利用三维CT数据简化前臂骨干骨折畸形愈合的矫正截骨术：通过病例展示提出我们的简单策略
Corrective Osteotomy of Malunited Diaphyseal Fractures of the Forearm Simplified Using 3-Dimensional CT Data: Proposal of Our Simple Strategy Through Case Presentation.
作者信息
Hamada Yoshitaka, Gotani Hiroyuki, Sasaki Kousuke, Tanaka Yoshitaka, Egawa Hiroshi, Kanchanathepsak Thepparat
机构信息
1 Osaka Hospital, Japan Seafarers Relief Association, Japan.
2 Shizuoka Institute of Science and Technology, Fukuroi, Japan.
出版信息
Hand (N Y). 2017 Sep;12(5):NP95-NP98. doi: 10.1177/1558944717692087. Epub 2017 Mar 8.
BACKGROUND
Reconstruction of malunited diaphyseal fractures of the forearm is one of the most difficult treatments due to its complicated structure. Widespread usage of Digital Imaging and Communications in Medicine (DICOM) data of 3-dimensional (3D) computed tomography (CT) and 3D printing can make estimating the true plane of the deformity easy.
METHODS
A 21-year-old man with limited supination due to left forearm nonunion deformity initially treated by locking plate fixation was referred to our hospital. We evaluated the deformity by superimposing the mirror image bone model of the contralateral normal bone onto a model of the affected bone and 3D real full-scale bone model.
RESULTS
The patient underwent a manual corrective osteotomy according to our planning. He had satisfactory improvement of his symptoms with no complications.
CONCLUSIONS
We postulated that our simple preoperative simulation and manual osteotomy with the aid of 3D CT reconstruction and 3D real full-scale bone model fit in the clinical practice as a recent trend.
背景
由于前臂骨干骨折畸形愈合的结构复杂，其重建是最困难的治疗方法之一。三维（3D）计算机断层扫描（CT）的医学数字成像和通信（DICOM）数据以及3D打印的广泛应用能够使估计畸形的真实平面变得容易。
方法
一名21岁男性因左前臂骨不连畸形导致旋后受限，最初接受锁定钢板固定治疗，后来转诊至我院。我们通过将对侧正常骨的镜像骨模型叠加到患侧骨模型和3D实体全尺寸骨模型上来评估畸形情况。
结果
患者按照我们的计划接受了手法矫正截骨术。他的症状得到了满意改善，且无并发症发生。
结论
我们推测，借助3D CT重建和3D实体全尺寸骨模型进行的简单术前模拟和手法截骨术符合当前临床实践的最新趋势。
Zotero 插件