摘要
目的探讨天玑骨科机器人导航技术联合踝关节镜技术复位内固定治疗Hawkins Ⅱ型距骨颈骨折的疗效。方法回顾性分析2019年1月至2020年9月徐州仁慈医院足踝外科收治的13例Hawkins Ⅱ型距骨颈骨折患者资料。其中男8例, 女5例;年龄平均35.8岁(22~61岁)。均采用天玑机器人联合踝关节镜复位内固定治疗。记录术中关节镜辅助骨折复位时间、机器人导航置入内固定时间、骨折愈合时间、手术并发症等, 末次随访时采用美国足踝外科协会(AOFAS)的踝-后足评分评估功能。结果本组患者手术均在2 h内完成, 均一次性置钉成功, 其中关节镜辅助复位时间平均为52.8 min(43~66 min), 机器人导航置入内固定时间平均为43.6 min(33~55 min)。所有患者术后随访平均13.3个月(12~15个月), 均在3个月内获得骨性愈合;1例患者发生距下关节创伤性关节炎伴轻度疼痛, 给予保守治疗;未出现切口感染、距骨坏死等并发症。末次随访时AOFAS的踝-后足评分平均为91.0分(83~94分)。结论机器人联合踝关节镜复位内固定治疗Hawkins Ⅱ型距骨颈骨折具有微创、精准复位及置钉、术后并发症少的优点, 短期疗效肯定。
Objective To investigate the efficacy of TiRobot navigation combined with ankle arthroscopy in the reduction and internal fixation of Hawkins typeⅡtalus neck fracture.Methods From January 2019 to September 2020,a total of 13 patients with Hawkins typeⅡtalus neck fracture were admitted to Department of Foot and Ankle Surgery,Xuzhou Renci Hospital.They were 8 males and 5 females,with a mean age of 35.8 years(from 22 to 61 years).All fractures were reduced and fixated using TiRobot navigation combined with ankle arthroscopy.Time for fracture reduction assisted by intraoperative arthroscopy,time for internal fixation assisted by TiRobotic navigation,fracture union time and complications were recorded.The American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score was used at the last follow-up to evaluate the functional outcomes.Results All the operations were finished within 2 hour.The primary screw placement succeeded in all.The time for fracture reduction assisted by intraoperative arthroscopy averaged 52.8 min(from 43 to 66 min)and the time for internal fixation assisted by TiRobotic navigation 43.6 min(from 33 to 55 min).All the patients were followed up for an average 13.3 months(from 12 to 15 monhs).They obtained bony union within 3 months.One patient developed traumatic subtalar arthritis with mild pain and was treated conservatively.None of the patients had complications like incision infection or talus necrosis.The average AOFAS ankle-hindfoot score was 91.0 points(from 83 to 94 points)at the last follow-up.Conclusion In the reduction and internal fixation of Hawkins typeⅡtalus neck fracture,TiRobot navigation combined with ankle arthroscopy shows advantages of minimal invasion,accurate reduction and screw placement,and limited complications,leading to fine short-term functional outcomes.
作者
曹广超
石荣剑
徐明亮
陈占斌
杨龙
周吉
赵亮
俞光荣
Cao Guangchao;Shi Rongjian;Xu Mingliang;Chen Zhanbin;Yang Long;Zhou Ji;Zhao Liang;Yu Guangrong(Department of Foot and Ankle Surgery,Xuzhou Renci Hospital,Xuzhou 221000,China;Tongji Hospital,Tongji University,Shanghai 200065,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2022年第5期392-396,共5页
Chinese Journal of Orthopaedic Trauma
关键词
机器人
距骨
骨折
关节镜
骨折固定术
内
Robotics
Talus
Fractures,bone
Arthroscopy
Fracture fixation,internal
