Belloti João Carlos, Alves Bernardo Vaz Peres, Archetti Nicola, Nakachima Luis Renato, Faloppa Flavio, Tamaoki Marcel Jun Sugawara
Disciplina de Cirurgia da Mão, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):384-389. doi: 10.1055/s-0040-1718510. Epub 2021 Feb 10.
Distal radial fractures are very common. Vicious consolidation can occur in up to one third of these fractures, resulting in wrist pain, restricted movement, and, eventually, physical limitation or disability. The treatment of this condition consists in corrective osteotomy, which requires careful preoperative planning due to its three-dimensional complexity, especially in injuries with joint involvement. Recently, prototyping based on three-dimensional (3D) reconstruction of computed tomography (CT) scans has been used for osteotomy planning in a 3D anatomical model. It allows a better understanding of the deformity in a realistic surgical approach, leading to safer, faster, and more predictable procedures. The aim of the present study is to present this technique and show its use in two clinical cases.
桡骨远端骨折非常常见。这些骨折中多达三分之一会发生恶性骨不连,导致腕部疼痛、活动受限,最终出现身体功能受限或残疾。这种情况的治疗方法包括矫正截骨术,由于其三维复杂性,尤其是涉及关节的损伤,需要进行仔细的术前规划。最近,基于计算机断层扫描(CT)扫描的三维(3D)重建进行的原型制作已被用于3D解剖模型中的截骨术规划。它能让人在实际手术方法中更好地理解畸形情况,从而实现更安全、更快且更可预测的手术过程。本研究的目的是介绍这项技术,并展示其在两个临床病例中的应用。