机器人辅助骶髂贯穿螺钉置入治疗骨盆后环骨折的精确性及临床疗效研究
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作者Author单位AddressE-Mail
王学霖 WANG Xue-lin 广州中医药大学第八临床医学院, 广东 佛山 528000 The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan 528000, Guangdong, China  
吴征杰 WU Zheng-jie 佛山市中医院, 广东 佛山 528000 Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong, China 13902414988@163.com 
曾焰辉 ZENG Yan-hui 佛山市中医院, 广东 佛山 528000 Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong, China  
李灿辉 LI Can-hui 佛山市中医院, 广东 佛山 528000 Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong, China  
周健生 ZHOU Jian-sheng 佛山市中医院, 广东 佛山 528000 Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong, China  
洪石 HONG Shi 佛山市中医院, 广东 佛山 528000 Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong, China  
期刊信息:《中国骨伤》2024年,第37卷,第6期,第605-608页
DOI:10.12200/j.issn.1003-0034.20240083
基金项目:国家重点研发计划项目(编号:2022YFC2407500)
中文摘要:

目的: 探讨骨科手术机器人辅助置入骶髂贯穿螺钉治疗骨盆后环骨折的精准性及临床疗效。

方法: 回顾性分析2022年8月至2023年8月行机器人辅助置入骶髂贯穿螺钉治疗的骨盆后环骨折24例患者的临床资料,其中男10例,女14例;年龄21~73(49.29±14.48)岁;骨折按照Tile骨盆分型,B型13例,C型11例。根据术后CT扫描结果采用Gras标准评估螺钉置入效果。末次随访根据Matta评分标准评估骨折愈合情况,采用Majeed评分标准评估功能恢复情况。

结果: 24例患者获得随访,时间3~13(6.00±3.28)个月。总计置入骶髂贯穿螺钉36枚,S1贯穿螺钉18枚,S2贯穿螺钉18枚;依据Gras标准,优29枚,良7枚。总螺钉调整次数0.00(0.00,0.75)次。末次随访时Matta评分标准,优18例,良5例,中1例;最大位移距离2.55(0.00,5.65) mm。Majeed评分总分(84.37±8.38)分,优15例,良7例,中2例。

结论: 机器人能够精准、安全地辅助完成骶髂关节螺钉置入治疗骨盆后环骨折,促使患者术后功能恢复。
【关键词】骨盆骨折  机器人  骶髂贯穿螺钉  微创治疗
 
Accuracy and clinical efficacy of robot-assisted transiliac-transsacral screw placement for posterior pelvic ring fractures
ABSTRACT  

Objective To explore accuracy and clinical effect of robot-assisted implantation of sacroiliac penetrating screw in orthopedic surgery for posterior pelvic ring fracture.

Methods The clinical data of 24 patients with posterior pelvic ring fracture treated with robot-assisted sacroiliac penetration screws from August 2022 to August 2023 were retrospectively analyzed,including 10 males and 14 females; aged from 21 to 73 years old with an average of (49.29±14.48) years old;according to Tile pelvic fractures,13 patients were type B and 11 were type C. The effect of screw placement was evaluated according to Gras criteria based on postoperative CT scan results. At the final follow-up,fracture healing was evaluated according to Matta score,and functional recovery was evaluated by Majeed score.

Results All patients were followed up for 3 to 13 months with an average of (6.00±3.28) months. Totally 36 sacroiliac penetrating screws,18 S1 penetrating screws,18 S2 penetrating screws were inserted,a total of 29 were excellent and 7 good according to Gras standard. Screw adjustment times was 0.00 (0.00,0.75) times. At the final follow-up,Matta score was excellent in 18 patients,5 good and 1 moderate,and the maximum displacement distance was 2.55 (0.00,5.65) mm. Majeed score was 84.37±8.38,15 patients were excellent,7 good and 2 moderate.

Conclusion Robot could accurately and safely assist in the placement of sacroiliac joint screws for the treatment of posterior pelvic ring fractures,and promote postoperative functional recovery of patients.
KEY WORDS  Pelvic fractures  Robot  Transiliac-transsacral screw  Minimally invasive treatment
 
引用本文,请按以下格式著录参考文献:
中文格式:王学霖,吴征杰,曾焰辉,李灿辉,周健生,洪石.机器人辅助骶髂贯穿螺钉置入治疗骨盆后环骨折的精确性及临床疗效研究[J].中国骨伤,2024,37(6):605~608
英文格式:WANG Xue-lin,WU Zheng-jie,ZENG Yan-hui,LI Can-hui,ZHOU Jian-sheng,HONG Shi.Accuracy and clinical efficacy of robot-assisted transiliac-transsacral screw placement for posterior pelvic ring fractures[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(6):605~608
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