拟手术可以逼真模拟临床手术，并且有效估算植骨量。结果证实，三维重建及虚拟手术技术有利于复杂胫骨平台骨折的修复前评估及规划，应该作为修复前准备的常规项目。
揹景：複雜脛骨平檯骨摺一直是創傷骨科的難題，全麵的脩複前評估及閤理的脩複前規劃是臨床手術的關鍵。<br> 目的：探討三維重建及虛擬手術技術在複雜脛骨平檯骨摺脩複前評估和脩複前規劃中的應用價值。<br> 方法：脩複前將30例脛骨平檯骨摺患者CT掃描圖像數據導入Mimics 13.0軟件，建立複雜脛骨平檯骨摺三維數字化模型，對脛骨平檯骨摺模型進行三維數據測量，按脛骨平檯三柱分型進行重新分型，在三維數字化模型上進行開窗、骨塊複位、植骨的虛擬手術。<br> 結果與結論：重建的脛骨平檯骨摺三維數字化模型可準確反映齣骨摺特點，併可進行任意角度鏇轉觀察，可以準確的進行三柱分型。Mimics13.0軟件施行的脛骨平檯骨摺開窗、複位、植骨的虛擬手術可以逼真模擬臨床手術，併且有效估算植骨量。結果證實，三維重建及虛擬手術技術有利于複雜脛骨平檯骨摺的脩複前評估及規劃，應該作為脩複前準備的常規項目。
배경：복잡경골평태골절일직시창상골과적난제，전면적수복전평고급합리적수복전규화시림상수술적관건。<br> 목적：탐토삼유중건급허의수술기술재복잡경골평태골절수복전평고화수복전규화중적응용개치。<br> 방법：수복전장30례경골평태골절환자CT소묘도상수거도입Mimics 13.0연건，건립복잡경골평태골절삼유수자화모형，대경골평태골절모형진행삼유수거측량，안경골평태삼주분형진행중신분형，재삼유수자화모형상진행개창、골괴복위、식골적허의수술。<br> 결과여결론：중건적경골평태골절삼유수자화모형가준학반영출골절특점，병가진행임의각도선전관찰，가이준학적진행삼주분형。Mimics13.0연건시행적경골평태골절개창、복위、식골적허의수술가이핍진모의림상수술，병차유효고산식골량。결과증실，삼유중건급허의수술기술유리우복잡경골평태골절적수복전평고급규화，응해작위수복전준비적상규항목。
BACKGROUND:Treatment of complex tibial plateau fracture is a difficulty in orthopaedic trauma. Comprehensive assessment and appropriate surgical plan before surgery are the key points of surgery. <br> OBJECTIVE:To investigate the application value of three-dimensional reconstruction and virtual surgical techniques in assessing and surgical planning of complex tibial plateau fracture before surgery. <br> METHODS:The CT scan data of 30 patients with tibial plateau fracture were imported into the Mimics 13.0 software to establish the three-dimensional digital models of complex tibial plateau fracture, and three-dimensional measurements and reclassification was performed according to three-column classification were made. Virtual surgeries such as bone window operation, reduction of the fracture and bone grafting were made in these models. <br> RESULTS AND CONCLUSION:Reconstructed three-dimensional digital models of complex tibial plateau fracture could indicate the characteristics of fracture accurately, could be observed at any direction, and could help doctors to reclassify the fracture according to three-column classification. Virtual surgeries of bone window operation, reduction of the fracture and bone grafting made in computer by Mimics 13.0 were confirmed to be vividly simulate the clinical surgery, and helpful in estimating the amount of bone grafting. Three-dimensional reconstruction and virtual surgical techniques play an important role in assessing and surgical planning of complex tibial plateau fracture before surgery, which should be a conventional step in the management of complex tibial plateau fracture.
