Smith Austin F, Carlson Jon B
Department of Orthopaedic Surgery University of Louisville Louisville Kentucky USA.
Clin Case Rep. 2023 Jun 13;11(6):e7527. doi: 10.1002/ccr3.7527. eCollection 2023 Jun.
It may be possible to extend the use of the robotic arm to pelvic and acetabular surgery leading to safe, repeatable screw placement, and less radiation exposure for patients, surgeons and OR staff.
In this case, a novel, robotic-assisted technique was used to place a sacroiliac screw in a patient with unstable injuries of the pelvic ring. Intraoperative and postoperative fluoroscopic, radiographic, and CT imaging demonstrated a safely positioned 6.5 mm cannulated screw without unplanned cortical violation or impingement on neurovascular structures. To our knowledge, this is the first such reported case using a robot widely available in the Americas or Europe.
将机器人手臂的使用扩展至骨盆和髋臼手术可能是可行的,这能实现安全、可重复的螺钉置入,减少患者、外科医生和手术室工作人员的辐射暴露。
在本病例中,采用了一种新型的机器人辅助技术为一名骨盆环不稳定损伤患者置入骶髂螺钉。术中及术后的透视、X线和CT成像显示,一枚6.5毫米空心螺钉位置安全,未出现意外的皮质穿透或对神经血管结构的压迫。据我们所知,这是美洲或欧洲广泛使用的机器人的首例此类报道病例。