Clinical comparative study of Tianji orthopedic robot assisted surgery and traditional open reduction and internal fixation in the treatment of calcaneal fracture
Objective To investigate the difference of curative effect between traditional open reduction and internal fixation and minimally invasive surgery assisted by Tianji Ⅱ generation orthopedic robot in the treatment of calcaneal fracture.Methods 20 patients with calcaneal fracture admitted to Puren Hospital Affil-iated to Wuhan University of Science and Technology from April 2020 to October 2022 were selected.Accord-ing to the different surgical methods,they were divided into two groups:the study group (8 cases,7 males and 1 female) was treated with Tianji Ⅱ orthopedic robot assisted minimally invasive surgery,and the control group (12 cases,9 males and 3 females) was treated with traditional open reduction and internal fixation.The hospitalization time,preoperative waiting time,operation time,surgical incision length,fluoroscopy times dur-ing operation,intraoperative bleeding,American Orthopaedic Foot and Ankle Society (AOFAS) score at 3 and 6 months after operation and the incidence of related complications were analyzed and compared between the two groups.Results There was no significant difference in the general information (age,gender,affected side and fracture type) between the two groups (P>0.05).The hospitalization time,preoperative waiting time, surgical incision length,fluoroscopy times during operation and intraoperative bleeding in the study group were lower than those in the control group [(9.500±3.423) d vs. (14.83±3.040) d,(4.750±2.964) d vs. (7.750±2.563) d,(3.250±0.463) cm vs. (7.667±1.435) cm,(4.250±1.282) times vs. (6.667±1.614) times,(14.380±7.289) mL vs. (51.670±19.460) mL],and the differences were statistically significant (P<0.05).The operation time of the study group was longer than that of the control group [(80.130± 3.271) min vs. (69.250±3.729) min],and the difference was statistically significant (P<0.05).The AO-FAS score of the study group was higher than that of the control group at 3 months after operation [(77.130±3.441) min vs. (70.830±3.512) min],and the difference was statistically significant (P<0.05). The fracture healing time and the AOFAS score at 6 months after operation of the two groups were not statis-tically significant (P>0.05).Conclusion Compared with traditional open surgery,minimally invasive surgery assisted by Tianji Ⅱ generation orthopedic robot for calcaneal fracture has the advantages of smaller incision,less intra-operative bleeding and less intraoperative fluoroscopy,which can shorten the length of hospital stay and the time from injury to surgery,and enable patients to obtain better functional rehabilitation in the early stage.
万方数据
维普
