CAJ | 학술논문

目的研究数字化技术辅助手术治疗 Pilon 骨折的疗效。方法选取30例 Pilon 骨折患者，随机分为 A 组和 B 组（各15例）。A 组采用数字化技术辅助手术，将患者计算机断层扫描（CT）数据导入Mimics10．01软件进行三维重建，选择合适术式行模拟复位手术，再进行手术治疗；B 组则采用传统的非数字化技术辅助手术。术后第2天，采用放射学疗效评价标准（Burwell-Charnley 标准）评估患者术后骨折复位情况；术后6个月、12个月，采用临床疗效评价标准（Olerud-Molander 主观评分标准）评估患者术后踝关节功能恢复情况。结果术后第2天，A 组解剖复位及功能复位例数多于 B 组，差异有统计学意义（P＜0．05）；术后6个月、12个月，A 组踝关节功能评分高于 B 组，差异有统计学意义（P＜0．05）。结论数字化技术辅助手术治疗 Pilon 骨折可使骨折块更好复位，术后踝关节功能恢复更好。
목적연구수자화기술보조수술치료 Pilon 골절적료효。방법선취30례 Pilon 골절환자，수궤분위 A 조화 B 조（각15례）。A 조채용수자화기술보조수술，장환자계산궤단층소묘（CT）수거도입Mimics10．01연건진행삼유중건，선택합괄술식행모의복위수술，재진행수술치료；B 조칙채용전통적비수자화기술보조수술。술후제2천，채용방사학료효평개표준（Burwell-Charnley 표준）평고환자술후골절복위정황；술후6개월、12개월，채용림상료효평개표준（Olerud-Molander 주관평분표준）평고환자술후과관절공능회복정황。결과술후제2천，A 조해부복위급공능복위례수다우 B 조，차이유통계학의의（P＜0．05）；술후6개월、12개월，A 조과관절공능평분고우 B 조，차이유통계학의의（P＜0．05）。결론수자화기술보조수술치료 Pilon 골절가사골절괴경호복위，술후과관절공능회복경호。
Objective To study the effects of digital technology in the adjuvant treatment for Pilon fractures.Methods 30 cases of Pilon fractures were col ected and randomly divided into two groups.Group A received operation with auxiliary digital technology including three-dimensional reconstruction and surgery simulation;group B received traditional treatment without digital technology.On the second day after the operation,postoperative fracture reduction was evaluate according to the radiological evaluation criteria (Burwel-Charnley standard).At 6 months and 12 months after the operation,ankle joint function was evaluate according to the clinical evaluation criteria (Olerud-Molander subjective scoring standard).Results The anatomic and functional reduction rate in group A was higher than group B (P<0.05),the ankle function scored higher in group A than group B (P<0.05).Conclusions The perfect reductions and functional recovery of Pilon fractures can be reached by operation with auxiliary digital technology.