Anatomically accurate 3D modelling and printing in a case of obstetric brachial plexus injury.
Anatomically accurate 3D modelling and printing in a case of obstetric brachial plexus injury.
复制标题
产科臂丛神经损伤病例的解剖学精确 3D 建模和打印。
DOI：
10.1016/j.jpra.2020.02.003
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发表时间：
2020
期刊：
影响因子：
1.4
通讯作者：
Higgins GC
中科院分区：
文献类型：
--
作者：
Higgins GC
据报道，在英国和爱尔兰，每1000例分娩中有0.42例发生产科臂丛神经损伤，这与患者及其护理人员的生活质量下降有关。在这份报告中，我们描述了第一次使用患者特定的，解剖学上准确的3D模型作为沟通工具，治疗一个复杂的病例，肩关节后半脱位继发于盂肱畸形，由产科臂丛神经损伤。使用3D模型进行手术计划与减少手术时间和术中失血量有关，同时它们在患者教育中的使用增加了患者的理解。在这种情况下，所有接受调查的外科医生都认为这是有用的，并将使用3D建模来改善同意过程，并在未来为复杂病例构思新技术。这种高度可重复、低成本的技术可以适用于各种上肢重建手术，并且随着图像采集的分辨率和增材制造能力的增加，这种精确的3D打印手术辅助物的潜在应用也会增加。
Obstetric brachial plexus injury is reported in 0.42 per 1000 births in UK and Ireland and are associated with a reduction in quality of life for the patient and their carers. In this report we describe the first use of a patient specific, anatomically accurate 3D model as a communication tool in the treatment of a complex case of posterior shoulder subluxation secondary to glenohumeral deformity resulting from obstetric brachial plexus injury.The use of 3D models for surgical planning is associated with decreased operating time and reduction of intra-operative blood loss, whilst their use in patient education increases patient understanding. In this case all surgeons surveyed agreed that it was useful and will use 3D modelling to improve consent processes and to conceptualise novel techniques for complex cases in future. This highly reproducible, low cost technique may be adapted to a variety of upper limb reconstructive surgeries, and as the resolution of image acquisition and additive manufacturing capabilities increase so too do the potential applications of this precise 3D printed surgical adjunct.