天玑机器人辅助股骨颈动力交叉钉系统固定治疗中老年股骨颈骨折的近期效果分析  

Short-term effect of femoral neck system assisted by an orthopaedic robot"TINAVI"in femoral neck fracture in middle-aged and elderly people

作　　者：龙玉斌[1] 李一然 陈伟[2] 贾红伟[1] 韩宝君[1] 安明[1] LONG Yu-bin;LI Yi-ran;CHEN Wei;JIA Hong-wei;HAN Bao-jun;AN Ming(The Third Department of Orthopedics,the First Central Hospital of Baoding City,Hebei Province,Baoding 071000,China;The Third Department of Orthopaedics,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)

机构地区：[1]河北省保定市第一中心医院骨三科,河北保定071000 [2]河北医科大学第三医院创伤急救三科,河北石家庄050051

出　　处：《河北医科大学学报》2023年第5期541-546,共6页Journal of Hebei Medical University

基　　金：河北省自然科学基金青年科学项目(H2022104011);保定市科技计划项目(2041ZF260)。

摘　　要：目的探讨天玑机器人辅助股骨颈动力交叉钉系统(femoral neck system,FNS)对中老年股骨颈骨折固定的近期疗效。方法回顾性分析股骨颈骨折患者72例,其中应用天玑骨科机器人于C臂引导下辅助FNS固定治疗34例(观察组),仅在C臂引导下行FNS固定治疗38例(对照组)。比较2组患者手术复位时间、骨折愈合时长、透视次数、手术时长、术中出血量、术后即刻及术后12个月股骨颈短缩程度、术后3、6、12个月患侧髋关节功能Harris评分及下肢静脉血栓发生率。结果观察组手术时间、术中复位后透视次数、术中出血量显著短于或少于对照组(P<0.05)。2组患者骨折复位时间、骨折愈合时间差异无统计学意义(P>0.05)。所有患者术后平均随访15.5个月。术后即刻,2组股骨颈短缩程度差异无统计学意义(P>0.05);术后12个月,观察组股骨颈缩短程度与术后即刻比较差异无统计学(P>0.05);对照组股骨颈缩短程度较术后即刻差(P<0.05);观察组股骨颈短缩程度优于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组髋关节Harris评分显著高于对照组(P<0.05),术后12个月,2组患者髋关节功能Harris评分高于术后3个月,差异有统计学意义(P<0.05),但2组间髋关节功能Harris评分差异无统计学意义(P>0.05)。结论天玑机器人辅助FNS固定治疗股骨颈骨折操作简单,既可以发挥单一微创切口的优势,固定可靠,又可精准定位,使内固定达到最合理最佳位置,近期疗效良好。Objective To investigate the short-term effect of orthopaedic robot"TINAVI"assisted femoral neck system(FNS)in the treatment of femoral neck fracture in middle-aged and elderly people.Methods A retrospective analysis was conducted on 72 patients with femoral neck fracture.Among them,34 cases were treated with FNS assisted by an orthopaedic robot"TINAVI"under C-arm guidance for femoral neck fracture(observation group),and 38 cases were treated with FNS only under C-arm guidance(control group).The time to surgical reduction,time to fracture healing,fluoroscopy times,duration of operation,intraoperative blood loss,as well as femoral neck shortening degree immediately after operation and at 12 months after operation,Harris score of affected hip joint function at 3,6 and 12 months after operation,and incidence of venous thrombosis of lower extremities were compared between two groups.Results The duration of operation,intraoperative fluoroscopy times after intraoperative reduction and intraoperative blood loss in the observation group were significantly shorter or less than those in the control group(P<0.05).There was no significant difference in time to fracture reduction and time to fracture healing between the two groups(P>0.05).All patients were followed up for a mean of 15.5 months.Immediately after surgery,there was no significant difference in the degree of femoral neck shortening between the two groups(P>0.05).No significant difference was found in the degree of femoral neck shortening in the observation group at 12 months after surgery,as compared with that immediately after surgery(P>0.05),and the degreein the control group wasinferior to that immediately after surgery(P<0.05).The degree of femoral neck shortening in the observation group was superior to that in the control group,showing significant difference(P<0.05).The Harris score of the affected hip in the observation group was significantly higher than that in the control group at 3 months after operation(P<0.05).At 12 months after surgery,the Harris sc

关 键 词：股骨颈骨折 机器人 股骨颈动力交叉钉系统 

分 类 号：R683.42[医药卫生—骨科学]