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三维打印个体化全跗骨置换治疗创伤性关节炎:病例报告。

Three-Dimensional-Printed Patient-Specific Total Cuboid Replacement for Treatment of Post-traumatic Arthritis: A Case Report.

机构信息

*The Reconstruction Institute, Bellevue, OH. Dr. Leatham is now with Podiatry, Christus Trinity Clinic, Tyler, TX.

出版信息

J Am Podiatr Med Assoc. 2024 May-Jun;114(3). doi: 10.7547/21-055.

DOI:10.7547/21-055
PMID:39058630
Abstract

Cuboid injuries, including fractures, are rare and infrequently occur in isolation. Often, cuboid injuries can be treated nonoperatively. However, when surgery is indicated, appropriate management is necessary for maintaining the associated biomechanics of the midfoot. Current procedures for surgical management of the cuboid include open reduction and internal fixation, application of external fixation, or primary arthrodesis of the calcaneocuboid joint. Secondary procedures for symptomatic or poor outcomes of nonoperative and operative cuboid injuries consist of corrective osteotomy, bone resection, and interpositional arthroplasty. We present a novel surgical technique using a patient-specific three-dimensional-printed total cuboid replacement. This is an alternative treatment for post-traumatic arthritis of the cuboid along with a shortened lateral column. A single case example is given as well as details and discussion of the surgical technique.

摘要

骰骨损伤,包括骨折,较为罕见且通常不会单独发生。骰骨损伤通常可以采用非手术治疗。然而,当需要手术时,为了维持中足的相关生物力学,需要进行适当的治疗。目前,手术治疗骰骨的方法包括切开复位内固定、应用外固定或跟骰关节的一期融合。对于非手术和手术治疗骰骨损伤的症状性或不良结果的二期手术包括矫形截骨术、骨切除术和间置关节成形术。我们提出了一种使用患者特异性三维打印全骰骨置换的新手术技术。对于伴有外侧柱缩短的骰骨创伤性关节炎,这是一种替代治疗方法。我们给出了一个单一病例示例,并详细讨论了手术技术。

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