骨科机器人辅助经皮撬拨治疗跟骨骨折  

Orthopedic Robot Assisted Percutaneous Joystick in the Treatment of Calcaneal Fracture

作　　者：张军[1] 胡延春[1] 白云亭[1] 李虎[1] 付生龙 Zhang Jun;Hu Yanchun;Bai Yunting(Department of Orthopedics, Jinan Fifth People’s Hospital, Jinan 250022, China)

机构地区：[1]济南市第五人民医院骨科,济南250022

出　　处：《中国微创外科杂志》2022年第4期313-317,共5页Chinese Journal of Minimally Invasive Surgery

基　　金：济南市卫生健康委员会科技计划项目(2020-4-53)。

摘　　要：目的探讨骨科机器人辅助经皮撬拨复位螺钉内固定治疗跟骨骨折的疗效。方法选取2019年5月~2021年5月32例(35足)跟骨关节内骨折,SandersⅡ型22足,Ⅲ型13足。骨科机器人辅助设计规划螺钉方向和进针点,经皮撬拨复位后行螺钉内固定。结果随访13~25(18.4±2.9)月。均达到骨性愈合,美国足踝矫形外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝-后足评分优良率94.3%(33/35)。无切口感染、皮肤坏死、皮下积液、深静脉血栓等并发症。结论骨科机器人辅助行经皮撬拨复位螺钉内固定治疗跟骨骨折,精准,安全,高效。Objective To investigate the clinical efficacy of percutaneous joystick reduction screw fixation assisted by an orthopedic robot in the treatment of calcaneal fracture.Methods A total of 32 patients(35 feet)with intra-articular calcaneal fractures(Sanders typeⅡfor 22 feet andⅢfor 13 feet)from May 2019 to May 2021 were selected.The screw direction and needle insertion point were planned by orthopedic robot assisted design,and screw internal fixation was performed after percutaneous joystick reduction.Results The follow-up period lasted for 13-25 months(mean,18.4±2.9 months).All the patients achieved bony healing,and the excellent and good rate of the American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score reached 94.3%(33/35).There were no complications such as incision infection,skin necrosis,subcutaneous effusion or deep venous thrombosis.Conclusion Application of percutaneous joystick reduction screw fixation assisted by an orthopedic robot in the treatment of calcaneal fracture is accurate,safe and efficient.

关 键 词：骨科机器人 撬拨复位 跟骨骨折 

分 类 号：R68[医药卫生—骨科学]