Wang Mige, Zheng Song, Zhang Yushan, Lu Jialing
Department of Traumatic and Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Front Surg. 2024 Jul 3;11:1392719. doi: 10.3389/fsurg.2024.1392719. eCollection 2024.
To compare the therapeutic efficacy of robot-assisted and manual screw placement techniques for the treatment of pelvic fractures.
This study included patients with pelvic fractures admitted to our orthopedic department between January 2020 and January 2022. They were randomly assigned to either the robot-assisted group or the control group. Various parameters, including surgical duration, intraoperative bleeding, fluoroscopy frequency, postoperative pain, length of hospitalization, postoperative hematological indices, postoperative functional scores, and postoperative complications, were compared between the two groups.
There were no significant differences in age, sex, body mass index, and preoperative hematological parameters between the two groups. The robot-assisted group exhibited significantly shorter surgical duration, lower fluoroscopy frequencies, lower postoperative pain scores, and shorter length of hospitalization compared to the control group. At 3 and 6 months postoperatively, patients in the robot-assisted group demonstrated significantly higher Majeed functional scores in comparison to the control group. However, there were no significant differences in Majeed scores at 12 months postoperatively. Moreover, there were no significant differences in postoperative complications between the two groups.
Robot-assisted minimally invasive treatment of pelvic fractures using hollow screws effectively reduced surgical duration, mitigated intraoperative bleeding and postoperative pain, shortened hospital stays, and promoted faster functional recovery.
比较机器人辅助与手动螺钉置入技术治疗骨盆骨折的疗效。
本研究纳入2020年1月至2022年1月间我院骨科收治的骨盆骨折患者。将他们随机分为机器人辅助组和对照组。比较两组的各项参数，包括手术时长、术中出血量、透视次数、术后疼痛、住院时间、术后血液学指标、术后功能评分及术后并发症。
两组患者的年龄、性别、体重指数及术前血液学参数无显著差异。与对照组相比，机器人辅助组的手术时长显著缩短，透视次数更低，术后疼痛评分更低，住院时间更短。术后3个月和6个月时，机器人辅助组患者的马吉德功能评分显著高于对照组。然而，术后12个月时马吉德评分无显著差异。此外，两组术后并发症无显著差异。
使用空心螺钉机器人辅助微创治疗骨盆骨折可有效缩短手术时长，减少术中出血和术后疼痛，缩短住院时间，并促进功能更快恢复。
