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中华肩肘外科电子杂志 ›› 2022, Vol. 10 ›› Issue (02) : 176 -178. doi: 10.3877/cma.j.issn.2095-5790.2022.02.015

病例报告

数字规划、3D打印、个体化锁骨钩钢板治疗肩锁关节脱位一例
陈健1, 张庆1, 左才红1, 李军1, 张财义1, 陶忠亮1, 张敏2, 陈建海3,()   
  1. 1. 242000 宣城市人民医院骨科
    2. 242000 宣城市人民医院放射科
    3. 100044 北京大学人民医院创伤骨科
  • 收稿日期:2021-05-26 出版日期:2022-05-05
  • 通信作者: 陈建海
  • 基金资助:
    安徽省重点研究与开发计划项目(202104j07020007)
  • Received:2021-05-26 Published:2022-05-05
引用本文:

陈健, 张庆, 左才红, 李军, 张财义, 陶忠亮, 张敏, 陈建海. 数字规划、3D打印、个体化锁骨钩钢板治疗肩锁关节脱位一例[J/OL]. 中华肩肘外科电子杂志, 2022, 10(02): 176-178.

图1 患者女性,50岁,交通事故伤致右肩锁关节脱位,RockwoodⅢ型损伤 图A:右肩锁关节;图B:左肩锁关节
图2 将患者双侧肩锁关节CT数据导入Mimics 17.0软件,通过阈值分割、区域增长,建立双侧肩锁关节三维几何模型
图3 镜像复位 图A:将左肩锁关节镜像至右侧,以左肩锁关节的镜像为参考,对右肩锁关节脱位进行复位;图B:复位后的右肩锁关节
图4 3D打印出1:1的复位前模型和复位后模型 图A:复位前的右肩锁关节;图B:正面观未塑形的锁骨钩钢板匹配复位后的右肩锁关节;图C:上面观未塑形的锁骨钩钢板匹配复位后的右肩锁关节
图5 塑形后锁骨钩钢板匹配复位后的右肩锁关节 图A:正面观;图B:上面观
图6 锁骨钩钢板塑形前、后照片 图A:塑形前;图B:塑形后
图7 X线片影像 图A:术中影像;图B:术后影像
图8 术后6个月影像 图A:X线片影像;图B-D:三维CT影像
图9 术后6个月随访功能照片,Neer肩关节功能评分90分 图A:外展上举;图B:前屈上举;图C:后伸;图D:外旋;图E:内旋
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