ArticleDigital health
Application of a digital surgical simulation platform in the treatment of Complex tibial plateau fractures.
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4 authors.
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Abstract
Objective: The management of complex tibial plateau fractures remains a challenge in trauma orthopedics. Our team developed the Zhejiang University Surgical Simulation Digital Platform. This study evaluated the clinical utility of this intelligent assistance system in treating complex tibial plateau fractures and summarizes our experience and outcomes. Methods: Patients with complex tibial plateau fractures (Schatzker types IV-VI) were randomly assigned to two groups: Group A, using the digital simulation platform; and Group B, conventional planning. All patients underwent preoperative X-ray and computed tomography (CT) imaging to formulate surgical strategies. Outcomes were compared, including operating time, fracture healing time, postoperative Rasmussen knee scores, knee range of motion (ROM), fracture reduction quality, and complications. Results: From January 2022 to July 2023, 28 patients (Group A, n = 14; Group B, n = 14; age, 19-72 years) were enrolled, with follow-up exceeding 12 months. Operating time was significantly shorter in Group A (108 Conclusion: The digital surgical simulation platform was useful for treating complex tibial plateau fractures. It facilitated precise preoperative planning, enhanced surgeons' spatial understanding of fracture morphology, and enabled the simulation of surgical maneuvers. Its application significantly reduces operating time, improves fracture reduction accuracy, and optimizes postoperative knee function.
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