Arenas-Miquelez Antonio, Almoguera-Martinez Alejandro
Department of Orthopaedic and Trauma Surgery, Clinica Universidad de Navarra, Madrid, Spain.
Arthrosc Tech. 2025 Jun 2;14(8):103672. doi: 10.1016/j.eats.2025.103672. eCollection 2025 Aug.
Clavicle fractures are common, with nonunion rates reaching up to 31% without surgery. Surgical treatment with plate fixation and iliac crest autograft enhances healing, yet accurate reconstruction remains challenging owing to clavicular morphology. This study presents a surgical technique using virtual surgical planning to create 3-dimensionally printed patient-specific surgical guides and a custom-made clavicle plate. This approach enables precise osteotomies, optimal graft shaping, and accurate anatomic reconstruction. The T-shaped autograft provides enhanced stability and increased bone contact, while the custom plate facilitates compression and interfragmentary fixation.
锁骨骨折很常见，未经手术治疗时骨不连发生率高达31%。钢板固定和髂嵴自体骨移植的手术治疗可促进愈合，但由于锁骨形态的原因，精确重建仍具有挑战性。本研究提出了一种手术技术，利用虚拟手术规划创建三维打印的患者特异性手术导板和定制锁骨钢板。这种方法能够实现精确截骨、优化植骨塑形以及准确的解剖重建。T形自体骨移植可增强稳定性并增加骨接触面积，而定制钢板则便于加压和骨折块间固定。
