摘要
目的:探讨天玑机器人辅助下螺钉固定治疗骨盆髋臼骨折的疗效及手术方法。方法:回顾性分析天玑机器人辅助下的螺钉固定的56例骨盆髋臼骨折患者,观察置钉位置,记录手术时间、出血量、术中曝光次数、切口长度、骨折愈合时间、术后功能等结果。结果:手术时间为(48.69±16.78)min/枚,术中出血量为(17.72±7.79)mL/枚,曝光次数为(15.84±5.44)次/枚,手术切口为(1.15±0.75)cm。置钉满意率为89.8%,未出现医源性神经、血管及脏器损伤,伤口均一期愈合。随访13~31个月,所有患者无骨折移位,无感染,并于术后3~6个月内骨折愈合。末次随访Majeed功能评分为(85.64±6.36)分。结论:天玑机器人辅助下螺钉固定微创治疗骨盆髋臼骨折,手术时间短,创伤小,透视少,手术精确、安全,临床效果满意。
Objective:To explore the operation method and clinical efficacy of TiRobot-assisted percutaneous screw minimally invasive fixation in pelvic and acetabular fractures.Methods:The clinical data of 56 patients with pelvic and acetabular fractures treated with TiRobot-assisted percutaneous screw minimally invasive fixation were retrospectively reviewed.The screw placement,operation time,blood loss,X-ray number,incision length,healing time and postoperative functions were observed and recorded.Results:The operation time was(48.69±16.78)min/piece.Blood loss was(17.72±7.79)mL/piece.X-ray number was(15.84±5.44)times/piece,and length of incision was(1.15±0.75)cm/piece.The degree of satisfaction of the screw placement was 89.8%.No iatrogenic injury on nerves,blood vessels and organs occurred.All wounds were primary healing.During the followed-up of 13 to 31 months,no delayed union or malunion was observed;no infection,and the fractures healed after operation 3 to 6 months.The Majeed score in the last follow-up visit was(85.64±6.36)scores.Conclusion:TiRobot-assisted percutaneous screw minimally invasive fixation in pelvic and acetabular fractures has short operation time,small trauma,with advantages of precise and safe operation,small radioactive damage,and satisfactory clinical efficacy.
作者
吴征杰
何影浩
曾焰辉
WU Zhengjie;HE Yinghao;ZENG Yanhui(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong China)
出处
《中国中医骨伤科杂志》
CAS
2021年第11期61-64,68,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
佛山市登峰计划项目。
