Fang Liang, Dong Rui, Jin Hong-Ting, Tong Pei-Jian, Xiao Lu-Wei
The First College of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China;
Zhongguo Gu Shang. 2019 Jun 25;32(6):582-586. doi: 10.3969/j.issn.1003-0034.2019.06.020.
Recently, the joint replacement has gradually become a common operation of orthopedics. It's also the hot spot in current investigations. The increasing number of reports about the 3D printing technology such as patient-specific instrumentation(PSI) is applied to hip and knee replacement. It plays an important role in supporting operation especially for complex cases. However, it is still at the primary stage. This article reviews the relevant literature, analyzes and collates the research status of the application of 3D printing PSI in total knee arthroplasty, and summarizes its effectiveness in the application of knee arthroplasty from the aspects of individual preoperative planning, intraoperative operation and postoperative functional recovery, especially complex knee surgery such as obesity and knee deformity. The necessity of clinical application is discussed, and the existing problems and controversies in the current clinical application are summarized in order to provide references for the future research direction and clinical application.
近年来,关节置换术已逐渐成为骨科的常见手术,也是当前研究的热点。越来越多关于3D打印技术(如定制化手术器械)应用于髋关节和膝关节置换的报道出现。它在辅助手术尤其是复杂病例中发挥着重要作用。然而,其仍处于初级阶段。本文回顾相关文献,分析整理3D打印定制化手术器械在全膝关节置换术中的应用研究现状,并从个体化术前规划、术中操作及术后功能恢复等方面总结其在膝关节置换术中的应用效果,尤其是肥胖和膝关节畸形等复杂膝关节手术。探讨其临床应用的必要性,总结当前临床应用中存在的问题与争议,以便为未来的研究方向和临床应用提供参考。