The comparative research on the surgical treatment result of complex acetabula fracture assisted by 3D printing technology
10.3969/j.issn.1006-5725.2018.05.015
- VernacularTitle:3D打印技术辅助复杂髋臼骨折治疗的临床研究
- Author:
Qihua QI
1
;
Kunwang BAO
;
Qiang XIAO
;
Liang DENG
;
Cheng LI
;
Jihuan ZENG
;
Zhongping YUAN
;
Xieping DONG
Author Information
1. 江西省人民医院骨二科 南昌330006
- Keywords:
acetabula fracture;
3D printing technology;
anatomical reduction
- From:
The Journal of Practical Medicine
2018;34(5):750-754
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the advantage of 3D printing technique in treatment of complicated ace-tabula fracture,we compared the early clinical outcomes of surgical treatment for complex acetabula fracture with traditional surgery(group A)and that assisted by 3D printing technique(group B).Methods A prospective anal-ysis of 35 complicated acetabula fractures was performed at our department,13 patients cured assisted with 3D printing technique. The other 22 patients performed traditional surgery. Surgical trauma,systematic inflammation, immediate reduction effect were evaluated by Matta image assessment standard,and rehabilitation functional status evaluated by Harris score system and Merled' Aubigne and Postel Grading standard. Results There were signifi-cant differences between the two groups regarding intraoperative blood loss,postoperative drainage,operation time (P<0.05),and group B was superior to group A.C reactive protein,leucocyte and creatine kinase MM in periph-eral blood in group A were much higher than those in group B at 24 hours postoperatively(P<0.01).The result of reduction of fracture is poor in group A,but excellent rate of reduction is about 84% in group B. The result of Merled' Aubigne and Postel scores grading was superior in group B(P = 0.013). The excellent and good rate of Harris function score in B group was significantly higher than that in group A(P=0.027).Conclusion The treat-ment of complicated acetabula fracture assisted by 3D printing is excellent in short-term follow up,achieving good reduction with limited trauma,long-term prognosis needs to be further followed up.
