Application of three dimensional reconstruction technique of medical images in total hip arthroplasty

doi:10.3877/ cma.j.issn.1674-134X.2025.02.003

Abstract

Abstract:

Objective

To explore the application effect of medical imaging three dimensional(3D)reconstruction technology in patients undergoing total hip arthroplasty.

Methods

Seventy-two patients who underwent total hip arthroplasty in the department of orthopedics, First Affiliated Hospital of Guangzhou Medical University from January 2020 to December 2023 were enrolled. Among the enrolled patients, the patients from January 2021 to June 2022 were selected as the control group and the patients from July 2022 to December 2023 were the observation group. Inclusion criteria: patients were diagnosed as hip dysplasia and met the surgical indications for total hip arthroplasty; primary total hip arthroplasty; age≥18 years; normal communication and comprehension ability; complete research data. Exclusion criteria: abnormal coagulation function; diseases of important organs; intolerance to total hip arthroplasty; co-existing infectious diseases and malignant tumors;poor compliance. The control group underwent conventional total hip arthroplasty, and the observation group underwent artificial total hip arthroplasty based on medical imaging 3D reconstruction technology. The visual analogue scale (VAS), hip Harris score, imaging indexes before and one week after surgery and surgical indices were compared between the two groups by t test.

Results

VAS score of the observation group was lower than that of the control group at three months after surgery (t=3.242, P<0.05). The Harris score of hip joint in the observation group was higher than that in the control group at three months after surgery (t=4.708, P<0.05).The anterior and abduction angles in the observation group were lower than those in the control group after one week of surgery (t=6.197, 4.688, both P<0.05). The intraoperative blood loss and operation time of the observation group were lower than those of the control group (t=4.510, 5.732, both P<0.05).

Conclusion

The use of medical imaging 3D reconstruction and technology in patients undergoing total hip arthroplasty can improve the surgical quality, relieve pain and improve hip joint function.

Key words: Fracture, Arthroplasty, replacement, Pain

Yushu Chen, Zhuji1 Ouyang, Lijuan Song, Sixiong Lin, Weiqiang Dong, Bo Bai. Application of three dimensional reconstruction technique of medical images in total hip arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(02): 151-155.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/ cma.j.issn.1674-134X.2025.02.003

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2025/V19/I02/151

Figures/Tables 4

Table 1 General data of patients undergoing THA

组别Groups	例数Number of cases	性别［例（%）］ Gender		年龄［岁，（ $\overset{ˉ}{x}$ ± s ）］Age (year)	患侧［例（%）］ Affected side
组别Groups	例数Number of cases	男Male	女Female	年龄［岁，（ $\overset{ˉ}{x}$ ± s ）］Age (year)	左侧 Left	右侧 Right
对照组Control group	36	20（55. 6）	16（44. 4）	55±12	15（41. 7）	21（58. 3）
观察组Observation group	36	19（52. 8）	17（47. 2）	54±10	18（50. 0）	18（50. 0）
统计值Statistical values		χ ²=0. 056		t=0. 402	χ ²=0. 503
P值		>0. 05		>0. 05	>0. 05

Table 1 General data of patients undergoing THA

组别Groups	例数Number of cases	性别［例（%）］ Gender		年龄［岁，（ $\overset{ˉ}{x}$ ± s ）］Age (year)	患侧［例（%）］ Affected side
组别Groups	例数Number of cases	男Male	女Female	年龄［岁，（ $\overset{ˉ}{x}$ ± s ）］Age (year)	左侧 Left	右侧 Right
对照组Control group	36	20（55. 6）	16（44. 4）	55±12	15（41. 7）	21（58. 3）
观察组Observation group	36	19（52. 8）	17（47. 2）	54±10	18（50. 0）	18（50. 0）
统计值Statistical values		χ ²=0. 056		t=0. 402	χ ²=0. 503
P值		>0. 05		>0. 05	>0. 05

Table 2 VAS and Harris scores before and after THA

组别Groups	例数Number of cases	VAS		Harris评分Harris score
组别Groups	例数Number of cases	术前Before surgery	术后3个月Three months after surgery	术前Before surgery	术后3个月Three months after surgery
对照组Control group	36	7. 9±1. 1	3. 3±1. 0^*	49. 3±4. 5	57. 2±4. 8^*
观察组Observation group	36	7. 7±0. 7	2. 6±0. 9^*	49. 3±4. 1	62. 0±3. 8^*
t值		0. 840	3. 243	0. 030	4. 708
P值		>0. 05	0. 002	>0. 05	＜0. 001

