Clinical application of 3D printing technology in the treatment of complex posterolateral tibial plateau fractures using the suprafibular approach

LIU Bo; CAO Guanghua; ZHANG Wenxi; YANG Dong; JIANG Hui; QIAO Zhijun

doi:10.7619/jcmp.20232950

Journal of Clinical Medicine in Practice > 2024 > 28(5): 17-20, 58. > DOI: 10.7619/jcmp.20232950

LIU Bo, CAO Guanghua, ZHANG Wenxi, YANG Dong, JIANG Hui, QIAO Zhijun. Clinical application of 3D printing technology in the treatment of complex posterolateral tibial plateau fractures using the suprafibular approach[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 17-20, 58. DOI: 10.7619/jcmp.20232950

Citation:

PDF (1682 KB)

Clinical application of 3D printing technology in the treatment of complex posterolateral tibial plateau fractures using the suprafibular approach

Department of Orthopedics, Liyang People's Hospital in Jiangsu Province, Liyang, Jiangsu, 213300

More Information

Received Date: September 15, 2023
Revised Date: November 25, 2023
Available Online: March 21, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the clinical application value of 3D printing technology in the treatment of complex posterior lateral tibial plateau fractures using the suprafibular approach.
Methods
A retrospective analysis was conducted on the clinical data of 67 patients with complex posterior lateral tibial plateau fractures treated with the suprafibular approach. Patients were divided into 3D printing group (35 cases) and conventional group (32 cases) based on whether 3D printing simulation surgery was used preoperatively. The operation time, intraoperative blood loss, and intraoperative fluoroscopy frequency were compared between the two groups. Postoperative complications such as incision infection, popliteal vessel injury, and common peroneal nerve injury were observed. Fracture healing time was recorded during follow-up, and Rasmussen scores were evaluated at 6 months postoperatively. The Hospital for Special Surgery (HSS) knee function score was assessed during the final follow-up.
Results
The follow-up duration for 67 patients was 14 to 22 months. One patient in each group developed postoperative incision infection, and no complications such as popliteal vessel injury, common peroneal nerve injury, or deep venous thrombosis of the lower extremity occurred. The operation time, intraoperative blood loss, and intraoperative fluoroscopy frequency were significantly lower in the 3D printing group than in the conventional group (P < 0.05). There were no significant differences in fracture healing time, Rasmussen scores at 6 months postoperatively, and HSS scores during the final follow-up between the two groups (P>0.05).
Conclusion
The application of 3D printing technology in the treatment of complex posterior lateral tibial plateau fractures using the suprafibular approach can optimize surgical plans, shorten operation time, and reduce intraoperative blood loss and fluoroscopy frequency.
- 3D printing,
- fracture,
- tibial plateau,
- suprafibular approach,
- internal fixation

FullText(HTML)

References (17)

