Holt Andrew M, Starosolski Zbigniew, Kan J Herman, Rosenfeld Scott B
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.
Iowa Orthop J. 2017;37:157-162.
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.
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.
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.
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。
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。
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。