Table 3 Imaging indices of patients before and after THA

组别Groups	例数Number of cases	前倾角 Anteversion angle		外展角 Abduction angle
组别Groups	例数Number of cases	术前Before surgery	术后1周One week after surgery	术前Before surgery	术后1周One week after surgery
对照组Control group	36	30. 0±3. 2	26. 9±1. 5^*	59. 0±3. 6	47. 4±3. 4^*
观察组Observation group	36	31. 0±3. 5	24. 7±1. 5^*	59. 0±3. 3	44. 5±1. 5^*
t值		1. 269	6. 197	0. 074	4. 688
P值		>0. 05	＜0. 001	>0. 05	＜0. 001

Table 4 Surgical indices of patients undergoing THA

组别Groups	例数Number ofcases	术中出血量（ml）Intra-operation blood loss	手术时间（min）Operation duration
对照组Control group	36	362±16	102±6
观察组Observation group	36	344±18	95±4
t值		4. 510	5. 732
P值		＜0. 001	＜0. 001

References 21

［1］	Waligora AC, Owen JR, Wayne JS, et al. The effect of prophylactic cerclage wires in primary total hip arthroplasty: abiomechanical study［J］. J Arthroplasty, 2017, 32（ 6 ）: 2023-2027.
［2］	Tan BKL, Khan RJK, Haebich SJ, et al. Piriformis-sparing minimally invasive versus the standard posterior approach for total hip arthroplasty: a 10-year follow-up of a randomized control trial［J］. J Arthroplasty, 2019, 34（ 2 ）: 319-326.
［3］	袁宏谋, 朱佳俊, 孙振国, 等. SuperPATH入路与后外侧入路行人工全髋关节置换术的疗效比较［J］. 中国修复重建外科杂志,2018, 32（ 1 ）: 14-19.
［4］	Delcogliano M, Marin R, Deabate L, et al. Arthroscopically assisted and three-dimensionally modeled minimally invasive rim plate osteosynthesis via modified anterolateral approach for posterolateral tibial plateau fractures［J］. Knee, 2020, 27（ 3 ）: 1093-1100.
［5］	Bellia-Munzon G, Martinez J, Toselli L, et al. From bench to bedside: 3D reconstruction and printing as a valuable tool for the chest wall surgeon［J］. J Pediatr Surg, 2020, 55（ 12 ）: 2703-2709.
［6］	陶涛, 郭炯炯, 徐南伟. 微创直接前入路与后外侧入路全髋关节置换术早期疗效的比较［J］. 中国微创外科杂志, 2020, 20（ 5 ）:431-435.
［7］	王争荣, 魏翀, 刘利军. 两种髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能影响的比较［J］. 贵州医药, 2019, 43（ 4 ）: 598-600.
［8］	Albano D, Messina C, Zagra L, et al. Failed total hip arthroplasty:diagnostic performance of conventional MRI features and locoregional lymphadenopathy to identify infected implants［J］. J Magn Reson Imaging, 2021, 53（ 1 ）: 201-210.
［9］	奉水华, 陈丽. 加速康复外科围术期护理措施在老年初次单侧全髋关节置换患者康复作用分析［J］. 广西大学学报（自然科学版）, 2020, 45（ 4 ）: 841-847.
［10］	Osmani FA, Thakkar S, Ramme A, et al. Variance in predicted cup size by 2-dimensional vs 3-dimensional computerized tomographybased templating in primary total hip arthroplasty［J］. Arthroplast Today, 2017, 3（ 4 ）: 289-293.
［11］	葛喆,张时超,蔡国平. 电子量角器结合个性化测量板在直接前入路全髋关节置换术中的应用［J］. 中国临床医学, 2023, 30（ 1 ）:121-126.
［12］	张智荧, 邱敏, 马潞林, 等. 人工智能与3D影像重建在前列腺肿瘤诊治中的应用探讨［J］. 首都医科大学学报, 2019, 40（ 1 ）:90-93.
［13］	郭飞, 王全鹏, 代建昊, 等. CT三维重建配合3D打印技术在辅助寰枢椎椎弓根螺钉置入的应用价值评估［J］. 蚌埠医学院学报, 2018, 43（ 6 ）: 784-788.
［14］	陈剑, 李建生, 施荧,等. 3D重建技术辅助改良Wiltse入路置钉术治疗胸腰椎骨折的研究［J］. 检验医学与临床, 2023, 20（ 19 ）:2850-2854.
［15］	卢冬焱, 王延斌, 高洪辉, 等. 数字骨科3D重建技术辅助腰椎椎弓根螺钉置入的精确性临床研究［J］. 广州医科大学学报, 2023,51（ 3 ）: 25-31.
［16］	王利, 韩衍龙, 赵巍, 等. 3D打印技术在全髋关节置换术治疗复杂髋关节疾病中的应用价值［J］. 中华骨与关节外科杂志, 2021,14（ 11 ）: 910-915.
［17］	Frost K, Stafos A, Barbay K, et al. Achieving disease-specific care joint commission certification: the impact of clinical nurse specialist practice［J］. Clin Nurse Spec, 2019, 33（ 6 ）: 273-278.
［18］	王宁, 安菲斐, 韩蕾, 等. 3D打印技术辅助Salter骨盆截骨术治疗儿童发育性髋关节脱位疗效及对髋关节形态和功能恢复的影响［J］. 陕西医学杂志, 2023, 52（ 11 ）: 1517-1520.
［19］	王琪, 刘圣炜, 朱德成, 等. 基于CT图像的全髋关节置换辅助诊断算法［J］. 科学技术与工程, 2019, 19（ 1 ）: 183-189.
［20］	芮敏, 顾家烨, 张云庆, 等. 数字化三维重建技术在髋关节发育不良全髋关节置换术中的应用［J］. 临床骨科杂志, 2019, 22（ 2 ）:165-168.
［21］	张衡, 马晓东, 李博闻, 等. CroweⅡ、Ⅲ型髋关节发育不良全髋关节置换一体化解剖重建髋臼假体的设计效率与精确性［J］. 中华医学杂志, 2024, 104（ 41 ）: 3815-3821.

