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1. 江门市五邑中医院骨伤科二区
2. 江门市五邑中医院恩平分院骨伤科
3. 江门市五邑中医院康复科
纸质出版日期:2020,
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[1]刘彦,区文欢,揭牧夫,陈丽君,陈述祥.TiRobot骨科机器人辅助与传统闭合复位PFN-A内固定术在治疗股骨转子间骨折的疗效比较[J].西南医科大学学报,2020,43(02):156-160.
LIU Yan, OU Wenhuan, JIE Mufu, et al. An outcome comparison of TiRobot-assisted versus conventional closed reduction and internal fixation with PFN-A for the treatment of intertrochanteric femoral fracture[J]. Journal of Southwest Medical University, 2020,43(2):156-160.
[1]刘彦,区文欢,揭牧夫,陈丽君,陈述祥.TiRobot骨科机器人辅助与传统闭合复位PFN-A内固定术在治疗股骨转子间骨折的疗效比较[J].西南医科大学学报,2020,43(02):156-160. DOI:
LIU Yan, OU Wenhuan, JIE Mufu, et al. An outcome comparison of TiRobot-assisted versus conventional closed reduction and internal fixation with PFN-A for the treatment of intertrochanteric femoral fracture[J]. Journal of Southwest Medical University, 2020,43(2):156-160. DOI:
目的:评估TiRobot骨科机器人辅助与传统闭合复位PFN-A内固定术治疗股骨转子间骨折的近期疗效。方法:2017年11月至2018年6月
筛选20例患者纳入研究
并随机分为骨科机器人组和传统手术组
每组10例。记录两组患者术中X线透视时间、透视次数、手术时间、术中出血量、骨折愈合时间、术后内固定并发症、术后尖顶距和末次随访髋关节Hariss评分。结果:两组患者在年龄、性别、体质量指数以及骨折类型方面差异无统计学意义
具有可比性(P> 0.05)。骨科机器人组手术时间、术出血量、X线透视时间和透视次数均低于传统手术组(P <0.05);骨科机器人组术后尖顶距(17.7±5.5) mm高于传统手术组术后尖顶距(16.5±4.7) mm
差异有统计学意义(t=2.313
P <0.05)。两组术后并无并发症发生。结论:TiRobot骨科机器人导航定位系统辅助闭合复位PFN-A内固定术治疗股骨转子间骨折可明显提高手术的精确度
并且在降低术中X线损害及缩短置钉时间、减少术中损伤方面具有一定优势。
Objective: To evaluate the short-term outcomes of TiRobot-assisted versus conventional closed re-duction and internal fixation with PFN-A for the treatment of intertrochanteric femoral fracture. Methods: Twentypatients were enrolled into the study between November 2017 and June 2018 and were divided into orthopedic robotgroup(OR group) and conventional surgery group(CS group)
with 10 patients in each group. Intraoperative X-rayfluoroscopy time
times of fluoroscopy
time of operation
intraoperative blood loss
time to fracture healing
post-operative complications after internal fixation
postoperative tip-apex distance
and Harris Hip Score at last fol-low-up were recorded for the two groups. Results: There were no significant differences between the two groups insex
age
body mass index
and type of fracture(P > 0.05)
indicating the comparability between the two groups.The OR group had significantly less time of operation
intraoperative blood loss
X-ray fluoroscopy time
and timesof fluoroscopy(P < 0.05)
as well as a significantly larger postoperative tip-apex distance(17.7 ± 5.5 mm vs 16.5 ±4.7 mm
t = 2.313
P < 0.05)
as compared with the CS group. Neither group had complications. Conclusion: TiRo-bot navigation and positioning system-assisted closed reduction and internal fixation with PFN-A significantly im-proves the surgical accuracy in the treatment of intertrochanteric femoral fracture
and has certain advantages in re-ducing intraoperative X-ray damage and intraoperative injury and shortening the time of screw placement.
机器人股骨粗隆间骨折股骨近端防旋转型髓内钉
RobotIntertrochanteric femoral fractureProximal femoral nail antirotation
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