[1]王海涛,田刚,孙炳龙,等.电磁导航系统在股骨干A型骨折闭合复位中的应用价值[J].中医正骨,2023,35(01):17-19.
 WANG Haitao,TIAN Gang,SUN Binglong,et al.Application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(01):17-19.
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电磁导航系统在股骨干A型骨折闭合复位中的应用价值()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年01期
页码:
17-19
栏目:
基础研究
出版日期:
2023-01-20

文章信息/Info

Title:
Application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures
作者:
王海涛田刚孙炳龙崔云芬丛海波
(威海高区利民医院有限公司,山东 威海 264400)
Author(s):
WANG HaitaoTIAN GangSUN BinglongCUI YunfenCONG Haibo
Limin Hospital of Weihai High District Co.,Ltd.,Weihai 264400,Shandong,China
关键词:
股骨骨折 正骨手法 闭合复位 电磁导航系统
Keywords:
femoral fractures bone setting manipulation closed reduction electromagnetic navigation system
摘要:
目的:探讨电磁导航系统在股骨干A型骨折闭合复位中的应用价值。方法:提取3例股骨干A型骨折患者(A1型、A2型、A3型各1例)的CT数据并进行三维重建,采用3D打印机打印股骨干骨折模型。每种骨折类型打印8个骨折模型。在电磁导航系统辅助下,术者以显示器上的三维动态影像为参考,采用正骨手法进行骨折闭合复位实验。复位固定后,记录骨折复位时间,测量复位固定后骨折端的侧方移位距离、轴向分离距离、内外翻角、前后成角、内外旋角。结果:24个股骨干A型骨折模型均顺利复位,复位时间(163.71±22.47)s,侧方移位距离(1.25±0.62)mm,轴向分离距离(0.26±0.20)mm,内外翻角1.53°±0.48°,前后成角2.85°±0.25°,内外旋角2.51°±0.97°。结论:采用电磁导航系统辅助股骨干A型骨折闭合复位,复位时间短,复位效果满意,具有一定的应用价值。
Abstract:
Objective:To discuss the application value of electromagnetic navigation system in closed reduction of type A femoral shaft fractures.Methods:The CT data of three patients with type A femoral shaft fractures(one type A1,one type A2,and one type A3)were extracted and three-dimensionally reconstructed,and the femoral shaft fracture model was printed with a 3D printer.Eight fracture models were printed for each fracture type.With the assistance of the electromagnetic navigation system and guided by the 3D dynamic images on the monitor,the surgeon performed the fracture closed reduction experiment with bone setting manipulations.After reduction and fixation,the reduction time was recorded,and the sideward displacement distance,axial separation distance,inversion and eversion angle,anteroposterior angulation,and inward and outward rotation angle of broken ends were measured.Results:The 24 models of type A femoral shaft fractures were successfully reduced,with reduction time of(163.71±22.47)s,the sideward displacement distance of(1.25±0.62)mm,the axial separation distance of(0.26±0.20)mm,inversion and eversion angle of 1.53°±0.48°,anteroposterior angulation of 2.85°±0.25°,and inward and outward rotation angle of 2.51°±0.97°.Conclusion:The use of the electromagnetic navigation system to assist with the closed reduction of type A femoral shaft fractures can achieve short reduction time and satisfactory reduction effect,which has a certain application value.

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(收稿日期:2022-08-06 本文编辑:吕宁)

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备注/Memo

备注/Memo:
基金项目:山东省医药卫生科技发展计划项目(202104070389)通讯作者:丛海波 E-mail:haibocong@163.com
更新日期/Last Update: 1900-01-01