[1]	Xuewei He, Hua Lian, Ning Wang, Xiaohong Fang. Clinical application of real-time dynamic three-dimensional painless tubal contrast-enhanced ultrasonography [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(01): 39-45.
[2]	Ying Pi, Qiang Zhang, Zhirong Huang. Predictive factors for one-year postoperative mortality in patients over 80 years old with femoral neck fractures [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(01): 13-20.
[3]	Jiaying Liu, Kangyan Liu, Jiangsheng Liang, Yuanliang Yang, Jia Su. Gushukang capsule combined with anti-osteoporosis drugs promote postoperative healing of elderly fragile hip fractures [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(01): 21-26.
[4]	Xiaoqian Men, Yue Geng, Yu Liu, Ye Tian, Li Zheng, Yubin Long, Zhuangdai Zhang, Jiangtao Dong. Comparison of clinical efficacy of different biceps long tendon operations combined with rotator cuff repair in the treatment of Ellmann Type I supraspinatus tendon combined with long tendon injury [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2025, 13(01): 16-25.
[5]	Lingrao Zhou, Binzhi Zhao, Yang Liu, Junlin Zhou, Yanrui Zhao. Perioperative efficacy of tranexamic acid in the treatment of proximal humeral fractures in elderly patients [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2025, 13(01): 26-32.
[6]	Chao Zhang, Yutong Wu, Zifei Yang, He Yang. Cause analysis and management strategy of neck shaft angle loss after PFNA internal fixation for unstable elderly intertrochanteric femoral fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(03): 129-138.
[7]	Peng Gu, Yangcheng Ma, Wenzheng Wu, Lieliang Luo, Churong Zheng, Hongze Wang, Ziwei Jiang, Xiaohui Zheng, Chongzhi Ouyang. Effect of postoperative landing timing on early hip joint function after proximal femoral nail anti-rotation fixation in elderly patients with intertrochanteric fracture [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(03): 139-146.
[8]	Kaiwang Sun, Jianguo Qu, Chunxiu Zhao. Effect of LCP and PFNA internal fixation in the treatment of intertrochanteric instability fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(03): 147-152.
[9]	Qiang Yan, Haihu Wang, Jinrong Ni, Jielin Deng, Huachang Chen, Jie Zhang. Analysis of the efficacy of sole palmar approach and palmar single steel plate fixation for dorsal displaced distal radius fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(03): 161-169.
[10]	Qingbin Zhao, Zutao Li, Jungang Sun, Wenzheng Zhou. Short term clinical efficacy of steel plate combined with allogeneic bone plate in the treatment of femoral nonunion with bone defects [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(03): 170-177.
[11]	Ruichen Deng, Xinyun Wei, Hongyan Xiao, Weiyin Yang, Yungang Xie. Research on the application of lower limb biomechanical assessment in some foot and ankle diseases [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(02): 77-86.
[12]	Wu Zhang, Wenbo Hou, Leilei Long, Huichen Ren. The application value of low-dose CT volume scanning combined with 3 D reconstruction for the classification of intertrochanteric fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(02): 111-116.
[13]	Zheng Li, Yonggang Lu, Yiting Yang, Shengbo Nie, Minjie Liu, Yong Yang, Xiaojuan Ji, Jian Fan. Effect of modified Henry approach with pronator quadratus preservation fixation on surgical outcome and long term prognosis of patients with distal radius fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(02): 117-122.
[14]	Haiwei Dou, Kaken Habasi, Maola Ainiwaer·Da, Wei Zhao, Li Wang. Risk-benefit evaluation of hemiarthroplasty and PFNA for comminuted intertrochanteric fracture of lateral wall based on multi-criteria decision [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(01): 14-21.
[15]	Weiwei Wei. Effects of “Wenjing Zhitong” acupuncture method on the rehabilitation of shoulder joint function after surgical neck fracture of humerus [J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2025, 14(01): 18-23.

Please choose a citation manager

Content to export