胫骨外侧髁截骨术的数字虚拟还原与个体化导板相结合治疗胫骨平台骨折。

IF 1.4 4区医学 Q4 ENGINEERING, BIOMEDICAL Technology and Health Care Pub Date : 2024-07-15 DOI:10.3233/THC-240704

Yucheng Huang, Xuan Ma, Shilei Wu, Ming Chen, Junwen Wang, Jing Jiao

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引用次数: 0

摘要

背景：目前的治疗方法不支持直接暴露骨折碎片，导致在手术中无法直接观察关节面以进行精确的复位和牢固的固定：研究目的：探讨胫骨外侧髁截骨数字化虚拟复位联合个体化导板对胫骨平台骨折伴外侧后髁塌陷的治疗效果。方法：试验招募了41例胫骨平台骨折伴外侧后髁塌陷的患者。所有患者在手术前均接受了计算机断层扫描（CT）。手术后，使用拉斯穆森评分评估骨折复位情况，使用特殊外科医院（HSS）评分评估膝关节功能：41 名患者接受了 6-26 个月（平均 15.2 个月）的随访。术后骨折复位良好，骨折愈合平均 13.3 周，无严重并发症。优良和良好率为 97.6%。关节活动度为-5∘∼0∘∼135∘，平均125.5∘：胫骨外侧髁截骨数字化虚拟还原结合个性化导板可有效治疗胫骨平台骨折伴外侧后髁塌陷。

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Digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy for the treatment of tibial plateau fracture.

Background: Current treatments do not support direct exposure of fracture fragments, resulting in the inability to directly observe the articular surface during surgery for accurate reduction and firm fixation.

Objective: The aim of the study was to explore the treatment effect of digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy on tibial plateau fracture involving the lateral posterior condyle collapse.

Methods: 41 patients with tibial plateau fracture involving the lateral posterior condyle collapse were recruited in the trial. All patients underwent Computed Tomography (CT) scanning before operation. After operation, fracture reduction was evaluated using Rasmussen score and function of knee joint was assessed using hospital for special surgery (HSS) score.

Results: 41 patients were followed-up 6-26 months (mean, 15.2 months). Fracture reduction was good after operation, with an average of 13.3 weeks of fracture healing without serious complications. The excellent and good rate was 97.6%. The joint movement degree was -5∘∼0∘∼135∘ with an average of 125.5∘.

Conclusions: Digital virtual reduction combined with individualized guide plate of lateral tibial condyle osteotomy was effectively for treating tibial plateau fracture involving the lateral posterior condyle collapse.

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来源期刊

Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

6.20%

发文量

282

审稿时长

>12 weeks

期刊介绍： Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).