Orthopaedic robot assisted closed reduction and cannulated screw internal fixation for the treatment of femoral neck fractures
10.12200/j.issn.1003-0034.20220298
- VernacularTitle:骨科机器人辅助下闭合复位空心钉内固定治疗股骨颈骨折
- Author:
Shou-Hai JIANG
1
;
Chuan-Kai ZHANG
;
Fang-Teng JIA
;
Qiang CHEN
;
Meng XU
;
Pei-Lin YANG
;
Yu-Shuai ZHANG
Author Information
1. 徐州仁慈医院关节外科,江苏 徐州 221004
- Keywords:
Orthopaedic robot;
Surgical operation;
Computer-assisted;
Femoral neck fracture;
Internal fixation
- From:
China Journal of Orthopaedics and Traumatology
2024;37(2):119-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the preliminary clinical effect of closed reduction and cannulated nail internal fixa-tion for femoral neck fracture assisted by robot navigation and positioning system.Methods From July 2019 to January 2020,16 cases of femoral neck fracture(navigation group)were treated with closed reduction and internal fixation guided by robot system,including 7 males and 9 females,aged 25 to 72 years old with an average of(53.61±5.45)years old;Garden classification of fracture:3 cases of type Ⅰ,3 cases of type Ⅱ,8 cases of type Ⅲ,2 cases of type Ⅳ.Non navigation group(control group):20 cases of femoral neck fracture were treated with closed reduction and hollow nail internal fixation,8 males and 12 females,aged 46 to 70 years old with an average of(55.23±4.64)years old;Garden type Ⅰ in 2 cases,type Ⅱ in 4 cases,type Ⅲ in 11 cases,type Ⅳ in 3 cases.The operation time,fluoroscopy times,guide needle drilling times,screw adjustment times,intraoperative bleeding volume and other indicators of two groups were evaluated.Results Both groups were followed up for 12 to 18 months with an average of(15.6±2.8)months.The fractures of both groups were healed without delayed union and nonunion.There was no significant difference in healing time between two groups(P=0.782).There was no significant differ-ence in Harris scores between two groups at the last follow-up(P=0.813).There was no significant difference in operation time between two groups(P＞0.05).There were significant differences between two groups in fluoroscopy times,guide needle drilling times,hollow screw replacement times,and intraoperative bleeding volume(P＜0.05).Conclusion Closed reduction and hollow screw internal fixation assisted by robot navigation system for femoral neck fracture has the advantages of minimally invasive operation,precise screw placement,and reduction of X-ray radiation damage during operation.
