Madeja Roman, Bajor Grzegorz, Klima Ondrej, Bialy Lubor, Pometlova Jana
Institute of Emergency Medicine, Faculty of Medicine, University of Ostrava, Ostrava 703 00, Czech Republic.
Trauma Center, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava 708 52, Czech Republic.
Open Med (Wars). 2021 Oct 25;16(1):1597-1601. doi: 10.1515/med-2021-0338. eCollection 2021.
Reports on the use of computer-assisted trauma surgery of comminuted scapula fracture are still quite rare. In this article, we present a case of comminuted scapula fracture, the surgical reconstruction of which was pre-operatively planned using a complex software solution.
For surgical planning of the fracture, we used the TraumaTech software facilitating virtual reconstruction (both manual and automatic), surgery planning, design of the implant, planning of screw placement and lengths, and production of a 3D print model of the fracture and the implant. The software also supported ordering such custom-made plate from a plate producer who was capable of fast and precise production of the plate.
The surgery using the custom-ordered plate was successful. The actual used screw lengths did not differ from the planned ones by more than 2 mm. One year after the surgery, the patient was capable of more demanding activities and doing sports activities.
This approach provides a great way to prevent complications of the surgery and to shorten its duration. To the best of our knowledge, this is the first description of the treatment of a scapula comminuted fracture utilizing computer-assisted preoperative planning.
关于计算机辅助治疗粉碎性肩胛骨骨折的报道仍然相当少见。在本文中，我们展示了一例粉碎性肩胛骨骨折病例，其手术重建术前使用了复杂的软件解决方案进行规划。
对于骨折的手术规划，我们使用了TraumaTech软件，该软件有助于虚拟重建（包括手动和自动）、手术规划、植入物设计、螺钉放置和长度规划，以及制作骨折和植入物的3D打印模型。该软件还支持从能够快速精确生产钢板的钢板生产商订购此类定制钢板。
使用定制钢板的手术很成功。实际使用的螺钉长度与计划长度相差不超过2毫米。术后一年，患者能够进行要求更高的活动和体育活动。
这种方法为预防手术并发症和缩短手术时间提供了很好的途径。据我们所知，这是首次描述利用计算机辅助术前规划治疗肩胛骨粉碎性骨折。
