Windisch Gunther, Salaberger Dietmar, Rosmarin Walter, Kastner Johann, Exner Gerhard Ulrich, Haldi-Brändle Verena, Anderhuber Friedrich
Institute of Anatomy Graz, Medical University Graz, Austria.
J Anat. 2007 Jun;210(6):761-6. doi: 10.1111/j.1469-7580.2007.00732.x. Epub 2007 May 15.
The pathological anatomy of idiopathic clubfoot has been investigated for more than 180 years using anatomy, computed tomography (CT), histology and microscopy. Seven idiopathic clubfeet and two normal feet of aborted fetuses were dissected in the present study, with special emphasis on the shape of the cartilage and bones. A three-dimensional (3D) micro-CT system, which generates a series of X-ray attenuation measurements, was used to produce computed reconstructed 3D data sets of each of the separated bones. Based on the micro-CT data scans a high-definition 3D colour printing system was used to make a four times enlarged clubfoot model, precisely presenting all the bony malformations. This model reflects the complexity of the anatomy of this disease and is designed to be used in the workshops of orthopaedic surgeons and physiotherapists, for training in new surgical and manipulation techniques.
在180多年的时间里，人们一直运用解剖学、计算机断层扫描（CT）、组织学和显微镜技术对特发性马蹄内翻足的病理解剖进行研究。在本研究中，解剖了7例特发性马蹄内翻足和2例流产胎儿的正常足，特别关注软骨和骨骼的形态。使用一种能生成一系列X射线衰减测量值的三维（3D）微型CT系统，对每块分离的骨头生成计算机重建的3D数据集。基于微型CT数据扫描，使用高清3D彩色打印系统制作了一个放大四倍的马蹄内翻足模型，精确呈现了所有骨畸形。该模型反映了这种疾病解剖结构的复杂性，旨在供整形外科医生和物理治疗师在工作坊中用于培训新的手术和手法技术。
