Suppr超能文献

快速成型3D模型在小儿髋关节发育不良治疗中的应用:一例报告

Rapid Prototyping 3D Model in Treatment of Pediatric Hip Dysplasia: A Case Report.

作者信息

Holt Andrew M, Starosolski Zbigniew, Kan J Herman, Rosenfeld Scott B

机构信息

University of Tennessee - Campbell Clinic Department of Orthopedics & Biomedical Engineering1211 Union Ave, Suite 510, Memphis, TN 38104, USA.

Baylor College of Medicine1 Baylor Plaza, Houston, TX 77030, USA.

出版信息

Iowa Orthop J. 2017;37:157-162.

Abstract

BACKGROUND

Rapid prototyping is an emerging technology that integrates common medical imaging with specialized production mechanisms to create detailed anatomic replicas. 3D-printed models of musculoskeletal anatomy have already proven useful in orthopedics and their applications continue to expand.

CASE DESCRIPTION

We present the case of a 10 year-old female with Down syndrome and left acetabular dysplasia and chronic hip instability who underwent periacetabular osteotomy. A rapid prototyping 3D model was created to better understand the anatomy, counsel the family about the problem and the surgical procedure, as well as guide surgical technique. The intricate detail and size match of the model with the patient's anatomy offered unparalleled, hands-on experience with the patient's anatomy pre-operatively and improved surgical precision.

CONCLUSIONS

Our experience with rapid prototyping confirmed its ability to enhance orthopedic care by improving the surgeon's ability to understand complex anatomy. Additionally, we report a new application utilizing intraoperative fluoroscopic comparison of the model and patient to ensure surgical precision and minimize the risk of complications. This technique could be used in other challenging cases. The increasing availability of rapid prototyping welcomes further use in all areas of orthopedics.

摘要

背景

快速成型是一种新兴技术,它将普通医学成像与专门的生产机制相结合,以创建详细的解剖复制品。肌肉骨骼解剖结构的3D打印模型在骨科领域已被证明是有用的,并且其应用仍在不断扩展。

病例描述

我们报告一例10岁患有唐氏综合征、左髋臼发育不良及慢性髋关节不稳定的女性患者,她接受了髋臼周围截骨术。创建了一个快速成型的3D模型,以更好地了解解剖结构,向家属讲解问题及手术过程,并指导手术技术。该模型与患者解剖结构的精细细节和尺寸匹配,在术前提供了无与伦比的对患者解剖结构的直观体验,并提高了手术精度。

结论

我们使用快速成型的经验证实了其通过提高外科医生理解复杂解剖结构的能力来加强骨科护理的能力。此外,我们报告了一种新的应用,即利用术中透视比较模型与患者,以确保手术精度并将并发症风险降至最低。该技术可用于其他具有挑战性的病例。快速成型技术的日益普及值得在骨科的所有领域进一步应用。

相似文献

3
Anatomic three-dimensional model-assisted surgical planning for treatment of pediatric hip dislocation due to osteomyelitis.
J Int Med Res. 2020 Feb;48(2):300060519854288. doi: 10.1177/0300060519854288. Epub 2019 Jul 1.
4
Acetabular retroversion in Down syndrome.
J Pediatr Orthop. 2012 Apr-May;32(3):277-81. doi: 10.1097/BPO.0b013e31824b27fc.
5
Three-Dimensional Printing in Orthopedic Surgery.
Orthopedics. 2015 Nov;38(11):684-7. doi: 10.3928/01477447-20151016-05.
9
Complications associated with the Bernese periacetabular osteotomy for hip dysplasia in adolescents.
J Bone Joint Surg Am. 2010 Jul 21;92(8):1707-14. doi: 10.2106/JBJS.I.00829.
10
Clinical Applications of 3-Dimensional Printing Technology in Hip Joint.
Orthop Surg. 2019 Aug;11(4):533-544. doi: 10.1111/os.12468. Epub 2019 Jul 18.

引用本文的文献

2
Case series of four complex spinal deformities: new frontiers in pre-operative planning.
Acta Biomed. 2022 Oct 26;93(5):e2022221. doi: 10.23750/abm.v93i5.12839.
4
3D-printed models for periacetabular osteotomy surgical planning.
J Hip Preserv Surg. 2021 Apr 12;7(4):748-754. doi: 10.1093/jhps/hnab024. eCollection 2020 Dec.
6
Three-dimensional printing in medicine: a systematic review of pediatric applications.
Pediatr Res. 2021 Feb;89(3):415-425. doi: 10.1038/s41390-020-0991-6. Epub 2020 Jun 5.

本文引用的文献

2
Use of a fluoroscopic overlay to guide femoral tunnel placement during posterior cruciate ligament reconstruction.
Am J Sports Med. 2014 Nov;42(11):2673-9. doi: 10.1177/0363546514549007. Epub 2014 Sep 15.
3
Customized polymethyl methacrylate implants for the reconstruction of craniofacial osseous defects.
Case Rep Surg. 2014;2014:358569. doi: 10.1155/2014/358569. Epub 2014 Jun 30.
4
Evaluation of a CT-based technique to measure the transfer accuracy of a virtually planned osteotomy.
Med Eng Phys. 2014 Aug;36(8):1081-7. doi: 10.1016/j.medengphy.2014.05.012. Epub 2014 Jun 6.
7
Injecting realism in surgical training-initial simulation experience with custom 3D models.
J Surg Educ. 2014 Mar-Apr;71(2):193-7. doi: 10.1016/j.jsurg.2013.08.010. Epub 2013 Nov 22.
8
Application of 3-D printing (rapid prototyping) for creating physical models of pediatric orthopedic disorders.
Pediatr Radiol. 2014 Feb;44(2):216-21. doi: 10.1007/s00247-013-2788-9. Epub 2013 Nov 8.
9
Computer-aided design and custom-made guide in corrective osteotomy for complex femoral deformity.
J Huazhong Univ Sci Technolog Med Sci. 2013 Jun;33(3):398-405. doi: 10.1007/s11596-013-1131-x. Epub 2013 Jun 17.
10
Developing a novel custom cutting guide for curved peri-acetabular osteotomy.
Int Orthop. 2013 Jun;37(6):1033-8. doi: 10.1007/s00264-013-1873-x. Epub 2013 Apr 9.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验