Curative effect of robot-assisted percutaneous cannulated screw fixation in the treatment of femoral neck fractures

doi:10.3969/j.issn.1006-7795.2024.05.006

Abstract

Abstract: Objective To evaluate the efficacy of robot-assisted versus free-hand screw placement in the treatment of femoral neck fractures. Methods A retrospective analysis was conducted on 40 patients with femoral neck fractures treated at the First Hospital of Jilin University from January 2018 to June 2023. Based on the surgical methods, the patients were divided into two groups: the robot group (21 cases) and the free-hand group (19 cases). Intraoperative and postoperative indicators were compared between the two groups. Results The robot group showed superiority over the free-hand group in terms of operation time, number of intraoperative fluoroscopies, number of intraoperative guide pin adjustments, and Harris scores at 1 year postoperatively (P < 0.05). There was no statistically significant difference between the two groups in terms of fracture healing time (P > 0.05). Conclusions The TiRobot assists in the treatment of femoral neck fractures with significant advantages such as precision, efficiency, and intelligence. Robot-assisted surgery can shorten the operation time and reduce the possibility of surgery-related secondary injuries, making it worthy of further promotion and application.

Key words: femoral neck fracture, minimally invasive surgery, robot-assisted surgery

CLC Number:

R683

Yang Guang, Zuo Nan, Qi Baochang, Tan Lei, Zhu Dong, Sun Dahui. Curative effect of robot-assisted percutaneous cannulated screw fixation in the treatment of femoral neck fractures[J]. Journal of Capital Medical University, 2024, 45(5): 783-787.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2024.05.006

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2024/V45/I5/783

References

［1］中国医师协会急救复苏专业委员会创伤骨科与多发伤学组, 中国医药教育学会骨质疾病专业委员会修复重建学组, 中国老年学和老年医学学会老年病分会骨科专家委员会, 等. 中国老年髋部骨折病人行微创手术治疗专家共识［J］. 临床外科杂志, 2022, 30(4): 394－400.
［2］Florschutz A V, Langford J R, Haidukewych G J, et al. Femoral neck fractures: current management［J］. J Orthop Trauma, 2015, 29(3): 121－129.
［3］李启祥, 杨立新, 桑双进, 等. 人工股骨头置换术治疗老年人股骨颈骨折的疗效评价［J］. 首都医科大学学报, 2004, 25(2): 256－258.
［4］张长青, 张伟. 股骨颈骨折内固定治疗的挑战与应对［J］. 中华创伤骨科杂志 2021, 23(6): 467－469.
［5］Zhang L L, Zhang Y, Ma X H, et al. Multiple cannulated screws vs. dynamic hip screws for femoral neck fractures: a meta-analysis［J］. Orthopade, 2017, 46(11): 954－962.
［6］Tang Y F, Zhang Z, Wang L M, et al. Femoral neck system versus inverted cannulated cancellous screw for the treatment of femoral neck fractures in adults: a preliminary comparative study［J］. J Orthop Surg Res, 2021, 16(1): 504.
［7］Walker E, Mukherjee D P, Ogden A L, et al. A biomechanical study of simulated femoral neck fracture fixation by cannulated screws: effects of placement angle and number of screws［J］. Am J Orthop, 2007, 36(12): 680－684.
［8］王军强, 樊瑜波. 计算机辅助骨科手术技术将改善股骨颈骨折治疗［J］. 中国骨伤, 2018, 31(2): 99－102.
［9］张希诺, 刘玉增, 李越, 等. 骨科手术机器人辅助与X线透视辅助下徒手皮质骨轨迹螺钉置入治疗单节段退行性腰椎疾病的临床对比研究［J］. 首都医科大学学报, 2023, 44(5): 836－844.
［10］Duan S J, Liu H S, Wu W C, et al. Robot‐assisted percutaneous cannulated screw fixation of femoral neck fractures: preliminary clinical results［J］. Orthop Surg, 2019, 11(1): 34－41.
［11］Müller M C, Belei P, Pennekamp P H, et al. Three-dimensional computer-assisted navigation for the placement of cannulated hip screws. A pilot study［J］. Int Orthop, 2012, 36(7): 1463－1469.
［12］Harris W H. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation［J］. J Bone Joint Surg Am, 1969, 51(4): 737－755.
［13］Hu H J, Cheng J B, Feng M L, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients［J］. J Orthop Surg Res, 2021, 16(1): 370.
［14］Augat P, Bliven E, Hackl S. Biomechanics of femoral neck fractures and implications for fixation［J］. J Orthop Trauma, 2019, 33(Suppl 1): S27-S32.
［15］Karthik K, Colegate-Stone T, Dasgupta P, et al. Robotic surgery in trauma and orthopaedics: a systematic review［J］. Bone Joint J, 2015, 97(3): 292－299.

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