Ma H R, Zhang Z T, Jiang J, Li F F, Qiu Y
Department of Orthopaedic, Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China.
Zhonghua Wai Ke Za Zhi. 2023 Jan 1;61(1):23-28. doi: 10.3760/cma.j.cn112139-20220915-00393.
In the past decades,a dramatic development of navigation technology in orthopaedic surgery has been witnessed. By assisting the localization of surgical region,verification of target bony structure,preoperative planning of fixation,intraoperative identification of planned entry point and direction of instruments or even automated insertion of implants,its ability and potential to reduce operation time,intraoperative radiation,surgical trauma,and improve accuracy has been proved. However,in contrast to the widespread use of navigation technology in arthroplasty,orthopaedic tumor,and spine surgery,its application in orthopaedic trauma is relatively less. In this manuscript,the main purpose is to introduce the technical principles of navigation devices,outline the current clinical application of navigation systems in orthopaedic trauma,analyze the current challenges confronting its further application in clinical practice and its prospect in the future.
在过去几十年中，人们见证了骨科手术导航技术的巨大发展。通过辅助手术区域定位、目标骨结构验证、固定的术前规划、术中识别器械的计划切入点和方向，甚至自动植入植入物，其减少手术时间、术中辐射、手术创伤以及提高准确性的能力和潜力已得到证实。然而，与导航技术在关节置换术、骨肿瘤手术和脊柱手术中的广泛应用相比，其在骨科创伤中的应用相对较少。在本手稿中，主要目的是介绍导航设备的技术原理，概述导航系统在骨科创伤中的当前临床应用，分析其在临床实践中进一步应用面临的当前挑战及其未来前景。
