数字骨科3D重建技术辅助空心加压螺钉内固定术治疗GardenⅠ～Ⅱ型股骨颈骨折的临床效果

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Abstract Objective To investigate the clinical effect of digital orthopedics 3D reconstruction technology assisted hollow compression screw internal fixation in treatment of GardenⅠ-Ⅱfemoral neck fractures; Methods A retrospective analysis of 44 patients with GardenⅠ-Ⅱfemoral neck fractures admitted to our hospital from June 2011 to June 2019 was made. They were divided into control group and observation group according to different surgical schemes. The 22 cases in the control group were treated with internal fixation with hollow compression screws for femoral neck fracture after conventional X-ray and CT reading; 22 cases in the observation group were treated before according to Mimics software, a fracture model was established, fracture fragments were segmented, surgical reduction was simulated, and 3-matic reconstruction screws were used. The optimal screw placement angle and screw length in Mimics were followed by internal compression fixation of hollow compression screws for femoral neck fractures. The operation time, total number of fluoroscopy times, total intraoperative blood loss, complete fracture healing time, postoperative weight-bearing time, and Harris hip function scores at half a year after surgery were compared between the two groups. Results The operation time of the observation group was shorter than that in the control group, and the total number of fluoroscopy times and total intraoperative blood loss were less than those in the control group, the differences were statistically significant (P＜0.05). There were no significant differences in complete fracture healing time, postoperative weightbearing time, and Harris hip function scores at half a year after surgery between the tow groups (P＞0.05). Conclusion Applying digital orthopedic 3D reconstruction technology to GardenⅠ-Ⅱfemoral neck fracture surgery, it can simulate the position of the hollow screw before operation, determine the screw type and screw length in advance, reduce the total number of fluoroscopy times, shorten the operation time, and reduce the total intraoperative blood loss and reduce the incidence of screw position misalignment.

Key words： Mimics software Digital medicine Femoral neck fracture Hollow compression screw

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	Articles by authors
	LU Dong-yan
	ZENG Mian-dong
	YANG Bo
	HU Han-sheng
	LI Yuan-hui
	YIN De-long
	QIU Qin-ye

Cite this article:

LU Dong-yan,ZENG Mian-dong,YANG Bo, et al. Clinical effect of digital orthopedics 3D reconstruction technology assisted hollow compression screw internal fixation in treatment of Garden Ⅰ-Ⅱfemoral neck fracture[J]. 中国当代医药, 2020, 27(25): 92-95.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/92

[11]	Seijas R，Sallent A，Rivera E，et al.Avascular Necrosis of the Femoral Head[J].J Invest Surg，2019，32（3）：218-219.
[15]	薛文，管晓鹂，等.闭合复位股骨近端空心钉锁定板固定治疗青壮年移位股骨颈骨折[J].中国骨伤，2016，29（7）：645-647.
[5]	黄俭，王小平，邓志成，等.Mimics 软件三维重建在Pilon骨折修复中的应用[J].中国组织工程研究，2015，19（44）：7167-7171.
[6]	王才成，周亮.Mimics 软件和快速成型技术在寰枢椎椎弓根钉个体化置入的应用[J].中国CT 和MRI 杂志，2015，13（10）：113-116.
[7]	刘振.Mimics 技术模拟DDH 患者膝关节置换股骨远端截骨及形态学分析[D].长春：吉林大学，2016.
[8]	秦丽琴.PFNA 治疗高龄骨质疏松性股骨粗隆间骨折的围手术期护理分析[J].临床医药文献电子杂志，2017，4（98）：19 344-19 345.
[9]	缪锌，邓高荣，凌强.数字骨科技术在股骨转子间骨折植入物修复前的规划作用[J].中国组织工程研究，2016，20（13）：1918-1924.
[1]	Wang C，Xu GJ，Han Z，et al.Correlation Between Residual Displacement and Osteonecrosis of the Femoral Head Following Cannulated Screw Fixation of Femoral Neck Fractures[J].Medicine （Baltimore），2015，94（47）：e2139.
[2]	Wang G，Wang B，Wu X，et al.Gotfried positive reduction promotes the repair of femoral neck fracture potentially via enhancing osteogenesis and angiogenesis[J].Biomed Pharmacother，2020，123：109 801.
[3]	Karagas MR，Lu-Yao GL，Barrett JA，et al.Heterogeneity of hip fracture：age，race，sex，and geographic patterns of femoral neck and trochanteric fractures among the US elderly[J].Am J Epidemiol，1996，143（7）：677-682.
[4]	Firoozabadi R.CORR InsightsR：Does Screw Location Affect the Risk of Subtrochanteric Femur Fracture After Femoral Neck Fixation?A Biomechanical Study[J].Clin Orthop Relat Res，2020，478（4）：777-778.
[10]	Kokoroghiannis C，Aktselis I，Deligeorgis A，et al.Evolving concepts of stability and intramedullary fixation of intertrochanteric fractures-a review[J].Injury，2012，43（6）：686-693.
[12]	Ma JX，He WW，Zhao J，et al.Bone Microarchitecture and Biomechanics of the Necrotic Femoral Head[J].Sci Rep，2017，7（1）：13 345.
[13]	Giusti A，Hamdy NA，Papapoulos SE.Atypical fractures of the femur and bisphosphonate therapy：A systematic review of case/case series studies[J].Bone，2010，47（2）：169-180.
[14]	Beltran MJ，Collinge CA，Gardner MJ.Stress Modulation of Fracture Fixation Implants[J].J Am Acad Orthop Surg，2016，24（10）：711-719.
[16]	何祥忠，杨文斌.闭合复位空心加压螺钉内固定治疗GardenⅠ~Ⅱ型股骨颈骨折：侧卧位和平卧位的差异[J].中国组织工程研究，2019，23（28）：4497-4502.
[17]	Herzog J，Wendlandt R，Hillbricht S，et al.Optimising the tip-apex-distance in trochanteric femoral fracture fixation using the ADAPT-navigated technique，a longitudinal matched cohort study[J].Injury，2019，50（3）：744-751.
[18]	Zhao Y，Liang Y，Mao K.Radiographic and clinical outcomes following MIS-TLIF in patients with adult lumbar degenerative scoliosis[J].J Orthop Surg Res，2018，13（1）：93.
[19]	Papanastassiou ID，Mavrogenis AF，Kokkalis ZT，et al.Fixation of femoral neck fractures using divergent versus parallel cannulated screws[J].J Long Term Eff Med Implants，2011，21（1）：63-69.
[20]	王簕，张志，张亮等.Mimics 数字化软件在临床骨科教学工作中的应用和体会[J].中国医学教育技术，2014，28（5）：527-529.