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BioMed Research International
Volume 2015, Article ID 231820, 5 pages
http://dx.doi.org/10.1155/2015/231820
Clinical Study

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

1Department of Orthopedics, Tianjin Medical University General Hospital, No. 154 Anshan Road, Tianjin 300052, China
2Tianjin University of Traditional Chinese Medicine, No. 88 Yuquan Road, Nankai, Tianjin 300193, China
3Tianjin Hospital, No. 406 South JieFang Road, Tianjin 300210, China

Received 4 October 2014; Accepted 2 February 2015

Academic Editor: Radovan Zdero

Copyright © 2015 Huafeng Zhang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 . 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.