对于不可重建的非联合体而言,为患者特异性皮体置换:一系列案例研究研究.
Willem Geuskens1,2, Andreas Verstreken2,3, Eline Stroobants1
1UZ Leuven, Department of Orthopaedic Surgery and Traumatology, Leuven, Belgium.
The Journal of hand surgery, European volume
|September 14, 2024
概括
一个3D打印的缩骨植入物为患有无法重建的缩骨非结合的患者提供了一个可行的替代方案,改善了结果和功能. 这种创新方法避免了损害患者的流动性.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料工程是生物材料的工程.
- 医疗器械技术 医疗器械技术
背景情况:
- 甲状腺非结合通常需要重建,但由于骨质差或关节炎,这并不总是可行的.
- 目前用于不可重建的状骨非结合的救援程序可能会对手腕功能产生负面影响.
研究的目的:
- 评价患者特异性3D打印的脚植入体的疗效,作为无法重建的脚非结合的替代治疗方法.
- 评估定制3D打印脚假肢植入后的功能和放射性结果.
主要方法:
- 一个追溯的案例系列,涉及12名患有无法重建的脚非结合的患者,这些患者使用3D打印的植入物进行治疗.
- 评估患者报告的结果,运动范围,握力,以及手术前后的普通放射图.
- 平均随访时间为2年8个月.
主要成果:
- 在运动范围和患者报告的结果得分方面观察到术后改善,尽管运动改善在统计学上并不显著.
- 放射性评估显示,除了一种植入物外,所有植入物均有令人满意的对齐,没有退行性变化的进展.
- 通过3D打印的状骨植入物显示出良好的整合性和稳定性.
结论:
- 针对特定患者的3D打印型皮骨替换为复杂的皮骨非结合提供了对传统救援程序的有希望的替代方案.
- 这种技术可能为患有无法重建的骨骨折的患者提供一种功能性解决方案,保留手腕功能.
- 需要对更大的队列进行进一步的研究,以证实长期的疗效和结果.
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