3D打印儿童脑瘫下肢矫形器专家共识△

Expert consensus recommendations for 3D-printed orthotics of lower limb for cerebral palsy in children

摘要:

随着新生儿重症救治技术的发展，更多低胎龄、低体重及危重婴儿得以存活，脑瘫发病率有上升趋势。大量研究证明，下肢矫形器的佩戴对提高脑瘫患儿运动功能和改善姿势方面有非常重要的作用，能够限制踝关节跖屈、膝关节反张、膝关节屈曲，进一步提高行走速度并增加步行稳定性，达到改善步态的目的。而 3D 打印则是实现个性化定制的工艺，并可以结合计算机辅助设计、力学仿真等现代矫形技术赋予其更优性能。本文由 19 位骨科和康复专家针对 3D 打印儿童下肢矫形器进行讨论，形成共识，涉及 3D 打印儿童脑瘫下肢矫形器的定义、分类、适应证、设计、制备，以及使用全周期的临床监管。

Abstract:

With the development of neonatal intensive care techniques, more and more infants with low gestational age, low body weight and in critical condition do survive, whereas which maybe also lead upgrading incidence of cerebral palsy (CP). A large number of studies have proved that the wearing of lower limb orthotics plays a very important role in improving the motor function and posture of CP children. It can be used to limit ankle plantar flexion, knee recurvature and knee flexion, further improve walking speed and increase walking stability, and achieve the purpose of improving gait. The 3D printing is a personalized and customized process, and can be combined with computeraided design, mechanical simulation and other modern corrective techniques to give the orthotics better performance. In this article, 19 ex- perts in orthopaedics, rehabilitation and related fields discussed on the issue of 3D printed orthoses for lower extremity of the CP children and formed a consensus, involving definition, classification, design, manufacture and apply indication of 3D orthoses, as well as clinical su- pervision of whole application cycle.