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人工智能规划与3D打印增强模块在复杂髋关节翻修治疗中的应用:一例报告

Artificial intelligence planning and 3D printing augmented modules in the treatment of a complicated hip joint revision: a case report.

作者信息

Liu Yikai, Zhang Zian, Wang Wenzhe, Yu Chaoqun, Liu Chang, Huang Zhenchao, Xu Kaige, Zhang Haining

机构信息

Department of Joint Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.

出版信息

Front Surg. 2023 Sep 19;10:1237075. doi: 10.3389/fsurg.2023.1237075. eCollection 2023.

DOI:10.3389/fsurg.2023.1237075
PMID:37795146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10546305/
Abstract

Total hip revision with osseous defects can be very difficult. Artificial intelligence offers preoperative planning, real-time measurement, and intraoperative judgment, which can guide prothesis placement more accurately. Three-dimensional printed metel augment modules which are made according to the individualized osseous anatomy, can fit the osseous defects well and provide mechanical support. In this case, we used AI to plan the size and position of the acetabular cup and 3D-printed augmented modules in a complicated hip revision with an acetabular bone defects, which achieved stable fixation and relieved hip pain postoperatively.

摘要

伴有骨缺损的全髋关节翻修术可能非常困难。人工智能提供术前规划、实时测量和术中判断,能够更精确地指导假体植入。根据个体化骨解剖结构制作的三维打印金属增强模块,可以很好地适配骨缺损并提供机械支撑。在本病例中,我们在一例伴有髋臼骨缺损的复杂髋关节翻修术中使用人工智能规划髋臼杯的尺寸和位置以及三维打印增强模块,术后实现了稳定固定并缓解了髋关节疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/e4e2af797471/fsurg-10-1237075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/12ea8f94295b/fsurg-10-1237075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/69980be6cc19/fsurg-10-1237075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/c1433cda2651/fsurg-10-1237075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/e4e2af797471/fsurg-10-1237075-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/12ea8f94295b/fsurg-10-1237075-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/69980be6cc19/fsurg-10-1237075-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/c1433cda2651/fsurg-10-1237075-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/308d/10546305/e4e2af797471/fsurg-10-1237075-g004.jpg

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本文引用的文献

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Restoring Rotation Center in Total Hip Arthroplasty for Developmental Dysplasia of the Hip with the Assistance of Three Dimensional Printing Technology: A Pilot Study.三维打印技术辅助全髋关节置换术中恢复发育性髋关节发育不良的旋转中心:一项初步研究。
Orthop Surg. 2022 Jan;14(1):119-128. doi: 10.1111/os.13183. Epub 2021 Dec 13.
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3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours.用于掌骨巨细胞瘤切除术后骨缺损修复与重建的3D打印个性化假体。
Ann Transl Med. 2021 Sep;9(18):1421. doi: 10.21037/atm-21-3400.
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Cup-Cage Solution for Massive Acetabular Defects: A Systematic Review and Meta-Analysis.
用于巨大髋臼缺损的杯笼解决方案:系统评价与荟萃分析
Orthop Surg. 2020 Jun;12(3):701-707. doi: 10.1111/os.12710. Epub 2020 Jun 3.
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Artificial Intelligence and Orthopaedics: An Introduction for Clinicians.人工智能与骨科学:临床医师入门。
J Bone Joint Surg Am. 2020 May 6;102(9):830-840. doi: 10.2106/JBJS.19.01128.
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3D Printing in Pharmaceutical and Medical Applications - Recent Achievements and Challenges.3D 打印在制药和医疗应用中的应用——最新进展和挑战。
Pharm Res. 2018 Jul 11;35(9):176. doi: 10.1007/s11095-018-2454-x.
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Ann Surg. 2018 Jul;268(1):70-76. doi: 10.1097/SLA.0000000000002693.
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Three-dimensional printing for preoperative planning of total hip arthroplasty revision: case report.全髋关节置换翻修术前规划的三维打印:病例报告
Skeletal Radiol. 2016 Oct;45(10):1431-5. doi: 10.1007/s00256-016-2444-1. Epub 2016 Aug 1.
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Stoppa approach for intrapelvic damage control and reconstruction of complex acetabular defects with intra-pelvic socket migration: A case report.采用Stoppa入路进行盆腔损伤控制及复杂髋臼缺损伴盆腔髋臼内移的重建:1例病例报告
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Evaluation of three-dimensional printing for internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach: a preliminary report.经微创腹直肌旁入路三维打印技术用于不稳定骨盆骨折内固定的评估:初步报告
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