关节镜下复位机器人定位置钉治疗距骨颈HawkinⅡ型骨折  

Treatment of typeⅡfracture of talar neck Hawkin with arthroscopic fracture reduction combined with robot fixed-position nail

作　　者：徐明亮 陈国梁 伊力扎提·伊力哈木 苏省 石荣剑 李翠华 Xu Mingliang;Chen Guoliang;Ilham Ilizati;Su Xing;Shi Rongjian;Li Cuihua(Department of Foot and Ankle Surgery,Xuzhou Renci Hospital,Xuzhou 221004,China)

机构地区：[1]徐州仁慈医院足踝外科,徐州221004

出　　处：《中华解剖与临床杂志》2022年第4期237-241,共5页Chinese Journal of Anatomy and Clinics

摘　　要：目的探讨应用关节镜下复位结合机器人定位置钉治疗距骨颈HawkinⅡ型骨折的疗效。方法回顾性研究。纳入2018年1月—2020年5月徐州仁慈医院11例距骨颈HawkinⅡ型骨折患者的临床资料。其中,男7例、女4例,年龄28~47岁,右侧7例、左侧4例。患者均在关节镜下复位,结合骨科机器人三维导航定位置入空心螺钉。术后随访观察伤口愈合及并发症发生情况,末次随访采用美国足踝外科协会(AOFAS)踝与后足功能量表进行踝关节功能评定。结果11例患者伤口均一期愈合,手术时间45~168 min,出血量10~30 mL。患者均获随访,随访12~25个月,其中2例出现距下关节炎,未出现距骨坏死及骨折不愈合情况。末次随访时应用AOFAS踝与后足功能量表评定踝关节功能,优8例、良3例。结论关节镜下复位结合机器人定位置钉治疗距骨颈HawkinⅡ型骨折具有复位骨折可视化、电脑定位置钉智能化、精准可靠、损伤小等优点,且临床疗效较好。Objective This study aims to explore the clinical efficacy of arthroscopic reduction combined with robot positioning nails for the treatment of talar neck HawkinⅡfractures.Methods A retrospective study of the clinical data of 11 patients with talar neck Hawkin TypeⅡfractures from January 2018 to May 2020 in Xuzhou Renci Hospital was conducted.Among these patients,seven are males and four are females,with ages ranging from 28 to 47 years.A four left-sided fracture and seven right-sided fracture were included in this study.All patients were reduced under arthroscopy,combined with orthopedic robot 3D navigation and positioning,where hollow screws were inserted.In consideration of the postoperative follow-up observation of wounds and complications,the American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot scale was used to assess post-operative function at the last follow-up.Results All wounds were successfully closed and healed.The average operation time was within(45–168)min and the average volume of estimated blood loss was(10–30)mL.All patients finished follow-up,and the mean follow-up time were(12–25)months.Among all patients,two cases of subtalar arthritis occurred,but no talus necrosis or fracture nonunion occurred.During the final follow-up examination,the AOFAS score results were excellent in 8 cases and good in 3 cases.Conclusion Arthroscopic fracture reduction combined with robotic positioning nails for the treatment of talar Hawkin TypeⅡfractures has the advantages on visualization of reduction fractures,computer positioning nails intelligence,accuracy,reliability,small damage,and good curative effect.

关 键 词：骨折 距骨颈骨折 关节镜 机器人 

分 类 号：R687.3[医药卫生—骨科学]