References

[1]	RUDRAN B, LITTLE C, WIIK A, et al. Tibial plateau fracture: anatomy, diagnosis and management[J]. Br J Hosp Med, 2020, 81(10): 1-9.
[2]	肖争争. 腓骨近端骨折对胫骨平台后外侧髁骨折手术预后的影响[D]. 蚌埠: 蚌埠医学院, 2021.
[3]	HU S J, CHEN S Y, CHANG S M, et al. Treatment of isolated posterolateral tibial plateau fracture with a horizontal belt plate through the anterolateral supra-fibular-head approach[J]. Biomed Res Int, 2020, 2020: 4186712.
[4]	刘波, 曹光华, 张文玺, 等. 3D打印辅助治疗后Pilon骨折的效果观察[J]. 实用临床医药杂志, 2022, 26(17): 10-14. doi: 10.7619/jcmp.20221193
[5]	朱富康, 吴骐鸿, 黄玉成, 等. 胫骨后外侧平台骨折的常用手术入路[J]. 中国矫形外科杂志, 2022, 30(16): 1478-1482. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202216008.htm
[6]	严力风, 罗从风. 后外侧胫骨平台骨折内固定治疗研究进展[J]. 国际骨科学杂志, 2022, 43(4): 202-205. https://www.cnki.com.cn/Article/CJFDTOTAL-GWGK202204002.htm
[7]	孔祥如, 单宇宙, 杨春, 等. 经骨隧道微创复位Jail螺钉与后外侧入路锁定钢板支撑固定治疗单纯胫骨平台后外侧骨折的疗效比较[J]. 中华创伤骨科杂志, 2022, 24(11): 935-942.
[8]	吴晓峰, 高峰, 钱平康, 等. 改良Carlson入路在累及后外侧柱胫骨平台骨折手术治疗中的应用[J]. 创伤外科杂志, 2022, 24(9): 665-670. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK202209006.htm
[9]	YANG X H, PAN M M, HE H L, et al. Feasibility of the modified inverted L-shaped approach for posterolateral tibial plateau fracture: a retrospective study[J]. Medicine, 2022, 101(40): e31057. doi: 10.1097/MD.0000000000031057
[10]	DURIGAN J R, MORAES C M S, HAMRA P, et al. Depression fractures of the posterolateral tibial plateau: treatment by lateral femoral epicondyle osteotomy approach[J]. Injury, 2023, 54(Suppl 6): 110620.
[11]	CHEN L, XIONG Y, YAN C C, et al. Fibular neck osteotomy approach in treatment of posterolateral tibial plateau fractures: a retrospective case series[J]. Med Sci Monit, 2020, 26: e927370.
[12]	余进伟, 陈豪杰, 郭甲瑞, 等. 经腓骨颈截骨入路新型胫骨平台外侧环状接骨板治疗胫骨平台后外侧骨折[J]. 中国修复重建外科杂志, 2022, 36(9): 1103-1107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXCW202209008.htm
[13]	YAN B J, HUANG X T, XU Y X, et al. A novel locking buttress plate designed for simultaneous medial and posterolateral tibial plateau fractures: concept and comparative finite element analysis[J]. Orthop Surg, 2023, 15(4): 1104-1116. doi: 10.1111/os.13660
[14]	储旭东, 徐瑞生, 詹德平, 等. 腓骨头上方入路联合自制解剖钢板在胫骨平台后外侧髁骨折中的应用[J]. 实用骨科杂志, 2020, 26(6): 504-507, 538. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ202006006.htm
[15]	LU Y, BAI H N, WANG Q, et al. The study of biomechanics and finite element analysis on a novel plate for tibial plateau fractures via anterolateral supra-fibular-head approach[J]. Sci Rep, 2023, 13(1): 13516. doi: 10.1038/s41598-023-40842-x
[16]	齐向阳, 林锦秀, 尹德超, 等. 前外侧联合后内侧入路与腓骨头截骨入路治疗累及胫骨平台后外侧平台骨折的疗效分析[J]. 中国骨与关节杂志, 2021, 10(8): 618-623. https://www.cnki.com.cn/Article/CJFDTOTAL-GZGL202108015.htm
[17]	SHEN Q J, ZHANG J L, XING G S, et al. Surgical treatment of lateral tibial plateau fractures involving the posterolateral column[J]. Orthop Surg, 2019, 11(6): 1029-1038. doi: 10.1111/os.12544

Cited By

Cited by

Periodical cited type(23)

