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| Effect of 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface |
| PENG Songgen LUO Yi WU Xiang LI Shengshan GUO Qiaohong |
| The Third Department of Section of Hand Microsurgery, Shunde Peace Surgery Hospital |
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Abstract Objective To explore the effect of 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface. Methods A total of 30 patients with distal radius fractures involving the articular surface who were admitted to the Shunde Peace Surgery Hospital from January to June 2021 were selected as the research objects, and they were divided into the control group and the observation group using a random number table method, with 15 cases in each group. Both groups of patients were treated with percutaneous internal fixation. The control group used wrist arthroscopy with minimally invasive precision reduction surgery alone, and the observation group used 3D printing combined with wrist arthroscopy for minimally invasive precision reduction surgery. The surgery time, intraoperative blood loss,hospital stay, surgical treatment costs and other related indicators of the two groups were compared. The wrist joint mobility such as palm inclination angle, ulnar deflection angle, dorsal extension angle and radial deviation angle, visual analog score (VAS) of pain and Gart-land-Werley (GLW) of the two groups before and after surgery were observed, and the incidence of complications such as articular surface irregularities and wrist arthritis of the two groups were recorded. Results The surgery time and hospital stay of the observation group were shorter than those of the control group, the intraoperative blood loss was lower than that of the control group, the surgical treatment costs of the observation group were lower than those of the control group, the differences were statistically significant (P＜0.05). The ulnar deflection angle, dorsal extension angle, and radial deflection angle of the observation group after surgery were all higher than those of the control group, and the VAS score and the GLW score of the observation group after surgery were lower than those of the control group, the differences were statistically significant (P＜0.05). The incidence of postoperative complications in the observation group was 13.33% (2/15), which was lower than 33.33% (5/15) in the control group, the difference was statistically significant (P ＜0.05). Conclusion 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface can effectively improve the surgery efficiency and reduce the risk of injury and medical burden caused by the surgery. This treatment scheme has a positive impact on improving the range of motion and function of the patient′s wrist, and can also reduce the risk of complications such as postoperative wrist arthritis and articular surface irregularities, it has high clinical popularization value.
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| [1] |
窦邦现，李红卫，白晨平，等.微创腕关节镜辅助下治疗桡骨远端关节内粉碎性骨折的临床分析[J].创伤外科杂志，2019，21（3）：210-213.
|
| [2] |
莫军杰，孙奇，周君鹏，等.老年伸直型桡骨远端骨折手法复位夹板外固定治疗后骨折移位的危险因素分析[J].中医正骨，2021，33（8）：12-15.
|
| [3] |
程亚博，杨顺.腕关节镜辅助下切开复位经骨窗植骨内固定治疗桡骨远端Die-punch 骨折[J].中国骨伤，2019，32（8）：731-735.
|
| [4] |
刘庆梁，高斌礼.桡骨远端骨折的治疗进展[J].骨科，2019，10（4）：363-366.
|
| [5] |
王古衡，谢仁国，陈亚兰，等.桡骨远端骨折术后腕关节背伸角度及功能的影响因素分析[J].中华手外科杂志，2019，35（4）：288-292.
|
| [6] |
邱剑鸣.锁定钢板治疗桡骨远端骨折的应用及临床预后情况研究[J].中国实用医药，2020，15（34）：97-99.
|
| [7] |
袁毅，罗兵，杨然,等.腕桡侧入路掌侧锁定钢板内固定治疗桡骨远端骨折25 例[J].中国中医骨伤科杂志，2019，27（2）：64-67.
|
| [8] |
曾平海，梁浩.桡骨远端骨折复位不满意病例重复手法整复与手术治疗的比较[J].中国矫形外科杂志，2019，27（22）：2091-2093.
|
| [9] |
王盛明，花双林，朱童，等.不同固定方式治疗C1，C2 型桡骨远端骨折对患者腕关节疼痛和功能恢复的影响[J].中国伤残医学，2020，28（22）：11-12.
|
| [10] |
吴世桐，宁仁德，方闰，等.桡骨远端骨折尺背侧骨折块不同固定方法的疗效比较[J].中国组织工程研究，2021，25（21）：3343-3348.
|
| [11] |
吴健波，朱敏华，郑雨中.腕关节镜技术结合切开复位内固定手术治疗桡骨远端关节内骨折的早期效果观察[J].临床医学工程，2020，27（4）：419-420.
|
| [12] |
邹凡.微创腕关节镜辅助下治疗桡骨远端关节内粉碎性骨折的临床分析[J].深圳中西医结合杂志，2021，31（1）：148-150.
|
| [13] |
林慧鑫，李征，余少校，等.3D 打印模板技术在桡骨远端C 型骨折手术设计中的应用[J].海南医学，2020，31（14）：1807-1810.
|
| [14] |
许思亮，古汉南，何玥，等.3D 打印技术在桡骨远端骨折复位内固定手术中的应用[J].中国骨科临床与基础研究杂志，2018，10（3）：133-139.
|
| [15] |
李昌杰，余学文，周重刚，等.3D 打印模型辅助手法复位小夹板固定治疗桡骨远端骨折的临床研究[J].当代医学，2019，25（31）：19-22.
|
|
|
|
