定制钢板治疗胫骨平台骨折的初期疗效探讨.pdfVIP

实用临床医药杂志 2012 年第 16 卷第 19 期 Joumal of Clinical Medicine in Practicc . 129 . 定制钢板治疗腔骨平台骨折的初期疗效探讨 刘瑞平，黄勇，孙荣彬，张辉，徐南伟 (南京医科大学附属常州第二人民医院创伤骨科，江苏常州， 213003) 摘 要:目的 探讨定制钢板治疗腔骨平台骨折的方法和初期疗效c 方法 2011 年3 月 ~2011 年 12 月，7 例腔骨平台骨 折患者采用定制钢板治疗。根据骨折的 AO 分型，因型2 例，Cl型 2 例，口型2 例， C3 型 1 例。入院后行骨折部位三维 cr 扫 描(层厚 0.7 mm) ，数据通过 Mimics 10.01 软件分析，再经过计算机辅助设计(CAD) 制作个性化钢板，局部消肿后行有限切开 定制钢板内固定术。结果 随访时间 8~14 个月，平均 12.3 个月。骨折愈合时间 12~35 用，平均 12.8 周0 元骨不愈合病例。 膝关节应用 ~eer 关节功能评分标准评分，优5 例，良 l 例，中 l 例，差。例。优良率达 85.7% 。结论 定制钢板结合微创技术 治疗腔骨平台骨折具有良好的疗效。 关键词:计算机辅助设计，定制铜板，内固定，腔骨平台骨折 中图分类号: R 683 .42 文献标志码:A 文章编号: 1672-2353(2012)19-0129-03 Initial efficacy of custom plates in the treatment of platform fracture LIU Ruiping , HUANG Yong , SUN Rongbin , ZHANG Hui , XU Nanwei ( Changzhou No. 2 Peoples Hospital A兀filiated ω Nanjing Medical University , , Changzhou , Jiangsu , 213003) ABSTRACT: Objective To explore the making and initial effects of custom plates in the treatment of platform fractures. Methods From March to December 2011 , 7 patients with platform fractures were treated with custom platcs. According to AO fracture classification , 2 cases were of type B3 , 2 cases were of type Cl and C2 , and 1 case was of type C3. After CT scanning (0. 7mm per slice) , thre巳- dimensional reconstruction and operation mimesis were conducted with Mimics 10.01. The plates and screws were designed and made by the means of computer - assisted design ( CAD). The plates contoured perfectly to the reduced fracture area and mimicked for virtual inter- nal fixation. T