Orthopaedic robot assisted femoral neck dynamic cross fixation system for the treatment of femoral neck fractures
10.12200/j.issn.1003-0034.20230955
- VernacularTitle:骨科机器人辅助股骨颈动力交叉钉系统治疗股骨颈骨折
- Author:
Xi-Zhu WANG
1
;
Yi-Min CHEN
;
Wei HAN
;
Han FEI
;
Xue ZHANG
;
Ling LI
;
Jun-Qiang WANG
Author Information
1. 首都医科大学附属北京积水潭医院智能骨科,北京 100035
- Keywords:
Orthopaedic robot;
Femoral neck fracture;
Femoral neck dynamic cross nail system;
Surgical treat-ment;
Perioperative care
- From:
China Journal of Orthopaedics and Traumatology
2024;37(2):114-119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and compare the clinical efficacy of orthopedic robot assisted femoral neck system(FNS)and traditional manual FNS in the treatment of femoral neck fractures in middle-aged and young people.Methods The clinical data of 62 consecutive patients with femoral neck fracture and age less than 65 years old admitted to the Intelligent Or-thopaedic Department of Beijing Jishuitan Hospital from June 2021 to June 2022 were retrospectively analyzed.According to whether orthopedic robot-assisted surgery the patients were divided into two groups:30 patients aged 34 to 56 years old were treated with orthopedic robot assisted FNS internal fixation after closed or limited open reduction(experimental group);32 pa-tients aged 33 to 54 years old underwent FNS internal fixation after closed or limited open reduction(control group).The age,gender,time from injury to admission,average hospital stay,surgical duration,intraoperative bleeding volume,and intraopera-tive fluoroscopy frequency of two groups of patients were analyzed and compared.The hip joint function in both groups of pa-tients was evaluated using the Harris hip joint scoring standard at 6 months after surgery.Results All 62 patients with femoral neck fractures successfully completed the surgery.There was no significant difference(P＞0.05)between the experimental group and the control group in terms of baseline data such as age,gender,time from injury to admission,time from admission to surgery and the intraoperative bleeding.The surgical duration of the experimental group was significantly shorter than that of the control group[42.1(28.5,50.7)min vs.53.4(36.9,62.5)min,Z=-2.338,P=0.019].The intraoperative X-ray fluoroscopy frequency of the experimental group was significantly lower than that of the control group[8.0(6.0,11.0)times vs.15.0(13.0,17.0)times,Z=-5.960,P＜0.001].In terms of postoperative hip joint function,there was no significant difference in Harris score between the two groups of patients at 6-month follow-up(P＞0.05).Conclusion Compared with manual operation of FNS,orthopedic robot assisted FNS in the treatment of femoral neck fractures can help shorten surgical time,reduce intraop-erative fluoroscopy frequency,and have similar therapeutic effects on long-term hip joint function recovery.
