人工全髋关节置换术前设计的研究进展
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摘要
人工全髋关节置换(THA)作为一种经典的治疗髋关节疾病的手术方式,如今已得到了充分发展,其令人满意的疗效主要表现在缓解髋关节疼痛及恢复髋关节功能方面。而尽可能精确的重建患者的髋关节是THA乃至其翻修术成功的关键,因此术前设计对手术的指导意义值得重视[1]。从传统胶片模板到数字化模板的进步,实现了平面术前设计的个性化,近年来3d打印技术和骨科导航手术的出现也使得外科医生进行高难度的THA以及复杂的翻修术前能有充分的准备。
Total hip arthroplasty(THA) has been fully developed as a classic operation method which is used to treat hip diseases.this operation dose have a satisfactory curative effect on relieving hip pain and reinstating hip function.obviously,rebuilding the patient's hip joint as accurately as possible is THA and its revision operation's key to success.so, the preoperative design has great significance in guiding the operation.from traditional film template to digital template, the plane preoperative design had been personalized.in recent years, the emergence of 3 d printing technology and computer assisted orthopedic surgery(CAOS) allows surgeons to prepare difficult THA and complex revision operation more adequately.
Total hip arthroplasty(THA) has been fully developed as a classic operation method which is used to treat hip diseases.this operation dose have a satisfactory curative effect on relieving hip pain and reinstating hip function.obviously,rebuilding the patient's hip joint as accurately as possible is THA and its revision operation's key to success.so, the preoperative design has great significance in guiding the operation.from traditional film template to digital template, the plane preoperative design had been personalized.in recent years, the emergence of 3 d printing technology and computer assisted orthopedic surgery(CAOS) allows surgeons to prepare difficult THA and complex revision operation more adequately.
引文
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[14]杨龙,王建吉,刘国勇,等.3D打印技术在髋臼发育不良髋关节置换中的初步应用[J].中国矫形外科杂志,2016,24(17):1550-1553.
[15]笪熠,陈适,潘慧.3D打印技术在医学教育的应用[J]..协和医学杂志,2014:234-237.
[16]Niikura T,Sugimoto M,Lee SY,et al.Tactile Surgical navigation system for complex acetabular fracture surgery[J].orthopedics,2014;217-237.
[17]田可为,陈柯.3D打印技术在全髋关节置换术治疗髋臼骨折并发股骨头缺血性坏死和创伤性关节炎中的应用[J].中医正骨,2017(3):42-44.
[18]何勇,刘欣伟,张敬东,等.3D打印技术在髋关节置换术后感染Ⅱ期翻修手术中应用[J].临床军医杂志,2016,44(10):999-1002.
[19]Renkawitz T,Tingart M,Grifka J,et al.Computer-assisted total hip arthroplasty:coding the next generation of navigation systems for orthopedic surgery[J].Expert Review of Medical Devices,2009,6(5):507-514.
[20]Chang J D,Kim I S,Bhardwaj A M,et al.The Evolution of ComputerAssisted Total Hip Arthroplasty and Relevant Applications[J].Hip&Pelvis,2017,29(1):1.
[2]Huppertz A,Radmer S,Wagner M,et al.Computed tomography for preoperative planning in total hip arthroplasty:what radiologists need to know[J].Skeletal Radiology,2014,43(8):1041.
[3]Zerr J,Chatzinoff Y,Chopra R,et al.Three-dimensional printing for preoperative planning of total hip arthroplasty revision:case report[J].Skeletal Radiology,2016,45(10):1431-1435.
[4]王春龙.全髋关节置换术前假体设计及其相关研究[D].吉林大学,2013.
[5]石小军,周宗科,沈彬,等.初次全髋关节置换术前胶片模板测量与评估[J].中华解剖与临床杂志,2013,18(6):470-474.
[6]王栋,张化武,孙水,等.骨盆高度法与模板测量法术前测量髋臼杯大小的差别[J].武警医学,2017,28(1):47-50.
[7]Eggli S,Pisan M,Müller M E.The value of preoperative planning for total hip arthroplasty[J].Journal of Bone&Joint Surgery British Volume,1998,80(3):382-90.
[8]Gamble P,De B J,Petruccelli D,et al.The accuracy of digital templating in uncemented total hip arthroplasty[J].Journal of Arthroplasty,2010,25(4):529-32.
[9]张鹏,黄勇,万连平,等.数字化模板测量在选择髋关节假体中的应用[J].中华骨科杂志,2010,30(4):376-380.
[10]朱镜,陈刚,蒋应华.数字化模板术前测量在选择人工髋关节假体尺寸中的准确性[J].现代医药卫生,2013,29(23):3530-3532.
[11]Efe T,El Zayat B F,Heyse T J,et al.Precision of preoperative digital templating in total hip arthroplasty[J].Acta orthopaedica Belgica,2011,77(5):616-21.
[12]Stigler S K,Müller F J,Pfaud S,et al.Digital templating in total hip arthroplasty:Additional anteroposterior hip view increases the accuracy:[J].World Journal of orthopedics,2017,8(1):30-35.
[13]张学军,王宸.数字化模板测量对全髋关节置换后下肢不等长的影响[J].中国组织工程研究,2013,17(9):1527-1534.
[14]杨龙,王建吉,刘国勇,等.3D打印技术在髋臼发育不良髋关节置换中的初步应用[J].中国矫形外科杂志,2016,24(17):1550-1553.
[15]笪熠,陈适,潘慧.3D打印技术在医学教育的应用[J]..协和医学杂志,2014:234-237.
[16]Niikura T,Sugimoto M,Lee SY,et al.Tactile Surgical navigation system for complex acetabular fracture surgery[J].orthopedics,2014;217-237.
[17]田可为,陈柯.3D打印技术在全髋关节置换术治疗髋臼骨折并发股骨头缺血性坏死和创伤性关节炎中的应用[J].中医正骨,2017(3):42-44.
[18]何勇,刘欣伟,张敬东,等.3D打印技术在髋关节置换术后感染Ⅱ期翻修手术中应用[J].临床军医杂志,2016,44(10):999-1002.
[19]Renkawitz T,Tingart M,Grifka J,et al.Computer-assisted total hip arthroplasty:coding the next generation of navigation systems for orthopedic surgery[J].Expert Review of Medical Devices,2009,6(5):507-514.
[20]Chang J D,Kim I S,Bhardwaj A M,et al.The Evolution of ComputerAssisted Total Hip Arthroplasty and Relevant Applications[J].Hip&Pelvis,2017,29(1):1.