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具有生物功能的三维打印距骨假体治疗距骨巨细胞瘤：1例报告并文献复习

Three-dimensional printed talar prosthesis with biological function for giant cell tumor of the talus: A case report and review of the literature.

作者信息

Yang Qian-Dong, Mu Mi-Duo, Tao Xu, Tang Kang-Lai

机构信息

Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China.

出版信息

World J Clin Cases. 2021 May 6;9(13):3147-3156. doi: 10.12998/wjcc.v9.i13.3147.

DOI:10.12998/wjcc.v9.i13.3147
PMID:33969102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8080752/
Abstract

BACKGROUND

Giant cell tumors (GCT) are most commonly seen in the distal femur. These tumors are uncommon in the small bones of the hand and feet, and a very few cases have been reported. A giant cell tumor of the talus is rarely seen clinically and could be a challenge to physicians.

CASE SUMMARY

We report a rare case of GCT of the talus in one patient who underwent a new reconstructive surgery technique using a three-dimensional (3D) printing talar prosthesis. The prosthesis shape was designed by tomographic image processing and segmentation using technology to match the intact side by mirror symmetry with 3D post-processing technologies. The patient recovered nearly full range of motion of the ankle after 6 mo. The visual analogue scale and American Orthopaedic Foot and Ankle Society scores were 1 and 89 points, respectively.

CONCLUSION

We demonstrated that 3D printing of a talar prosthesis is a beneficial option for GCT of the talus.

摘要

背景

骨巨细胞瘤（GCT）最常见于股骨远端。这些肿瘤在手和脚的小骨骼中并不常见，仅有极少数病例报道。距骨骨巨细胞瘤在临床上很少见，对医生来说可能是一个挑战。

病例总结

我们报告了1例距骨骨巨细胞瘤的罕见病例，该患者接受了一种使用三维（3D）打印距骨假体的新型重建手术技术。假体形状通过断层图像处理和分割技术进行设计，利用3D后处理技术通过镜像对称与完整侧匹配。6个月后患者踝关节恢复了几乎全范围的活动。视觉模拟评分和美国矫形足踝协会评分分别为1分和89分。

结论

我们证明3D打印距骨假体对距骨骨巨细胞瘤是一种有益的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/7b791d891103/WJCC-9-3147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/3d8f458bc5e6/WJCC-9-3147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/a3a2fa95edfb/WJCC-9-3147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/71ea50ac2d6e/WJCC-9-3147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/ae7159c7f6c1/WJCC-9-3147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/04d0410162c7/WJCC-9-3147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/223725b4334e/WJCC-9-3147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/7b791d891103/WJCC-9-3147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/3d8f458bc5e6/WJCC-9-3147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/a3a2fa95edfb/WJCC-9-3147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/71ea50ac2d6e/WJCC-9-3147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/ae7159c7f6c1/WJCC-9-3147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/04d0410162c7/WJCC-9-3147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/223725b4334e/WJCC-9-3147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c971/8080752/7b791d891103/WJCC-9-3147-g007.jpg

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