钱运春

目的：观察3D打印联合跗骨窦下小切口空心钉内固定治疗的应用价值。方法：选取2024年1月-2024年12月100例创伤性跟骨骨折患者，随机分组。对照组采用跗骨窦下小切口空心钉内固定治疗，观察组则加入3D打印技术。比较两组疗效以及术后并发症差异，并比较两组手术前后炎症指标以及踝-后足评分的差异。结果：观察组各指标优于对照组，差异有意义（P＜0.05）。结论：在跗骨窦下小切口空心钉内固定治疗基础上加入3D打印技术，可以减轻手术损伤，提高临床疗效，改善患者的踝关节功能，可推广使用。

3D打印；内固定；创伤性跟骨骨折；疗效；并发症；踝关节功能

[1] 谢浩,沈吉荣.跗骨窦切口经皮撬拨空心钉内固定对SandersⅡ型跟骨骨折的疗效观察[J].宁夏医学杂志,2024,46(2):162-164. [2] 邢鸿基,吴泽铭,刘子弘,等.经跗骨窦入路经皮空心螺钉与微创钢板内固定治疗SandersⅡ型､Ⅲ型跟骨骨折疗效比较[J].吉林医学, 2024,45(12):2947-2950. [3] AHLUWALIA,RAJU,LEWIS,THOMAS LORCHAN,MUSBAHI,OMAR,et al.Minimally Invasive Surgery vs Nonoperative Treatment for Displaced Intraarticular Calcaneal Fracture:A Prospective Propensity Score Matched Cohort Study With 2-Year Follow-up[J].Foot and ankle international,2024,45(5):456-466. [4] LAPPALAINEN T.A.,NOPONEN N.A.,KAARELA O.I.,et al.Postoperative complications after displaced intra-articular calcaneal fracture operations[J].Foot and ankle surgery,2024,30(4):319-324. [5] 王姗姗,牛俊巧,王佳,等.螺旋CT三维扫描重建联合3D打印用于髋臼骨折手术的价值研究[J].中国医学装备,2024,21(5):59-63. [6] ALEXSRA SZAJNA.Calcaneal Fracture Fixation Using a New Interlocking Nail Reduces Complications Compared to Standard Locking Plates:Preliminary Results after 1.6 Years:COMMENTARY[J].Foot and ankle quarterly,2022,33(4):128. [7] PARK,HYUN-JIN,YOU,KI-HAN,HUANG,BINGZHE,et al.Can 3-Dimensional Printing for Calcaneal Fracture Surgery Decrease Operation Time and Improve Quality of Fracture Reduction?[J].The Journal of foot and ankle surgery:official publication of the American College of Foot and Ankle Surgeons,2023,62(1):21-26. [8] 林三军,陈庚,张长虹,等.3D打印辅助跗骨窦入路空心钉内固定治疗SandersⅡ､Ⅲ型跟骨骨折[J].临床骨科杂志, 2024,27(4):580-583. [9] 余曦.3D打印联合跗骨窦下小切口空心钉内固定治疗创伤性跟骨骨折的效果[J].中国医学创新,2024,21(25):10-14. [10] SUGIMOTO,RYOSUKE,TOKUTAKE,KATSUHIRO,TAKEGAMI,YASUHIKO,et al.The Association of Bohler's Angle With Postoperative Pain and Gender for Displaced Intra-Articular Calcaneal Fracture,Multicenter Retrospective Study-TRON Study[J].The Journal of foot and ankle surgery:official publication of the American College of Foot and Ankle Surgeons,2022,61(4):766-770. [11] 王梦晗,齐涵,张元,等.3种3D打印模型辅助治疗RobinsonⅡB2型锁骨骨折[J].中国组织工程研究,2024,28(9):1403-1408. [12] 张丹龙,梁少博,魏巍,等.3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗腕舟骨骨折[J].中华骨与关节外科杂志,2024,17(3):246-251. [13] 陈林,李磊,兰家平,等.3D打印技术辅助骨盆髋臼骨折术中骶髂螺钉置入准确性及学习曲线的回顾性队列研究[J].中国临床解剖学杂志,2024,42(2):213-219. [14] 蒋维利,刘涛,张青波,等.基于3D打印技术改良单边经皮穿刺椎体成形术治疗骨质疏松性椎体压缩性骨折[J].中国骨伤,2024,37(1):7-14. [15] 黄晨,徐伟,谢美明,等.术前虚拟规划联合3D打印模板预塑形钢板治疗髋臼后壁骨折[J].中国骨伤,2024,37(2):135-141.

点击下载PDF