文章摘要
唐帅,王冰一,范磊,等.机器人导航下股骨颈动力交叉钉系统治疗股骨颈骨折的疗效分析.骨科,2022,13(6): 511-515.
机器人导航下股骨颈动力交叉钉系统治疗股骨颈骨折的疗效分析
Efficacy of Robot Guided Femoral Neck System in the Treatment of Femoral Neck Fracture
投稿时间:2022-09-07  
DOI:10.3969/j.issn.1674-8573.2022.06.007
中文关键词: 机器人  股骨颈骨折  股骨颈动力交叉钉系统  导航
英文关键词: Robot  Femoral neck fracture  Femoral neck system  Navigation
基金项目:河南省医学科技攻关计划项目(SB201901081)
作者单位E-mail
唐帅 河南大学人民医院(河南省人民医院)骨科郑州 450003  
王冰一 河南大学人民医院(河南省人民医院)骨科郑州 450003  
范磊 河南大学人民医院(河南省人民医院)骨科郑州 450003  
李晓彬 河南大学人民医院(河南省人民医院)骨科郑州 450003  
高强 河南大学人民医院(河南省人民医院)骨科郑州 450003  
彭强 河南大学人民医院(河南省人民医院)骨科郑州 450003  
曹志明 河南大学人民医院(河南省人民医院)骨科郑州 450003  
刘涛 河南大学人民医院(河南省人民医院)骨科郑州 450003 liutaogk@163.com 
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中文摘要:
      目的 探讨机器人导航下股骨颈动力交叉钉系统(femoral neck system,FNS)治疗股骨颈骨折的临床疗效。方法 回顾性分析2019年11月至2021年8月我院采用FNS治疗股骨颈骨折的57例病人的临床资料,其中27例行机器人导航下FNS治疗(机器人组),30例采用常规人工FNS治疗(人工组),比较两组病人的手术时间、术中出血量、术中透视次数、术后髋关节Harris评分、骨折愈合时间及术后并发症发生率等指标。结果 机器人组的手术时间为(81.0±9.2) min,少于人工组(86.7±12.0) min,但差异无统计学意义(P>0.05)。机器人组的术中出血量和透视次数分别为(25.5±7.5) mL、(16.4±2.8)次,均少于人工组的(37.3±11.3) mL、(20.1±3.0)次,差异有统计学意义(P<0.05)。机器人组一次性置钉成功率为100%,人工组为56.7%,差异有统计学意义(χ2=15.157,P<0.001)。两组术后并发症发生率、骨折愈合时间及术后髋关节Harris评分比较,差异无统计学意义(P>0.05)。结论 机器人导航下FNS手术治疗股骨颈骨折是一种精准、微创、安全有效的方法。
英文摘要:
      Objective To explore the clinical efficacy of robotic guided femoral neck system (FNS) in the treatment of femoral neck fractures. Methods The clinical data of 57 patients with femoral neck fracture treated with FNS in our hospital from November 2019 to August 2021 were retrospectively analyzed. A total of 27 cases received FNS treatment under robot navigation (robot group), and 30 cases received conventional manual FNS treatment (manual group). The operation time, intraoperative blood loss, intraoperative fluoroscopy times, postoperative Harris score of hip joint, fracture healing time and postoperative complication rate were compared between the two groups. Results The operation time in the robot group was (81.0±9.2) min, which was shorter than (86.7±12.0) min in the manual group, but the difference was not statistically significant (P>0.05). The intraoperative blood loss and the fluoroscopy times in the robot group were (25.5±7.5) mL and (16.4±2.8) times, respectively, which were reduced as compared with those in the manual group [(37.3±11.3) mL and (20.1±3.0) times], and the difference was statistically significant (P<0.05). The success rate of one-time nail placement in the robot group was 100%, while that in the manual group was 56.7%, and the difference was statistically significant (χ2=15.157, P<0.001). There was no significant difference in postoperative complication rate, fracture healing time and postoperative Harris score between the two groups (P>0.05). Conclusion Robot-guided FNS surgery for femoral neck fractures is a precise, minimally invasive, safe and effective method.
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