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Analysis for Clinical Effect of Virtual Windowing and Poking Reduction Treatment for Schatzker III Tibial Plateau Fracture Based on 3D CT Data

机译：基于3D CT数据的Schatzker III胫骨平台骨折虚拟开窗减刺治疗的临床效果分析

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Objective. To explore the applications of preoperative planning and virtual surgery including surgical windowing and elevating reduction and to determine the clinical effects of this technology on the treatment of Schatzker type III tibial plateau fractures. Methods. 32 patients with Schatzker type III tibial plateau fractures were randomised upon their admission to the hospital using a sealed envelope method. Fourteen were treated with preoperative virtual design and assisted operation (virtual group) and 18 with direct open reduction and internal fixation (control group). Results. All patients achieved primary incision healing. Compared with control group, virtual groups showed significant advantages in operative time, incision length, and blood loss (P < 0.001). The virtual surgery was consistent with the actual surgery. Conclusion. The virtual group was better than control group in the treatment of tibial plateau fractures of Schatzker type III, due to shorter operative time, smaller incision length, and lower blood loss. The reconstructed 3D fracture model could be used to preoperatively determine the surgical windowing and elevating reduction method and simulate the operation for Schatzker type III tibial plateau fractures.
机译：目的。探讨术前计划和虚拟手术（包括手术开窗和抬高复位术）的应用，并确定该技术在治疗Schatzker III型胫骨平台骨折中的临床效果。方法。 32例Schatzker III型胫骨平台骨折患者在入院时采用密封包膜法随机分配。术前虚拟设计和辅助手术治疗14例（虚拟组），直接切开复位内固定治疗18例（对照组）。结果。所有患者均实现了原发切口愈合。与对照组相比，虚拟组在手术时间，切口长度和失血方面表现出显着优势（P <0.001）。虚拟手术与实际手术一致。结论。由于手术时间短，切口长度短和失血量少，虚拟组在治疗Schatzker III型胫骨平台骨折方面优于对照组。重建的3D骨折模型可用于术前确定手术加窗和复位复位方法，并模拟Schatzker III型胫骨平台骨折的手术。

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