Application of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture

TANG Tao; ZENG Yong; KUANG Wei

doi:10.11659/jjssx.10E023100

您当前的位置：

首页 >

文章列表页 >

Application of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture

Clinical Research | 更新时间：2025-01-16

- Application of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 1, Pages: 45-48(2025)
- 作者机构：
  
  成都骨科医院一病区，四川成都 610061
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E023100
  CLC： R687.3
- Published：25 January 2025，
  
  Received：23 October 2023，
- 稿件说明：
移动端阅览
TANG TAO, ZENG YONG, KUANG WEI. Application of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 45-48.
DOI：

TANG TAO, ZENG YONG, KUANG WEI. Application of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 45-48. DOI： 10.11659/jjssx.10E023100.

摘要

目的

分析虚拟手术系统联合个体化导航模板在复杂胫骨平台骨折（TPF）中的应用效果。

方法

选取2021年5月至2022年12月我院收治的60例复杂TPF患者，随机分为对照组和观察组，每组30例。2组均行切开复位钢板内固定治疗，对照组患者采用传统手术计划方案治疗，观察组患者采用虚拟手术系统联合个体化导航模板的手术计划方案治疗。比较2组患者骨折复位优良率、手术相关指标、膝关节活动度、膝关节功能、并发症发生率。

结果

与对照组比较，观察组患者出血量、术中C型臂透视次数减少（

0.05），住院时间、骨折愈合时间及手术时间缩短（

0.05）；观察组患者骨折复位优良率高于对照组（

0.05）；与对照组比较，观察组患者术后3个月、6个月膝关节屈曲度、伸展度较大（

0.05）；观察组患者术后3个月、6个月的膝关节协会评分标准（KSS）、纽约特种外科医院（HSS）评分高于对照组（

0.05）；观察组患者并发症发生率低于对照组（

0.05）。

结论

复杂TPF患者切开复位钢板内固定治疗中采用虚拟手术系统联合个体化导航模板能明显提高手术效率，减少手术创伤及并发症，促进患者术后康复，提高骨折复位质量，改善预后。

Abstract

Objective

To analyze the application effect of virtual surgery system combined with personalized navigation template in complex tibial plateau fracture （TPF）.

Methods

A total of 60 patients with complex TPF admitted to our hospital from May 2021 to December 2022 were selected and randomly divided into the control group and the observation group， with 30 cases in each group. Both groups were treated with open reduction and steel plate internal fixation. Patients in the control group were treated with traditional surgery plan， and patients in the observation group were treated with virtual surgery system combined with personalized navigation template surgery plan. The good to excellent rate of fracture reduction， surgery-related indexes， knee joint mobility， knee joint function， and the incidence of complications of the two groups were compared.

Results

Compared with the control group， the bleeding volume and intraoperative C-arm fluoroscopy times in the observation group were reduced （

0.05）， and the hospitalization time， fracture healing time and surgical time were shortened （

0.05）.The good to excellent rate of fracture reduction in the observation group was higher than that in the control group （

0.05）.Compared with the control group， the ranges of knee flexion and extension 3 months and 6 months after surgery in the observation group were larger （

0.05）.The hospital for special surgery （HSS） and knee society score （KSS） scores 3 months and 6 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 lower than that in the control group （

0.05）.

Conclusion

The use of virtual surgery system combined with personalized navigation template in the open reduction and steel plate internal fixation of complex TPF patients can significantly improve surgical efficiency， reduce surgical trauma and complications， promote postoperative recovery， increase reduction quality of fracture， and improve prognosis.

关键词

复杂胫骨平台骨折虚拟手术系统个体化导航模板关节功能并发症

Keywords

complex tibial plateau fracturevirtual surgery systempersonalized navigation templatejoint functioncomplication

references

Rudran B，Little C，Wiik A，et al.Tibial plateau fracture： anatomy， diagnosis and management［J］.Br J Hosp Med （Lond），2020，81（10）：1-9.doi：10.12968/hmed.2020.0339http://dx.doi.org/10.12968/hmed.2020.0339.

Iliopoulos E，Galanis N.Physiotherapy after tibial plateau fracture fixation： a systematic review of the literature［J］.SAGE Open Med，2020，8（1）：2050312120965316.doi：10.1177/2050312120965316http://dx.doi.org/10.1177/2050312120965316.

刘建斌，李春亮，田少斌，等.微创接骨板技术联合交锁髓内钉内固定治疗复杂胫骨平台骨折疗效分析［J］.中国骨与关节损伤杂志，2023，38（2）：189-191.doi：10.7531/j.issn.1672-9935.2023.02.021http://dx.doi.org/10.7531/j.issn.1672-9935.2023.02.021.

崔万勇，白冰.切开复位内固定结合羟基磷灰石支撑自体骨植骨钢板治疗SchatzkerⅡ型胫骨平台骨折的效果与安全性［J］.临床误诊误治，2022，35（11）：84-88.doi：10.3969/j.issn.1002-3429. 2022.11.018http://dx.doi.org/10.3969/j.issn.1002-3429.2022.11.018.

Li K，Zhang S，Qiu X，et al.Optimal surgical timing and approach for tibial plateau fracture［J］.Technol Health Care，2022，30（S1）：545-551.doi：10.3233/THC-228050http://dx.doi.org/10.3233/THC-228050.

Kerschbaum M，Tyczka M，Klute L，et al.The tibial plateau map： fracture line morphology of intra-articular proximal tibial fractures［J］.Biomed Res Int，2021，2021（1）：9920189.doi：10.1155/2021/9920189http://dx.doi.org/10.1155/2021/9920189.

