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慢性锁骨骨髓炎次全切除术后个体化三维打印聚醚醚酮假体重建: 1 例报告。

Personalized three-dimensional printed polyether-ether-ketone prosthesis for reconstruction after subtotal removal of chronic clavicle osteomyelitis: A case report.

机构信息

Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.

Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province.

出版信息

Medicine (Baltimore). 2021 Apr 30;100(17):e25703. doi: 10.1097/MD.0000000000025703.

DOI:10.1097/MD.0000000000025703
PMID:33907152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8083998/
Abstract

RATIONALE

Three-dimensional (3D) printing has attracted wide attention for its potential and abilities in the assistance of surgical planning and the development of personalized prostheses. We herewith report a unique case of chronic clavicle osteomyelitis treated with a two-stage subtotal clavicle reconstruction using a 3D printed polyether-ether-ketone (PEEK) prosthesis.

PATIENT CONCERNS

A 23-year-old Chinese female presented to our clinic complaining about a progressive pain of her right clavicle for about 1 year.

DIAGNOSES

Chronic clavicle osteomyelitis confirmed by percutaneous biopsy and lesion biopsy.

INTERVENTIONS

This patient accepted a long-term conservative treatment, which did not gain satisfactory outcomes. Thus, a subtotal removal and two-stage reconstruction of the right clavicle with a 3D-printed polyether-ether-ketone prosthesis stabilized by screw fixation system was performed.

OUTCOMES

At 2-year follow-up, complete pain relief and satisfactory functional recovery of her right shoulder were observed.

LESSONS

Personalized 3D printed prosthesis is an effective and feasible method for reconstruction of complex bone defects.

摘要

背景

三维(3D)打印因其在手术规划辅助和个性化假体开发方面的潜力和能力而受到广泛关注。我们在此报告了一例使用 3D 打印聚醚醚酮(PEEK)假体进行两阶段锁骨次全重建治疗慢性锁骨骨髓炎的独特病例。

患者关注

一名 23 岁的中国女性因右锁骨渐进性疼痛约 1 年就诊于我院。

诊断

经皮活检和病灶活检证实为慢性锁骨骨髓炎。

干预措施

该患者接受了长期保守治疗,但效果不佳。因此,采用 3D 打印聚醚醚酮假体和螺钉固定系统进行右锁骨次全切除和两阶段重建。

结果

随访 2 年,患者右肩疼痛完全缓解,功能恢复满意。

教训

个性化 3D 打印假体是治疗复杂骨缺损的有效且可行的方法。

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