Accuracy and clinical efficacy of robot-assisted transiliac-transsacral screw placement for posterior pelvic ring frac-tures
10.12200/j.issn.1003-0034.20240083
- VernacularTitle:机器人辅助骶髂贯穿螺钉置入治疗骨盆后环骨折的精确性及临床疗效研究
- Author:
Xue-Lin WANG
1
;
Zheng-Jie WU
;
Yan-Hui ZENG
;
Can-Hui LI
;
Jian-Sheng ZHOU
;
Shi HONG
Author Information
1. 广州中医药大学第八临床医学院,广东 佛山 528000
- Keywords:
Pelvic fractures;
Robot;
Transiliac-transsacral screw;
Minimally invasive treatment
- From:
China Journal of Orthopaedics and Traumatology
2024;37(6):605-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore accuracy and clinical effect of robot-assisted implantation of sacroiliac penetrating screw in orthopedic surgery for posterior pelvic ring fracture.Methods The clinical data of 24 patients with posterior pelvic ring frac-ture treated with robot-assisted sacroiliac penetration screws from August 2022 to August 2023 were retrospectively analyzed,including 10 males and 14 females;aged from 21 to 73 years old with an average of(49.29±14.48)years old;according to Tile pelvic fractures,13 patients were type B and 11 were type C.The effect of screw placement was evaluated according to Gras criteria based on postoperative CT scan results.At the final follow-up,fracture healing was evaluated according to Matta score,and functional recovery was evaluated by Majeed score.Results All patients were followed up for 3 to 13 months with an aver-age of(6.00±3.28)months.Totally 36 sacroiliac penetrating screws,18 S1 penetrating screws,18 S2 penetrating screws were inserted,a total of 29 were excellent and 7 good according to Gras standard.Screw adjustment times was 0.00(0.00,0.75)times.At the final follow-up,Matta score was excellent in 18 patients,5 good and 1 moderate,and the maximum displacement distance was 2.55(0.00,5.65)mm.Majeed score was 84.37±8.38,15 patients were excellent,7 good and 2 moderate.Con-clusion Robot could accurately and safely assist in the placement of sacroiliac joint screws for the treatment of posterior pelvic ring fractures,and promote postoperative functional recovery of patients.
