Adverse events of robot and computer navigation assisted joint arthroplsty surgery
10.3760/cma.j.cn121113-20230128-00026
- VernacularTitle:机器人辅助及计算机导航辅助关节置换手术的不良事件
- Author:
Haifeng LI
1
;
Haoming AN
;
Wei CHAI
Author Information
1. 解放军总医院第四医学中心骨科医学部，北京 100142
- Keywords:
Arthroplasty, replacement;
Robotic surgical procedures;
Intraoperative complications;
Postoperative complications;
Review
- From:
Chinese Journal of Orthopaedics
2024;44(2):114-118
- CountryChina
- Language:Chinese
-
Abstract:
Robot and computer navigation assisted joint replacement surgery have the advantages of high operational repeatability, good stability, and high accuracy. In the past decade, its application in clinical practice has become increasingly widespread. However, there may be some special adverse events during robot and computer navigation assisted joint arthroplasty surgery. If there are problems with robots, navigation equipment, or process links, it can cause robot assisted surgery to be forced to abortion and switch to manual surgery. There are reports that the incidence of abortion of robotic surgery due to such reasons is as high as 22%. There may be skin and soft tissue infections around the fixed pin of the tracker, as well as fractures through tracking pin site. Most symptoms of soft tissue infections around the pin track are mild and can be cured through local dressing changes and other treatments. Fractures through tracking pin site have a significant impact on patients, but the incidence is low, mostly reported as individual cases. As of now, a total of 29 cases have been reported in the literature, of which 17 cases (59%) occurred in the femoral shaft, 3 cases (10%) in the femoral epiphyseal end, 7 cases (24%) in the tibial shaft, and 2 cases (7%) in the tibial epiphyseal end. 10 cases (34%) were non displaced or occult fractures, which were cured through conservative treatment. The remaining 19 cases (66%) were displaced fractures, of which 4 cases (14%) were treated with open reduction and internal fixation, 14 cases (48%) were treated with intramedullary nails, and 1 case (3%) underwent total keen revision surgery. Neurovascular damage caused by fixed pin is relatively rare. Research has found that the incidence of such special complications is very low, and most of them are relatively easy to manage. But surgeons should remain vigilant and standardize surgical operations, such as installing fixed pin with care and caution, to avoid the occurrence of such special complications as much as possible.
