Efficacy analysis of the 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures

SONG Jian; FENG Li; LI Huai-ren

doi:10.11659/jjssx.05E024023

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Efficacy analysis of the 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures

Clinical Research | 更新时间：2025-09-24

- Efficacy analysis of the 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 9, Pages: 800-804(2025)
- 作者机构：
  
  济宁市第一人民医院急诊创伤外科，山东济宁 272000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.05E024023
  CLC： R683.4
- Received：08 May 2024，
  
  Published：25 September 2025
- 稿件说明：
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宋健,冯立,李怀任.3D建模辅助微创手术治疗B型、C型Pilon骨折的疗效分析[J].局解手术学杂志,2025,34(09):800-804.

.Efficacy analysis of the 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(09):800-804.
宋健,冯立,李怀任.3D建模辅助微创手术治疗B型、C型Pilon骨折的疗效分析[J].局解手术学杂志,2025,34(09):800-804. DOI： 10.11659/jjssx.05E024023.

.Efficacy analysis of the 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(09):800-804. DOI： 10.11659/jjssx.05E024023.

摘要

目的

探究3D建模辅助微创手术治疗B型、C型Pilon骨折的疗效。

方法

回顾性分析2018年3月至2023年5月我院收治的82例Pilon骨折患者的临床资料，按照手术方式的不同分为对照组和观察组，每组41例。对照组患者常规参照X射线、CT影像规划手术方案。观察组患者采取3D建模辅助规划手术方案，比较2组患者的手术时间、术中出血量、骨折复位优良率、骨折愈合时间、踝关节功能评分及并发症发生率。

结果

2组患者均进行为期6~12个月的随访。观察组患者的手术时间、术中出血量、骨折愈合时间均短/少于对照组（

0.05），骨折复位优良率高于对照组（

0.05）。术后6~12个月，观察组患者的美国骨科足踝外科协会（AOFAS）评分和踝关节功能优良率高于对照组（

0.05）。观察组患者并发症发生率明显低于对照组（

0.05）。

结论

在3D建模辅助下，微创手术治疗B型、C型Pilon骨折可以减少术中出血量，缩短手术时间及骨折愈合时间，提高骨折复位优良率，促进踝关节功能恢复，降低并发症发生率。

Abstract

Objective

To explore the efficacy of 3D modeling-assisted minimally invasive surgery in the treatment of type B and type C Pilon fractures.

Methods

A retrospective analysis was performed on the clinical data of 82 patients with Pilon fractures admitted to our hospital from March 2018 to May 2023. According to different surgical methods，they were divided into the control group and the observation group，with 41 cases in each group.For the patients in the control group，the surgical plan was routinely planned by referring to X-ray and CT images. While patients in the observation group adopted 3D modeling to assist in planning the surgical plan.The operation time，intraoperative blood loss，excellent and good rate of fracture reduction，fracture healing time，ankle joint function score and incidence of complications of the two groups were compared.

Results

Both groups of patients were followed up for 6 to 12 months. The operation time，intraoperative blood loss，and fracture healing time of patients in the observation group were all shorter/less than those in the control group（

0.05）； the excellent and good rate of fracture red

uction in the observation group was higher than that in the control group （

0.05）.The American Orthopaedic Foot and Ankle Society （AOFAS） score and the excellent and good rate of ankle joint function 6 to 12 months after surgery in the observation group were higher than those in the control group （

0.05）. The incidence of complications in the observation group was significantly lower than that in the control group （

0.05）.

Conclusion

With the assistance of 3D modeling，minimally invasive surgery for type B and type C Pilon fractures can reduce the intraoperative blood loss，shorten the operation time and fracture healing time，improve the excellent and good rate of fracture reduction，promote the recovery of ankle joint function，and reduce the incidence of complications.

关键词

Keywords

references

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