首页|3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗腕舟骨骨折

3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗腕舟骨骨折

扫码查看
目的:探讨3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗腕舟骨骨折的临床效果.方法:选取2020年4月至2022年12月收治的90例腕舟骨骨折患者,采用随机数字表法分为常规手术组和机器人导航组各45例.常规手术组实施掌侧入路微创加压螺钉内固定术治疗,机器人导航组实施3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗.比较两组患者的手术时间、骨折愈合时间,手术前后的腕关节活动度、腕关节功能及并发症发生率.结果:机器人导航组手术时间、骨折愈合时间均短于常规手术组(P均<0.05);术后12个月时,两组患者的掌屈、背伸、桡偏及尺偏活动度均优于术前,且机器人导航组高于常规手术组(P均<0.05);术后12个月时,两组患者的疼痛、功能状态、活动范围、握力维度评分及总分均优于术前,且机器人导航组高于常规手术组(P均<0.05);两组患者的并发症发生率比较差异无统计学意义(P>0.05).结论:3D打印技术联合机器人导航掌侧入路微创加压螺钉内固定术治疗腕舟骨骨折,可缩短手术时间,降低术中出血量,促进骨折愈合和腕关节活动度及功能恢复,且安全性较好.
Minimally invasive compression screw internal fixation through the palmar approach guided by robotic-assisted 3D printing technology in the treatment of carpal scaphoid fractures
Objective:To investigate the clinical effectiveness of minimally invasive compression screw internal fixation through the palmar approach guided by robotic-assisted 3D printing technology in the treatment of carpal scaphoid fractures.Methods:Ninety patients with carpal scaphoid fractures from April 2020 to December 2022 were randomly divided into a conventional surgery group(n=45)and a robot navigation group(n=45)using a random number table method.The conventional surgery group underwent minimally invasive compression screw internal fixation through the palmar approach,while the robot navigation group underwent minimally invasive compression screw internal fixation through the palmar approach guided by robotic-assisted 3D printing technology.The surgical time and fracture healing time were compared between the two groups.Preoperative and postoperative wrist joint mobility,wrist joint function,and the incidence of complications were also compared between the two groups.Results:The surgical time and fracture healing time of the robot navigation group were shorter than those of the conventional surgery group(both P<0.05).At 12 months post-surgery,the mobility of palmar flexion,dorsiflexion,radial deviation,and ulnar deviation in both groups were better than those before surgery,and those in the robot navigation group were higher than the conventional surgery group(all P<0.05).Additionally,at 12 months post-surgery,the pain levels,functional status,range of motion,grip strength dimension scores,and total scores in both groups were better than before surgery,and the robot navigation group was superior to the conventional surgery group(all P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Robotic-assisted 3D printing technology guided minimally invasive compression screw internal fixation through the palmar approach can shorten the surgical time,reduce intraoperative bleeding,promote fracture healing,and better promote wrist joint mobility and functional recovery,with good safety.

Carpal Scaphoid Fracture3D Printing TechnologyRobot NavigationMinimally Invasive Compression Screw Internal Fixation through the Palmar Approach

张丹龙、梁少博、魏巍、庄岩、张堃、王虎

展开 >

西安交通大学附属红会医院创伤骨科,西安 710054

腕舟骨骨折 3D打印技术 机器人导航 掌侧入路微创加压螺钉内固定术

陕西省重点研发计划

2019SF-120

2024

中华骨与关节外科杂志
中国医学科学院 中国协和医学院

中华骨与关节外科杂志

CSTPCD北大核心
影响因子:0.906
ISSN:2095-9958
年,卷(期):2024.17(3)
  • 23