Clinical Efficacy Analysis of Minimally Invasive Surgery with 3D-C Arm Assisted by Robot Navigation in the Treatment of Scaphoid Fractures
Objective To study the safety and effectiveness of using robot navigation assisted combined with 3D-C arm minimally invasive surgery for the treatment of scaphoid fractures.Methods A retrospective analysis was conducted on 11 patients with scaphoid fractures admitted to Baoding No.1 Central Hospital from May 2020 to July 2023,including 9 males and 2 females with an average age of 33.8 years(20-65 years).The patients were treated with robotic navigation assisted surgery combined with 3D-C arm type double head threaded hollow compression screw internal fixation.The occurrence of complications in patients after surgery was recorded,the changes in inflammatory indicators before surgery,on the first day after surgery,and on the third day after surgery was compared,and functional recovery was evaluated using visual analogue scale(VAS)scores,Mayo wrist joint scores,and wrist joint range of motion.Results The robot guided surgery was successfully completed,with an average operation time of 64.1 min(50-100 min).The minimally invasive surgery had minimal bleeding,and the average follow-up time was 5.5 months(3-14 months).All patients had no postoperative complications.The patient's postoperative X-ray and CT scan showed that the position of the internal fixation screw of the scaphoid bone was good,and the fracture location was good.There was no statistically significant difference(P＞0.05)in the inflammatory indicators of patients on the first and third day after surgery compared with preoperative levels,and there was no statistically significant difference(P＞0.05)in pairwise comparisons at each time point.The VAS score and Mayo wrist joint score of the patient at one month after surgery and at the last follow-up were significantly different from those before surgery(P＜0.05),and there was a significant difference between the last follow-up and one month after surgery(P＜0.05).The last follow-up X-ray and CT scan showed that the fractures healed well,and the average active range of motion of the injured wrist joint were:71.2°in flexion,67.5°in dorsiflexion,42.6°in ulnar deviation,21.8°in radial deviation,with good functional activity.Conclusion The combination of robot navigation assisted and 3D-C arm minimally invasive surgery for the treatment of scaphoid fractures is safe and effective,with high precision,minimal trauma,minimal postoperative reactions,and fast recovery.
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