Murakami Tomotoshi, Yamazaki Kazuhiro, Ogasa Hiroyoshi
Department of Orthopedic Surgery, Hagi Civil Hospital, 3460-3 Tubaki, Hagi City, Yamaguchi 758-0061, Japan.
SICOT J. 2021;7:55. doi: 10.1051/sicotj/2021056. Epub 2021 Nov 5.
In recent years, computer-assisted surgery has made it possible to undergo surgery with a high degree of precision. This study aimed to investigate the usefulness of computer-assisted surgery for femoral trochanteric fractures using the ADAPT (ADAptive Positioning Technology) system.
A total of forty patients with femoral trochanteric fracture underwent intramedullary nailing for fracture fixation: in twenty patients, the ADAPT system (ADAPT group), and in the other twenty, it was not used (control group). The operative time, intraoperative fluoroscopy time, tip apex distance (TAD), and tip to head surface distance (TSD) were measured and compared between the two groups to assess the efficiency and accuracy of the surgery.
The operative time was significantly shorter (P < 0.05), intraoperative fluoroscopy time was significantly reduced (P < 0.01), and implant placement was significantly better in the ADAPT group (P < 0.01).
Navigation systems have been developed to improve the efficiency of surgery. The ADAPT system was considered a very useful device for intramedullary nailing of femoral trochanteric fractures, as it reduced the intraoperative fluoroscopy time and improved the accuracy of implant placement, also reducing the operative time.
近年来，计算机辅助手术已使高精度手术成为可能。本研究旨在使用ADAPT（自适应定位技术）系统研究计算机辅助手术在股骨转子间骨折治疗中的实用性。
共有40例股骨转子间骨折患者接受髓内钉固定术：其中20例患者使用ADAPT系统（ADAPT组），另外20例未使用（对照组）。测量并比较两组的手术时间、术中透视时间、尖顶距（TAD）和尖至头表面距离（TSD），以评估手术的效率和准确性。
ADAPT组的手术时间显著缩短（P < 0.05），术中透视时间显著减少（P < 0.01），植入物放置明显更好（P < 0.01）。
已开发导航系统以提高手术效率。ADAPT系统被认为是股骨转子间骨折髓内钉固定术的非常有用的设备，因为它减少了术中透视时间，提高了植入物放置的准确性，还缩短了手术时间。
