We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
机器人辅助经皮复位微创内固定治疗Schatzker Ⅱ-Ⅲ型 胫骨平台骨折.
- Authors
付雪飞; 张诗剑; 赵保双; 刘其鑫; 吴 磊; 杜博松; 李思源; 祁 超; 杨超群; 翁能源; 张 弢
- Abstract
BACKGROUND: Accurate and minimally invasive surgery procedure has become the pursuit of the current surgical goals. With the rapid development of intelligent robots, the precise and minimally invasive treatment of fractures has become an irresistible trend. OBJECTIVE: To evaluate the clinical efficacy of robot-assisted percutaneous reduction and minimally invasive internal fixation for Schatzker II-III tibial plateau fractures. METHODS: Clinical data of patients with Schatzker II-III tibial plateau fractures who received robot- (n=22, robot-assisted group) and traditional fluoroscopy (n=26, traditional group)-assisted internal fixation at Tianjin Hospital from April 2017 to August 2018 were analyzed retrospectively. All patients suffered from unilateral, closed, and fresh tibial plateau fractures. Statistical indicators included: incision length, operation time, intraoperative blood loss, number of fluoroscopy, one-time success rate of screw, hospitalization time, fracture healing time, total weight-bearing time and postoperative complications. At the last follow-up, the range of motion of knee was recorded. The function of knee was evaluated by Rasmussen’s imaging and clinical score. RESULTS AND CONCLUSION: (1) There was no significant difference in the baseline data between two groups (P > 0.05). (2) Compared with the traditional group, the robot-assisted group was better in the intraoperative blood loss, incision length, number of fluoroscopy, total number of drilled screws for fixation, average hospitalization time, fracture healing time, total weight-bearing time, and one-time success rate of fixation screw placement (P < 0.05). There was no significant difference in the operation time between two groups (P=0.932). (3) The range of motion of knee and Rasmussen clinical function score in the robot-assisted group were superior to those in the traditional group (P < 0.05). (4) There were fewer postoperative complications in the robot-assisted group compared with traditional group. (5) These results indicate that robot-assisted percutaneous reduction and minimally internal fixation for the treating Schatzker II-III tibial plateau fracture are satisfactory. It has obvious advantages in minimally invasive surgery, precise reduction, rigid fixation and accelerated postoperative rehabilitation. Key words: robot; tibial plateau fracture; Schatzker II; Schatzker III; percutaneous reduction; internal fixation.
- Subjects
TIANJIN (China); TIBIAL plateau fractures; MINIMALLY invasive procedures; FRACTURE healing; RANGE of motion of joints; SURGICAL blood loss; SUCCESS
- Publication
Chinese Journal of Tissue Engineering Research / Zhongguo Zuzhi Gongcheng Yanjiu, 2020, Vol 24, Issue 18, p2829
- ISSN
2095-4344
- Publication type
Article
- DOI
10.3969/j.issn.2095-4344.2639