To Evaluate the Clinical Effect of Individualized Treatment of Trimalleolar Fractures Assisted by 3D Printing Technology

Abstract

Abstract: Objective To compare the clinical efficacy of individualized treatment assisted by 3D printing technology and conventional treatment of trimalleolar fracture in the follow-up of 3 months after operation. Methods Patients with trimalleolar fractures who were hospitalized for surgical treatment in our hospital from June 21, 2019 to June 20, 2021 were enrolled.According to the surgical plan,the patients were divided into the control group (conventional treatment) and the observation group (3D printing technology-assisted personalized treatment). The operation and recovery of ankle function at 3 months were compared in the two groups. Results A total of 50 patients were included in the study, including 25 patients in the control group and 25 patients in the observation group. The operation time, hospitalization time and starting activity time of the observation group were shorter than those of the control group, and the differences were statistically significant (P<0.05). The intraoperative blood loss of the observation group was less than that of the control group, and the difference was statistically significant (P<0.05). The ankle function was better than the control group,the differences were statistically significant (P<0.05). Conclusion 3D printing technology assisted in the treatment of trimalleolar fractures can promote the recovery of ankle joint activity, shorten the operation time and hospitalization time, reduce the amount of bleeding, and early rehabilitation activities.

Key words: trimalleolar fractures, 3D printing, surgical treatment, ankle function

CLC Number:

R683

LI De-qiang, ZHONG Hua, MA Su-shuang, YANG Xi-duan. To Evaluate the Clinical Effect of Individualized Treatment of Trimalleolar Fractures Assisted by 3D Printing Technology[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(6): 171-173.

References

[1] 谢文勇,刘以俊,芦浩,等.三踝骨折术后创伤性关节炎和功能预后的危险因素分析[J].中华骨与关节外科杂志,2021,14(7):606-610.
[2] GOOST H, WIMMER M D, BARG A, et al.Fractures of the ankle joint: investigation and treatment options[J]. Dtsch Arztebl Int,2014,111(21):377-88.
[3] ZHAO H Z, FAN T S, WANG S L, et al.Closed Reduction for the Treatment of Grade IV Supination-External Rotation Fracture of the Ankle Joint: A Retrospective Analysis[J].Orthop Surg,2021,13(7):2163-2169.
[4] 朱亚会,付炳金,尹刚,等.不同年资足踝外科医师应用3D打印技术治疗足踝骨折效果的比较[J].中国组织工程研究,2018,22(19):3061-3066.
[5] KARAISMAILOGLU B, YERLIKAYA D, OZDEMIR C, et al.Angle bisector method to determine the accurate angle for tibiofibular syndesmotic fixation: A validation study with 3D-printed anatomical models[J]. Foot Ankle Surg,2023,29(4): 324-328.
[6] 李裕标,罗筱玮,郭乃铭,等.空心拉力螺钉联合腓骨远端解剖钢板内固定治疗三踝骨折的疗效观察[J].华南国防医学杂志,2019,33(4):257-260.
[7] NEIJHOFT J, HENRICH D, MARZI I, et al.Visualization of complicated fractures by 3D-printed models for teaching and surgery: hands-on transitional fractures of the ankle[J]. Eur J Trauma Emerg Surg,2022,48(5):3923-3931.
[8] MICHELSON J D, WRIGHT M, BLANKSTEIN M.Syndesmotic Ankle Fractures[J]. J Orthop Trauma,2018,32(1):10-14.
[9] NIE W, WANG Z, WU R, et al.Preliminary application of three-dimension printing technology in surgical management of bicondylar tibial plateau fractures[J]. Injury,2019,50(2):476-483.
[10] 盛朝辉,黎力昊,王健军,等.尚元疏筋通络洗剂对Denis-Weber B型踝关节骨折术后康复治疗作用研究[J].广州中医药大学学报,2018,35(5):810-814.
[11] 徐小平,刘战立,常山,等.后外侧入路桡骨远端掌侧钢板内固定在三踝骨折治疗中的应用[J].中国骨与关节损伤杂志,2018,33(2):204-206.
[12] YIN Z, WANG Z T, GE D W, et al.Treatment of a high-energy transsyndesmotic ankle fracture:A case report of “logsplitter injury”[J]. Medicine (Baltimore),2020,99(9):19380.
[13] HARADA S, TERAMOTO T, TAKAKI M, et al.Radiological assessments and clinical results of intra-articular osteotomy for traumatic osteoarthritis of the ankle[J]. Injury,2021,52(11):3516-3527.
[14] YANG L.Posterolateral approach for posterior malleolus fixation in ankle fractures: functional and radiological outcome based on Bartonicek classification[J]. Arch Orthop Trauma Surg,2023,143(7):4099-4109.
[15] 朱楠,方望,詹俊锋,等.平卧位前外侧联合后内侧入路结合管型钢板治疗三踝骨折[J].生物医学工程与临床,2018,22(4):404-408.
[16] 张方雪,禹宝庆,敖荣广,等.3D打印结合定制钢板内固定技术在治疗复杂胫骨干骨折中的应用[J].生物骨科材料与临床研究,2020,17(1):9-13.
[17] 陈智,江阳,黎明,等.数字化模板技术在复杂踝关节骨折手术治疗中的应用[J].现代生物医学进展,2017,17(10):1914-1917.
[18] 沙鹏. 3D打印个体化模型应用于复杂踝关节骨折治疗中的价值研究[J].双足与保健,2019,28(21):157-158.
[19] 程邦君,罗轶,黄俊伍,等.两种内固定方法治疗胫骨下1/3螺旋形骨折伴Haraguchi Ⅱ型后踝骨折的比较[J].国际骨科学杂志,2018,39(2):114-117.
[20] 张景波,燕树义.距骨侧锚钉联合内踝部金属垫片修复踝关节骨折伴三角韧带深层断裂的疗效[J].创伤外科杂志,2020,22(1):59-62.