基于3d打印技术行全膝关节置换治疗内翻畸形膝骨性关节炎.docVIP

基于3D打印技术行全膝关节置换治疗内翻畸形膝骨性关节炎 孙振国，朱佳俊，崔 岩，倪胜辉，张治宇(中国医科大学附属第四医院骨科，辽宁省沈阳市 110032) 引用本文：孙振国，朱佳俊，崔岩，倪胜辉，张治宇. 基于3D打印技术行全膝关节置换治疗内翻畸形膝骨性关节炎[J].中国组织工程研究，2017，21():2395-2399. DOI:10.3969/j.issn.2095-4344.2017.15.018 ORCID: 0000-0003-0986-0026(孙振国) 文章快速阅读： 文题释义： 3D打印技术：Three-dimensional printing technology-aided total knee arthroplasty for osteoarthritis with genu varum deformity Sun Zhen-guo, Zhu Jia-jun, Cui Yan, Ni Sheng-hui, Zhang Zhi-yu (Department of Orthopedics, the Fourth Affiliated Hospital of China Medical University, Shenyang 110032, Liaoning Province, China) Abstract BACKGROUND: The complicated localization of intramedullary nails and osteotomy more dependent on surgeons’ experience limit the application of conventional total knee arthroplasty (TKA). The occurrence of three-dimensional (3D) printing technology can achieve precise localization and osteotomy in TKA. OBJECTIVE: To explore the effectiveness of 3D printing technology-aided TKA versus conventional TKA for genu varum. METHODS: Thirty-four patients with genu varum undergoing primary unilateral TKA were recruited and were then divided into two groups (n=17 per group) in accordance with the random number table. One group was treated with TKA with 3D printing guild plate (3D printing group), while the other group received the conventional TKA (conventional group). The intraoperative and postoperative blood loss, operation time, as well as the Hospital for Special Surgery score, range of motion, and lower limb mechanical alignment at 2 weeks postoperatively were compared between two groups. RESULTS AND CONCLUSION: (1) The range of motion of knee in the 3D printing group was larger than that in the conventional group, but had no significant difference at 2 weeks postoperatively (P=0.744). (2) There was no significant difference in the Hospital for Special Surgery scores between two groups at 2 weeks postoperatively (P= 0.532). (3) The postoperative lower limb mechanical alignment showed no signifi