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使用快速原型模板和微创钢板接骨术修复骨折的关节固定髋关节。

Fixing a fractured arthrodesed hip with rapid prototype templating and minimal invasive plate osteosynthesis.

作者信息

Fang Christian, Fang Benjamin, Wong Tak-Man, Lau Tak-Wing, Pun Terence, Leung Frankie

机构信息

Department of Orthopaedics and Traumatology, The University of Hong Kong, 5/F Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong, China.

Department of Radiology, H1, Queen Mary Hospital, Pokfulam, Hong Kong, China.

出版信息

Trauma Case Rep. 2015 Nov 14;1(9-12):79-83. doi: 10.1016/j.tcr.2015.10.005. eCollection 2015 Dec.

DOI:10.1016/j.tcr.2015.10.005
PMID:30101181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6082500/
Abstract

CASE

We present an elderly lady with an intertrochanteric fracture of a previously fused hip. A 3D printed model of her pelvis and femur was used for implant templating before surgery. Minimal invasive fixation was performed with a spanning reversed distal femur locking plate without the need for removal of the previous implant. Multiple long locking screws were placed in the supra-acetabular region. The patient had union in 4 months, return to function and no complication.

CONCLUSION

The technique allowed us to optimize implant selection and insert screws safely at difficult trajectories using minimal invasive surgery.

摘要

病例

我们介绍一位老年女性，其既往融合的髋关节发生转子间骨折。术前使用她的骨盆和股骨的3D打印模型进行植入物模板制作。采用跨越股骨远端反向锁定钢板进行微创固定，无需取出先前的植入物。在髋臼上区域置入多根长锁定螺钉。患者在4个月时实现骨愈合，恢复功能且无并发症。

结论

该技术使我们能够优化植入物选择，并通过微创手术在困难的轨迹上安全地置入螺钉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/eed35e1cb750/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/c9c60588ccf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/349528c699bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/a374fb034c1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/eed35e1cb750/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/c9c60588ccf4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/349528c699bd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/a374fb034c1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bef/6082500/eed35e1cb750/gr4.jpg

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