Leal Justin, Kugelman David N, Goel Rahul K, Cochrane Niall H, Seyler Thorsten M
Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Arthroplast Today. 2024 Oct 18;30:101485. doi: 10.1016/j.artd.2024.101485. eCollection 2024 Dec.
Complex traumatic acetabular fractures with concomitant hip dislocations are an orthopaedic emergency often requiring open reduction and internal fixation; however, total hip arthroplasty (THA) for acute acetabular fractures may be indicated in certain scenarios. This study reports the case of a 65-year-old male who had a motor vehicle collision that resulted in acetabular fracture dislocation with concomitant femoral head fracture. The patient underwent acute image-free robotic THA. At 6-month follow-up, the patient had good pain management and was doing well after surgery. With the reported technique using a reamer basket, an image-free robotic system can be used in acute THA in patients to achieve appropriate cup positioning.
伴有髋关节脱位的复杂创伤性髋臼骨折是一种骨科急症，通常需要切开复位内固定；然而，在某些情况下可能需要对急性髋臼骨折进行全髋关节置换术（THA）。本研究报告了一例65岁男性患者，其因机动车碰撞导致髋臼骨折脱位并伴有股骨头骨折。该患者接受了无影像机器人辅助全髋关节置换术。在6个月的随访中，患者疼痛管理良好，术后恢复良好。通过报告的使用扩孔钻篮的技术，无影像机器人系统可用于急性全髋关节置换术患者，以实现髋臼杯的合适定位。
