Kabir Koroush, von Rundstedt Friedrich-Carl, Roos Jonas, Gathen Martin
Centre of Trauma and Orthopaedic Surgery, Helios University Clinic Wuppertal, Wuppertal, Germany.
Department of Urology, Helios University Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.
J Orthop Surg Res. 2024 Apr 22;19(1):253. doi: 10.1186/s13018-024-04731-x.
We present a detailed procedure for the robotic-assisted plate osteosynthesis of an anterior acetabular fracture. The purpose of this work was to describe a robotic-assisted minimally invasive technique as a possible method for reducing complications, pain, and hospitalization. Another goal was to present technical recommendations and to assess potential pitfalls and problems of the new surgical approach.
Surgery was performed in an interdisciplinary setting by an experienced orthopedic surgeon and a urologist. The DaVinci System with standard instruments was used. Reduction was achieved through indirect traction of a pin that was introduced into the femoral neck and direct manipulation via the plate. The plate position and fixation were achieved through 7 additional minimally invasive incisions.
The technique has multiple advantages, such as no detachment of the rectus abdominal muscle, a small skin incision, and minimal blood loss. Furthermore, this approach might lower the incidence of hernia formation, infection, and postoperative pain.
We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation.
The study was approved by the local institutional review board (Nr. 248/18).
我们介绍一种用于髋臼前柱骨折机器人辅助钢板内固定的详细手术步骤。这项工作的目的是描述一种机器人辅助的微创技术，作为减少并发症、疼痛和住院时间的一种可能方法。另一个目标是提出技术建议，并评估这种新手术方法的潜在陷阱和问题。
手术在多学科环境下由一位经验丰富的骨科医生和一位泌尿科医生进行。使用配备标准器械的达芬奇系统。通过将一根针插入股骨颈进行间接牵引，并通过钢板进行直接操作来实现复位。通过另外7个微创切口来实现钢板的定位和固定。
该技术具有多种优点，如腹直肌无分离、皮肤切口小、失血少。此外，这种方法可能会降低疝气形成、感染和术后疼痛的发生率。
我们认为所介绍的技术是一种用于治疗有前柱钢板固定指征的髋臼骨折的要求高但先进且创新的手术方法。
该研究已获得当地机构审查委员会的批准（编号248/18）。
