[Digital study of IdebergⅡregional pelvic fracture anatomical plate based on 3D metal printing technology].

Q4 Medicine
Yi Zhang, Jia-Kai Zhang, Jun-Long Wu, Yi Zheng
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引用次数: 0

Abstract

Objective: To establish digital model of Ideberg typeⅡregional glenoid fracture anatomical plate with 3D metal printing technology.

Methods: The scapular imaging data of a 34-year-old healthy male volunteer were retrospectively selected. Mimics 15.01, NX 12.0 and other software were used to design Ideberg typeⅡ regional scapular fracture guide plate system. STL data were input into a metal 3D printer to print 1∶1 scapular model and anatomical plate of scapular pelvis with guide sleeve. The fit of the plate was tested in vitro and the accuracy of the screw position was evaluated by imaging. The printing time of scapular model, design of the nail path and making time of the anatomic guided plate were recorded.

Results: 3D metal-printed Ideberg typeⅡ guide plate for scapular fracture fitted well to 3D printed scapular model, the locking screw was oriented accurately, and X-ray and CT showed good screw position. The printing time of scapula model, time of nail path design and special-shaped anatomical guide plate production were 52.0, 15.0 and 320 min, respectively.

Conclusion: Anatomical plates based on 3D metal printing technology could achieve good adhesion of Ideberg typeⅡ regional fractures and precise screw placement, providing a new and accurate surgical method for the treatment of Ideberg typeⅡ glenoid fractures.

[基于三维金属打印技术的 IdebergⅡ 区域骨盆骨折解剖板数字化研究]。
目的:应用3D金属打印技术建立Ideberg型Ⅱ区域盂骨骨折解剖板数字模型。方法:回顾性选择34岁健康男性志愿者的肩胛骨影像学资料。采用Mimics 15.01、NX 12.0等软件设计Ideberg型Ⅱ区域性肩胛骨骨折导板系统。将STL数据输入金属3D打印机,打印1∶1的肩胛骨模型和带导套的肩胛骨解剖板。在体外测试钢板的配合度,并通过影像学评估螺钉位置的准确性。记录肩胛骨模型打印时间、钉路设计时间和解剖引导板制作时间。结果:金属3D打印Ideberg型Ⅱ肩胛骨骨折导板与3D打印肩胛骨模型贴合良好,锁定螺钉定位准确,x线及CT显示螺钉位置良好。肩胛骨模型打印时间为52.0 min,钉路设计时间为15.0 min,异形解剖导板制作时间为320 min。结论:基于金属3D打印技术的解剖钢板可实现Ideberg型Ⅱ局部骨折的良好粘连和螺钉的精确置入,为Ideberg型Ⅱ关节盂骨折的治疗提供了一种新的、准确的手术方法。
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