机器人导航辅助治疗复杂踝关节骨折并下胫腓联合损伤的临床疗效  

Clinical efficacy of TiRobot navigation assisted treatment of complex fracture and inferior tibiofibular syndesmosis separation

作　　者：李兵兵 任泰超 徐军奎 胡东[1] 刘亮[1] 鹿军 Li Bingbing;Ren Taichao;Xu Junkui;Hu Dong;Liu Liang;Lu Jun(Department of Foot and Ankle Surgery,Xi'an Jiaotong University Affiliated Red Cross Hospital,Xi'an Shaanxi,710054,China)

机构地区：[1]西安交通大学附属红会医院足踝外科,陕西西安710054

出　　处：《生物骨科材料与临床研究》2024年第5期59-63,共5页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的 探讨天玑机器人导航辅助治疗复杂踝关节骨折并下胫腓联合损伤的临床疗效。方法 回顾性分析2022年1月至2023年8月西安交通大学附属红会医院收治的12例复杂踝关节骨折并下胫腓联合损伤患者的临床资料。其中,男9例,女3例,年龄25~52岁;全为单侧损伤,左侧4例,右侧8例;致伤原因:高处坠落伤3例,车祸伤4例,运动伤5例,均为闭合性复杂踝关节骨折并下胫腓联合损伤。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、Baird-Jackson功能评分进行踝关节功能评定。结果 12例均获得随访,随访时间为4~20个月,平均13个月。术后切口均一期愈合,未出现切口感染、骨不愈合、骨延迟愈合。1例发生创伤性关节炎,末次随访时应用AOFAS评分,优9例,良2例,可1例,优良率为91.67%(11/12);Baird-Jackson功能评分优8例,良2例,可2例,优良率为83.33%(10/12)。结论 特殊踝关节骨折并下胫腓联合损伤多见于高能量损伤,天玑机器人导航辅助治疗复杂踝关节骨折并下胫腓联合损伤具有下胫腓置钉精准化、智能化、软组织损伤微小化等优点,临床疗效满意。Objective To investigate the application of TiRobot navigation-assisted therapy in the treatment of inferior tibiofibular syndesmosis separation.Methods A retrospective analysis of 12 cases of lower limb injury admitted to Xi'an Jiaotong University Affiliated Red Cross Hospital from January 2022 to August 2023 was performed.Tibiofibular clinical data of patients with combined injuries and dislocation,9 males and 3 females,aged 25-52 years,all with unilateral injuries,including 4 cases on the left side and 8 cases on the right side.Causes of injury:3 cases of falls from a height,4 cases of car accident injuries,and 5 cases of sports injuries,all of which were closed lower extremity injuries.Inferior tibiofibular syndesmosis separation.Follow-up observations were conducted on wound healing and complications after surgery.The final follow-up assessment of ankle joint function was performed using the American Orthopaedic Foot and Ankle Society(AOFAS)ankle and hindfoot functional scale and Baird-Jackson functional score.Results All 12 cases were followed up for 4 to 20 months,with an average of 13 months.The incisions all healed in one stage without incision infection,nonunion,or delayed union.One case developed traumatic arthritis.At the final follow-up,the ankle joint function was assessed using the AOFAS ankle and hindfoot functional scale,with 9 cases rated as excellent,2 cases rated as good,and 1 case rated as fair,for an excellent and good rate of 91.67%(11/12).The Baird-Jackson functional score showed 8 cases rated as excellent,2 cases rated as good,and 2 cases rated as fair,for an excellent and good rate of 83.33%(10/12).Conclusion Treatment of inferior tibiofibular syndesmosis separation is effective in improving ankle function.Inferior tibiofibular syndesmosis separation is more common in high-energy injuries,and can be treated with TiRobot navigation tibiofibular.The combined injury has the following characteristics:Tibia and fibula nail placement.It has the advantages of precision,intelligence,minimization

关 键 词：踝关节 骨折 下胫腓联合损伤 机器人 

分 类 号：R683.42[医药卫生—骨科学]