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中华肩肘外科电子杂志 ›› 2018, Vol. 06 ›› Issue (02) : 151 -153. doi: 10.3877/cma.j.issn.2095-5790.2018.02.011

所属专题: 经典病例 文献

病例报告

基于3D打印个性化手术导航模块的微创锥形截骨治疗桡骨上段旋转畸形
陈亮1, 桑莉莉1, 高大伟1,(), 吴宇峰1, 王康振1, 郑晓明1   
  1. 1. 528400 广州中医药大学附属中山市中医院骨科
  • 收稿日期:2017-05-30 出版日期:2018-05-05
  • 通信作者: 高大伟
  • 基金资助:
    中山市新型研发机构产业化项目(2016F2FC0019)

The upper radius rotatory deformity treated by the minimally invasive and tapered osteotomy and personalized surgical navigation module based on 3D printing

Liang Chen1, Lili Sang1, Dawei Gao1()   

  • Received:2017-05-30 Published:2018-05-05
  • Corresponding author: Dawei Gao
引用本文:

陈亮, 桑莉莉, 高大伟, 吴宇峰, 王康振, 郑晓明. 基于3D打印个性化手术导航模块的微创锥形截骨治疗桡骨上段旋转畸形[J]. 中华肩肘外科电子杂志, 2018, 06(02): 151-153.

Liang Chen, Lili Sang, Dawei Gao. The upper radius rotatory deformity treated by the minimally invasive and tapered osteotomy and personalized surgical navigation module based on 3D printing[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2018, 06(02): 151-153.

图1 右前臂内旋活动受限:图A  患者右前臂旋前约15°;图B  双侧前臂中立位;图C  双侧前臂旋后活动正常
图2 CT三维重建提示右桡骨上段骨折旋转畸形愈合,右前臂旋转角度:图A 旋转60°;图B 旋转0°;图C 旋转90°;图D 旋转180°
图3 骨折三维模型重建,从矢状面、额状面、横截面测量旋转畸形角度(15°),确定畸形矫正截骨面与截骨点
图4 张力侧(2.6 mm钉道)、压力侧(1.8 mm钉道)截骨设计带钉道的导航模块和3D打印的桡骨模型
图5 术中锥形截骨:图A  术中放置导航模具;图B  张力侧、压力侧在导航模具辅助下克氏针钻孔;图C  术中显示钻孔后模具位置;图D  术中完成锥形截骨,形成"V"型断端
图6 术后复查右侧前臂X线片:图A  侧位片、图B  正位片,均显示髓内钉位置良好、桡骨上段旋转畸形矫正、无明显短缩
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