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3D 打印模型在坐骨神经减压术术前规划中的应用:异位骨化病例报告。

3D-Printed Model in Preoperative Planning of Sciatic Nerve Decompression Because of Heterotopic Ossification: A Case Report.

机构信息

Georgetown University School of Medicine, Washington, District of Columbia.

Department of Orthopaedic Surgery, Musculoskeletal Research Center, MedStar Union Memorial Hospital, Baltimore, Maryland.

出版信息

JBJS Case Connect. 2024 Feb 23;14(1). doi: 10.2106/JBJS.CC.23.00483. eCollection 2024 Jan 1.

Abstract

CASE

A 31-year-old patient presented with an encapsulated sciatic nerve secondary to extensive hip heterotopic ossification (HO), which prevented visualization of a safe osteotomy site to avoid nerve damage. The 3D-printed model demonstrated an easily identifiable osseous reference point along the inferior aspect of the heterotopic mass, allowing for a vertical osteotomy to be safely performed.

CONCLUSION

HO is associated with loss of normal anatomic topography. The current case report illustrates the use of a 3D-printed model to identify pertinent anatomic landmarks required for safe decompression of an encapsulated sciatic nerve within the anatomic region of the hip.

摘要

病例

一名 31 岁患者因广泛髋关节异位骨化(HO)导致坐骨神经被包裹,这使得无法找到安全的截骨部位以避免神经损伤,从而导致坐骨神经被包裹。3D 打印模型显示,在异位肿块的下侧有一个易于识别的骨性参照点,可进行安全的垂直截骨。

结论

HO 会导致正常解剖结构的丧失。本病例报告说明了使用 3D 打印模型来识别髋关节区域内包裹性坐骨神经安全减压所需的相关解剖标志的应用。

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