临床外科杂志 ›› 2020, Vol. 28 ›› Issue (4): 313-315.doi: 10.3969/j.issn.1005-6483.2020.04.005

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3D打印截骨导板在轻中度拇外翻矫形中的临床运用与疗效分析

  

  1. 430033 湖北省武汉市第四医院(华中科技大学同济医学院附属普爱医院)骨科
  • 出版日期:2020-04-20 发布日期:2020-04-20
  • 通讯作者: 黄若昆,Email:hbfoot@126.com

Clinical study of 3D printed osteotomy guide in mild to moderate hallux valgus correction

  1. Deparment of Orthopaedics,Wuhan Fourth Hospital,Tongji Medical College;Huazhong University of Science and Technology,Wuhan 430033,China
  • Online:2020-04-20 Published:2020-04-20

摘要: 目的 探讨3D打印通用截骨导板在轻中度拇外翻矫形术中的临床应用及疗效分析。 方法 轻中度拇外翻手术病人60例,随机分为两组,每组各30例(30足),实验组行截骨导板辅助矫形术;对照组行常规矫形术。比较两组病人创口愈合情况、术后负重位跖间角(IMA)的改善情况,采用美国足踝外科第一跖趾关节评分系统(AOFAS)对术后足踝部功能进行评估。 结果 所有病例术后创口均I期愈合,两组病人在术前负重位IMA和AOFAS评分比较差异无统计学意义(P>0.05),两组术后与术前比较均有明显改善,差异有统计学意义(P<0.05)。实验组术后IMA为(5.18±0.82)°,对照组为(6.34±0.75)°,两组比较差异有统计学意义(P<0.05)。实验组AOFAS评分为(89.05±5.16),对照组为(82.84±5.02),两组比较差异有统计学意义(P<0.05)。 结论 应用3D打印的通用截骨导板术中辅助治疗轻中度拇外翻,与传统手术方案比较能更好地纠正病人IMA,改善术后足部功能。

关键词: 拇外翻, 截骨术, 3D打印, 截骨导板

Abstract: Objective To explore clinical application of 3D printed osteotomy guide in mild to moderate hallux valgus correction. Methods Patients with mild to moderate hallux valgus surgery were randomly divided into two groups.30 feet in the experimental group were treated with osteotomy guide assisted orthopedic surgery,and 30 feet in the control group were treated with routine orthopedic surgery.The wound healing and postoperative weight-bearing position IMA were compared between the two groups,and the postoperative foot and ankle function was evaluated by American foot and ankle surgery first metatarsophalangeal joint scoring system(AOFAS). Results All the wounds healed i after operation.there was no difference in the scores of IMA and AOFAS in the weight-bearing position between the two groups.The postoperative IMA of the experimental group was(5.18±0.82)° and the IMA of the control group was(6.34±0.75)°.There was significant difference between the two groups(P<0.05).The AOFAS score of the experimental group was(89.05±5.16)and the control group was(82.84±5.02),there was significant difference between the two groups(P<0.05). Conclusion 3D printed osteotomy guide plate in the treatment of mild to moderate hallux valgus operation can better correct the IMA,improve the function of foot after operation than the traditional operation method.

Key words: Hallux valgus, Osteotomy, 3D printing, Guide template

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