Department of Orthopedics, General Hospital of Central Theater Command, 627 Wuluo Road, Wuchang District, Wuhan City, Hubei Province, China.
The First School of Clinical Medicine, Southern Medical University, Guangzhou City, Guangdong Province, China.
J Orthop Surg Res. 2022 Oct 4;17(1):439. doi: 10.1186/s13018-022-03333-9.
Posterior wall acetabular fractures remain one of the most difficult fracture injuries to treat. Accurate assessment of fracture characteristics and appropriate preoperative surgical strategies are essential for excellent reduction. This paper evaluates the feasibility and effectiveness of a one-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures.
52 cases of posterior wall acetabular fractures treated surgically were selected in our department between January 2015 and December 2020 for retrospective analysis. 52 cases were classified into group A (25 patients) and group B (27 patients) according to whether computerized virtual planning procedures were performed preoperatively. In group A, virtual surgical simulation was conducted using a one-stop computerized planning system preoperatively. In group B, traditional surgery was employed. Reduction quality, surgical time, blood loss, hip function, complications, and instrumentation time were compared between the two groups.
The actual surgery for all patients in group A was essentially the same as the virtual surgery before the operation. Compared to group B, patients in group A had markedly shorter surgical time (-43 min), shorter instrumentation time (-20 min), and less intraoperative blood loss (-130 ml). However, no significant statistical difference was observed in reduction quality and hip function. The complication rate was slightly lower in group A (4/25) than in group B (7/27), without a significant difference.
The one-stop computerized virtual planning system is a highly effective, user-friendly and educational tool for allowing the cost-efficient surgical simulation of posterior wall acetabular fractures and providing a more individualized therapeutic schedule. The one-stop computerized planning system is feasible to treat posterior wall acetabular fractures, which is an effective method than the conventional treatment of posterior wall acetabular fractures.
retrospective registration.
髋臼后壁骨折仍然是最难治疗的骨折损伤之一。准确评估骨折特征和适当的术前手术策略对于获得良好的复位至关重要。本文评估了一种一站式计算机虚拟规划系统用于治疗髋臼后壁骨折的可行性和有效性。
回顾性分析我科 2015 年 1 月至 2020 年 12 月收治的 52 例髋臼后壁骨折患者，根据术前是否进行计算机虚拟规划分为 A 组（25 例）和 B 组（27 例）。A 组患者术前采用一站式计算机规划系统进行虚拟手术模拟。B 组采用传统手术。比较两组患者的复位质量、手术时间、出血量、髋关节功能、并发症和置钉时间。
A 组所有患者的实际手术与术前虚拟手术基本一致。与 B 组相比，A 组患者的手术时间明显缩短（-43 分钟），置钉时间缩短（-20 分钟），术中出血量减少（-130 毫升）。但两组患者的复位质量和髋关节功能无显著统计学差异。A 组（4/25）并发症发生率略低于 B 组（7/27），但无显著统计学差异。
一站式计算机虚拟规划系统是一种高效、易用且具有教育意义的工具，可实现髋臼后壁骨折的经济高效的手术模拟，并提供更个体化的治疗方案。一站式计算机规划系统是治疗髋臼后壁骨折的一种可行方法，比传统的髋臼后壁骨折治疗方法更有效。
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