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首页> 外文期刊>BioMed research international >Analysis for Clinical Effect of Virtual Windowing and Poking Reduction Treatment for Schatzker III Tibial Plateau Fracture Based on 3D CT Data
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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数据的施加捷III胫骨平台骨折的虚拟窗星和倾销治疗临床效果分析

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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：客观的。探讨术前规划和虚拟手术的应用，包括外科窗口和降低升高，并确定这项技术对Schatzker III型胫骨平台骨折的临床影响。方法。 32例肌氏菌患者III型胫骨平台骨折在使用密封包络方法的入场时随机随机化。用术前虚拟设计和辅助操作（虚拟组）和18次进行14个，直接开放和内部固定（对照组）。结果。所有患者均可实现初级切口愈合。与对照组相比，虚拟组在手术时间，切口长度和血液损失方面表现出显着的优势（P <0.001）。虚拟手术与实际手术一致。结论。虚拟组在治疗Schatzker III型胫骨平台骨折中的控制组优于对照组，由于较短的手术时间，切口长度较小，降低血液损失。重建的3D骨折模型可用于术前确定外科窗口和升高还原方法，并模拟Schatzker型III胫骨平台骨折的操作。

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