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三维打印辅助双平面截骨术治疗伴有股骨畸形的重度膝内翻：技术说明

Three dimensional printing-assisted biplane stereotomy to treat severe varus knee with femoral deformity: a technical note.

作者信息

Lv Shuai-Jie, Li Xu-Song, Jin Zhao-Kai, Liu Xun, Ying Jun, Tang Yi, Tong Pei-Jian, Huang Jie-Feng, Zhu Ya-Hong

机构信息

Department of Orthopaedics & Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), No. 54 Youdian road, Shangcheng District, Zhejiang, 310006, China.

Department of Orthopaedics & Traumatology, Zhongshan Hospital of Traditional Chinese Medicine, No 3. Kangxin Road, Zhongshan, 528400, China.

出版信息

BMC Musculoskelet Disord. 2025 May 10;26(1):462. doi: 10.1186/s12891-025-08712-x.

DOI:10.1186/s12891-025-08712-x
PMID:40349010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12066063/
Abstract

Double level osteotomy (DLO) is recommended for severe varus knees with deformities in both the femur and tibia or the deformity angle is greater than 20˚. with the assistance of preoperative computer planning and intraoperative 3D printing guides, DLO was successfully completed on the femoral and tibial sides. Meanwhile, the lateral osteotomy angle was intentionally increased by 2˚ to reduce the potential risk of instability in the posterior lateral knee joint. The last follow-up showed the VAS and KOOS decreased from 5 to 193 to 0 and 84. The ROM and KSS increased from 115 ° and 128 to 120° and 199.

摘要

对于股骨和胫骨均有畸形或畸形角度大于20˚的重度内翻膝关节，建议采用双平面截骨术（DLO）。在术前计算机规划和术中3D打印导板的辅助下，成功地在股骨侧和胫骨侧完成了DLO。同时，有意将外侧截骨角度增加2˚，以降低膝关节后外侧不稳定的潜在风险。最后一次随访显示，视觉模拟评分（VAS）和膝关节损伤与骨关节炎疗效评分（KOOS）分别从5分和193分降至0分和84分。关节活动度（ROM）和膝关节协会评分（KSS）分别从115°和128分增加到120°和199分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/0950b6efdcbe/12891_2025_8712_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/4d2944a2bb9d/12891_2025_8712_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/58a5e9e06e5a/12891_2025_8712_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/c219015255b9/12891_2025_8712_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/91de237ad551/12891_2025_8712_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/0950b6efdcbe/12891_2025_8712_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/4d2944a2bb9d/12891_2025_8712_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/58a5e9e06e5a/12891_2025_8712_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/c219015255b9/12891_2025_8712_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/91de237ad551/12891_2025_8712_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c36/12066063/0950b6efdcbe/12891_2025_8712_Fig5_HTML.jpg

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本文引用的文献

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J Orthop Surg Res. 2023 Jul 28;18(1):538. doi: 10.1186/s13018-023-04041-8.
2
Double-level knee osteotomy accurately corrects lower limb deformity and provides satisfactory functional outcomes in bifocal (femur and tibia) valgus malaligned knees.双平面膝关节截骨术可精确矫正下肢畸形，为双侧重度（股骨和胫骨）内翻畸形膝关节提供满意的功能结果。
Knee Surg Sports Traumatol Arthrosc. 2023 Jul;31(7):3007-3014. doi: 10.1007/s00167-023-07325-y. Epub 2023 Jan 27.
3
Computer-aided Design of Distal Femoral Osteotomy for the Valgus Knee and Effect of Correction Angle on Joint Loading by Finite Element Analysis.
计算机辅助设计的股骨远端截骨术治疗外翻膝畸形和有限元分析中矫正角度对关节载荷的影响。
Orthop Surg. 2022 Nov;14(11):2904-2913. doi: 10.1111/os.13440. Epub 2022 Sep 24.
4
Work intensity and quality of life can be restored following double-level osteotomy in varus knee osteoarthritis.双平面截骨术治疗膝关节内翻型骨关节炎可恢复工作强度和生活质量。
Knee Surg Sports Traumatol Arthrosc. 2023 Apr;31(4):1546-1555. doi: 10.1007/s00167-022-06909-4. Epub 2022 Mar 10.
5
Double Level Osteotomy Assisted by 3D Printing Technology in a Patient with Blount Disease: A Case Report.3D 打印技术辅助下的双平面截骨术治疗 Blount 病 1 例报告。
JBJS Case Connect. 2020 Apr-Jun;10(2):e0477. doi: 10.2106/JBJS.CC.19.00477.
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Distal femoral valgus osteotomy: bone healing time in single plane and biplanar technique.股骨远端外翻截骨术：单平面和双平面技术的骨愈合时间
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