1.	顾频颉，邱霖，佟阳，曹培华，胡祎，金咏梅. 基于信息-动机-行为技巧模型的健康教育在乳腺癌术后淋巴水肿患者中的应用. 中国肿瘤临床与康复. 2025(02): 127-134 .
2.	安德侠. 加速康复外科理念联合人性化护理在乳腺切除患者中的应用. 妇儿健康导刊. 2024(03): 175-178 .
3.	包晴霞. 目标执行理念的健康教育对乳腺癌淋巴水肿患者上肢功能锻炼依从性及上肢功能的影响. 现代养生. 2024(12): 912-916 .
4.	贾巍，宋瑞，王勇，孙霞，董江萌，杨进强. 运动胶带包扎和弹性加压包扎对乳腺癌改良根治术后上肢淋巴水肿的疗效对比. 广西医学. 2024(04): 596-599 .
5.	乔娜，周飞. 改良式简易锻炼法在乳腺癌术后患者康复中的应用. 反射疗法与康复医学. 2024(01): 75-77+85 .
6.	黄胜君. 基于保护动机理论的延续性功能锻炼干预对乳腺癌术后出院患者上肢功能评定量表简式评分的影响. 基层医学论坛. 2024(22): 82-84+111 .
7.	赵迪，马建萍，杨红梅. 新辅助化疗后保乳术与改良根治术治疗Ⅱb～Ⅲa期乳腺癌的临床疗效对比. 中国临床医生杂志. 2024(08): 957-960 .
8.	单海茂，顾烨，戴胜男，沈霞. 渐进式康复护理联合自制康复操微视频对乳腺癌根治术后患者肩关节活动度及自理能力的影响. 名医. 2024(08): 156-158 .
9.	吕子岩，蓝敏. 乳腺癌相关淋巴水肿的康复治疗. 加速康复外科杂志. 2024(02): 86-90 .
10.	王娟，欧阳婷. 利用微信平台实施功能锻炼量化管理对乳腺癌术后化疗患者康复的影响. 护理实践与研究. 2023(06): 900-904 .
11.	李红莉，赵宏. 围手术期快速康复外科护理对乳腺癌患者术后日常生活能力的影响. 临床医学研究与实践. 2023(14): 136-138 .
12.	林晓艳. 基于绘画训练的功能锻炼对乳腺癌术后患者淋巴水肿、患侧肢体功能的影响. 哈尔滨医药. 2023(04): 110-112 .
13.	赖培芬，陈丽芬. 早期功能锻炼在改善乳腺癌改良根治术患者依从性、患肢功能和生活质量的作用分析. 中国冶金工业医学杂志. 2023(05): 599-600 .
14.	鹿岁岁，杨妮妮，孟盼丽，陈星星，李晓伟. 早期量化活动训练结合正念减压疗法对乳腺癌根治术后患者上肢功能及疾病自我感受负担的影响. 临床医学研究与实践. 2023(32): 165-168 .
15.	李楠，王园园. 早期阶段性功能锻炼对乳腺癌术后患者运动耐力与肢体功能恢复的影响. 临床研究. 2023(12): 104-107 .
16.	徐梦姗，庞欣欣，刘侠，岳亚丽，张昭，陈安玥，毛杨. 芪珍胶囊辅助治疗对乳腺癌T淋巴细胞亚群肿瘤标志物的影响及预后分析. 河北医学. 2023(11): 1922-1926 .
17.	徐艳丽，刘瑞勤，石明明，罗瑞雪. 肩关节运动八式康复锻炼在乳腺癌改良根治术后病人中的应用. 全科护理. 2022(10): 1377-1379 .
18.	黄娇凤，施林芳，王文清. 量化患肢功能锻炼联合护理干预对早期乳腺癌术后患者功能训练依从性、生存质量影响研究. 中国医药指南. 2022(19): 31-34 .
19.	庞玲玲. 家庭为中心模式对乳腺癌改良根治术后患者家庭关怀度评分及康复效果的影响. 黑龙江医学. 2022(20): 2506-2508 .
20.	孙兴美. 快速康复外科综合护理方案在乳腺癌手术患者护理中的应用. 航空航天医学杂志. 2022(12): 1531-1534 .
21.	胡广杰，马晓青，付晓红，贾海全，孙静. 早期功能锻炼对乳腺癌术后患者肩关节功能的影响. 癌症进展. 2022(23): 2462-2464+2472 .
22.	何岩，丁新. 基于个案管理的综合康复护理在早期乳腺癌术后患者中的应用效果. 中西医结合护理(中英文). 2022(12): 112-114 .
23.	王金环. 乳腺癌术后患者采取肩关节活动操的临床价值研究. 中国现代药物应用. 2021(19): 221-223 .

Other cited types(2)

Get Citation

PDF

XML

Article views (156) PDF downloads (9) Cited by(25)

Turn off MathJax

Article Contents

Abstract

References

Clinical application of 3D printing technology in the treatment of complex posterolateral tibial plateau fractures using the suprafibular approach

Abstract

References

Cited by

Periodical cited type(23)

Other cited types(2)

Catalog

Export File

Citation

Format

Content