计算机辅助截骨模板在steel三相截骨治疗儿童先天性髋关节脱.pdfVIP

·906 · doi 10.3969/j.issn. 1673-4254.2013.06.26 J South Med Univ, 2013, 33(6): 906-909 临床研究 计算机辅助截骨模板在计算机辅助截骨模板在SteelSteel 三相截骨治疗儿童先天性髋关节脱三相截骨治疗儿童先天性髋关节脱 位中的位中的应应用用 1 2 1 1 佟 矿 ，张元智 ，张 晟 ，余 斌 1 2 南方医科大学南方医院创伤骨科，广东 广州 510515 ；内蒙古医科大学数字医学中心// 附属医院骨科，内蒙古 呼和浩特 010050 摘要：目的利用计算机辅助设计为儿童先天性髋关节脱位采用Steel 三相截骨矫正手术方案的制定和实施提供一种相对精确 的截骨方案。方法选择13例拟行Steel三相截骨手术治疗的单侧先天性髋关节脱位患儿，术前对患者骨盆行连续螺旋CT 连续 断层扫描，将原始Dicom 格式数据导入Materialise Mimics 14.1软件，三维重建髋关节，以.stl格式保存，导入Imageware 12.0 软 件，通过镜像重建患髋矫形后位置，模拟Steel三相截骨，建立截骨模板，通过快速成型技术生成模板实体，指导手术。结果通过 术后X 线片和术后1年随访，髋臼指数平均为19.1°±3.2° ，头臼包容关系明显改善。X 线评定优良率为92.31%。结论 计算机辅 助截骨模板可以为Steel三相截骨治疗儿童先天性髋关节脱位提供一种个性化、相对精确截骨方案。 关键词：计算机辅助设计；三维重建；逆向工程；先天性髋关节脱位；导航模板 Application of computer-aided osteotomy template design in treatment of developmental dysplasia of the hip with steel osteotomy 1 2 1 1 TONG Kuang , ZHANG Yuanzhi , ZHANG Sheng , YU Bin 1Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China; 2 Center for Digital Medicine/Department of Othorpedics of Affiliated Hospital, Inner Mongolia Medical university, Hohhot 010050, China Abstract: Objective To provide an accurate method for osteotomy in the treatment of developmental dysplasia of the hip with steel osteotomy by three-dimensional reconstruction and Reverse Engineering technique. Methods Between January 2011 and December 2012, 13 children with developmental dysplasia of the hip underwent steel osteotomy. 3D CT scan pelvic images were obtained and transferred via a DICOM network into a computer workstation to construct 3D models of the hip using Materialise Mimics 14.1 software in STL format. These models were imported into Imageware 12.0 software for steel o