Effect of 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface
PENG Songgen LUO Yi WU Xiang LI Shengshan GUO Qiaohong
The Third Department of Section of Hand Microsurgery, Shunde Peace Surgery Hospital
Abstract： Objective To explore the effect of 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface. Methods A total of 30 patients with distal radius fractures involving the articular surface who were admitted to the Shunde Peace Surgery Hospital from January to June 2021 were selected as the research objects, and they were divided into the control group and the observation group using a random number table method, with 15 cases in each group. Both groups of patients were treated with percutaneous internal fixation. The control group used wrist arthroscopy with minimally invasive precision reduction surgery alone, and the observation group used 3D printing combined with wrist arthroscopy for minimally invasive precision reduction surgery. The surgery time, intraoperative blood loss,hospital stay, surgical treatment costs and other related indicators of the two groups were compared. The wrist joint mobility such as palm inclination angle, ulnar deflection angle, dorsal extension angle and radial deviation angle, visual analog score (VAS) of pain and Gart-land-Werley (GLW) of the two groups before and after surgery were observed, and the incidence of complications such as articular surface irregularities and wrist arthritis of the two groups were recorded. Results The surgery time and hospital stay of the observation group were shorter than those of the control group, the intraoperative blood loss was lower than that of the control group, the surgical treatment costs of the observation group were lower than those of the control group, the differences were statistically significant (P＜0.05). The ulnar deflection angle, dorsal extension angle, and radial deflection angle of the observation group after surgery were all higher than those of the control group, and the VAS score and the GLW score of the observation group after surgery were lower than those of the control group, the differences were statistically significant (P＜0.05). The incidence of postoperative complications in the observation group was 13.33% (2/15), which was lower than 33.33% (5/15) in the control group, the difference was statistically significant (P ＜0.05). Conclusion 3D printing combined with wrist arthroscopy, minimally invasive precision reduction and percutaneous internal fixation in the treatment of distal radius fractures involving the articular surface can effectively improve the surgery efficiency and reduce the risk of injury and medical burden caused by the surgery. This treatment scheme has a positive impact on improving the range of motion and function of the patient′s wrist, and can also reduce the risk of complications such as postoperative wrist arthritis and articular surface irregularities, it has high clinical popularization value.
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