陈娟，黄春香.MRI评估运动致胫骨平台骨折形态的影像学特点及与半月板撕裂关联性［J］.影像科学与光化学，2022，40（6）：1555-1559.doi：10.7517/issn.1674-0475.220618http://dx.doi.org/10.7517/issn.1674-0475.220618.

许国强，陈文韬，王子健，等.3D打印技术对胫骨平台骨折患者关节功能及运动功能影响研究［J］.重庆医学，2020，49（20）：3437-3440.doi：10.3969/j.issn.1671-8348.2020.20.027http://dx.doi.org/10.3969/j.issn.1671-8348.2020.20.027.

黄旭科，李鹏，孙向华，等.数字化内固定联合3D打印导板辅助手术治疗胫骨平台骨折临床观察［J］.广西中医药大学学报，2020，23（3）：21-25.doi：10.3969/j.issn.2095-4441.2020.03.008http://dx.doi.org/10.3969/j.issn.2095-4441.2020.03.008.

Lynch CP，Cha EDK，Geoghegan CE，et al.Higher American society of anesthesiologists classification does not limit safety or improvement following minimally invasive transforaminal lumbar interbody fusion［J］.Neurospine，2022，19（3）：533-543.doi：10.14245/ns. 2142088.044http://dx.doi.org/10.14245/ns.2142088.044.

中华创伤骨科杂志编辑委员会.胫骨平台骨折诊断与治疗的专家共识［J］.中华创伤骨科杂志，2015，17（1）：3-7.doi：10.3760/cma.j.issn.1671-7600.2015.01.002http://dx.doi.org/10.3760/cma.j.issn.1671-7600.2015.01.002.

帕孜拉·艾拉，艾克白尔·吐逊，阿力木·克热木.数字化技术在复杂胫骨平台骨折诊疗中的应用研究［J］.中国医刊，2023，58（1）：71-74.doi：10.3969/j.issn.1008-1070.2023.01.017http://dx.doi.org/10.3969/j.issn.1008-1070.2023.01.017.

孙建华，罗本泰，万国生，等.胫骨高位截骨联合关节镜清理术治疗膝内翻型关节炎［J］.中国矫形外科杂志，2020，28（9）：853-855.doi：10.3977/j.issn.1005-8478.2020.09.19http://dx.doi.org/10.3977/j.issn.1005-8478.2020.09.19.

Ying C，Guo C，Wang Z，et al.A prediction modeling based on the hospital for special surgery （HSS） knee score for poor postoperative functional prognosis of elderly patients with patellar fractures［J］.Biomed Res Int，2021，2021：6620504.doi：10.1155/2021/6620504http://dx.doi.org/10.1155/2021/6620504.

许胜贵，郭卫中，林旺，等.复杂胫骨平台骨折切开复位锁定钢板内固定术后疗效观察［J］.中国骨与关节损伤杂志，2020，35（6）：625-627.doi：10.7531/j.issn.1672-9935.2020.06.024http://dx.doi.org/10.7531/j.issn.1672-9935.2020.06.024.

Jiang L，Li H，Huang L.The efficacy of 3D printing model in the intra- articular osteotomy in the treatment of malunion of tibial plateau fracture［J］.Orthop Surg，2023，15（1）：85-92.doi：10.1111/os.13554http://dx.doi.org/10.1111/os.13554.

魏明杰，徐永清，罗浩天，等.应用Mimics软件构建钩骨3D可视化解剖学研究［J］.中国临床解剖学杂志，2020，38（6）：652-656.doi：10.13418/j.issn.1001-165x.2020.06.006http://dx.doi.org/10.13418/j.issn.1001-165x.2020.06.006.

Dust T，Hartel MJ，Henneberg JE，et al.The influence of 3D printing on inter- and intrarater reliability on the classification of tibial plateau fractures［J］.Eur J Trauma Emerg Surg，2023，49（1）：189-199.doi：10.1007/s00068-022-02055-1http://dx.doi.org/10.1007/s00068-022-02055-1.

米萌，黄东宁，杨凯星，等.结合Mimics软件三维重建测量的肩胛骨关节外骨折手术疗效分析［J］.中华创伤骨科杂志，2021，23（8）：688-693.doi：10.3760/cma.j.cn115530-20200606-00373http://dx.doi.org/10.3760/cma.j.cn115530-20200606-00373.

留成胜，谢伟，段媛，等.数字化三维重建模拟辅助手术治疗过伸性胫骨平台骨折［J］.临床骨科杂志，2021，24（3）：430-434.doi：10.3969/j.issn.1008-0287.2021.03.046http://dx.doi.org/10.3969/j.issn.1008-0287.2021.03.046.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of modified anatomic positioning method in internal jugular vein puncture during critical caesarean section

Curative effect of two-hole and four-hole laparoscopic surgery on sigmoid carcinoma

Clinical study on ultrasound-guided cervical vagus nerve block to prevent oculocardiac reflex

Clinical efficacy of endoscopic Delta large channel unilateral laminotomy for bilateral decompression in treatment of lumbar spinal stenosis

Efficacy of non-inflatable transaxillary approach and transthoracic approach surgery in treatment of thyroid cancer

Related Author

XU Ming-jun

CHE Xiang-ming

WANG Yan-shuang

ZHONG Zhi-qiang

YAN Wen-mao

BAI Ri-xing

YAN Ming

ZHANG Qi-wei

Related Institution

Department of Anesthesiology，Beijing Obstetrics and Gynecology Hospital，Capital Medical University/Beijing Maternal and Child Health Care Hospital

Department of General Surgery， Beijing Tiantan Hospital Affiliated to Capital Medical University

Department of Anesthesiology，Daping Hospital of Army Medical University

Spine Department，the Orthopedics Hospital of Traditional Chinese Medicine in Zhuzhou City

Department of Gastrointestinal， Thyroid and Vascular Surgery， the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine

⁰