Lu Chaolong, Wei Xiao, Li Lugen, Lan Wenxing, Wu Penghuan, Hu Qingyang, Li Wenhu, Wu Qiang, Kang Yunze, Hu Zhengbo
Derpartment of Orthopedics, Shaoguan First People's Hospital Affiliated to Guangdong Medical University, Shaoguan City, 512000, Guangdong, China.
Derpartment of Orthopedics, Shaoguan Hospital Affiliated to Southern Medical University, Shaoguan City, 512000, Guangdong, China.
Sci Rep. 2025 Jan 30;15(1):3836. doi: 10.1038/s41598-025-88229-4.
To assess the clinical outcomes of robot-assisted proximal femoral nail antirotation (PFNA) surgery in elderly patients with unstable femoral intertrochanteric fractures (UFIFs). 151 patients who underwent UFIF and PFNA surgery between January 2020 and May 2024 were analyzed retrospectively. Of these, 78 patients were treated with traditional PFNA surgery (control group), and 73 patients were treated with robot-assisted PFNA surgery (observation group). The observed indicators included visual analog pain scale (VAS) score, surgery time, PFNA operation time, tip-apex distance (TAD), intraoperative blood loss (IBL), perioperative hidden blood loss (PHBL), postoperative allogeneic blood transfusion rate (PABTR), hospital stay, time to first independent walking with crutches postoperatively, time to independent walking without crutches, and Harris hip function score (HHFS). There were no statistically significant differences in general condition between the two groups before surgery. Surgery time, PFNA operation time, IBL, PHBL, PABTR, TAD, hospital stay, time to first independent walking with crutches postoperatively, time to independent walking without crutches, VAS score, and HHFS were significantly improved in the observation group compared with the control group. Thus, compared with traditional PFNA surgery for UFIF in elderly patients, robot-assisted PFNA yields better outcomes in terms of the quality of PFNA surgery, surgical trauma, conserving clinical blood resources, and patient recovery.
评估机器人辅助股骨近端防旋髓内钉（PFNA）手术治疗老年不稳定型股骨转子间骨折（UFIF）的临床疗效。回顾性分析2020年1月至2024年5月期间接受UFIF并进行PFNA手术的151例患者。其中，78例患者接受传统PFNA手术（对照组），73例患者接受机器人辅助PFNA手术（观察组）。观察指标包括视觉模拟疼痛量表（VAS）评分、手术时间、PFNA操作时间、尖顶距（TAD）、术中失血量（IBL）、围手术期隐性失血量（PHBL）、术后异体输血率（PABTR）、住院时间、术后首次使用拐杖独立行走时间、无需拐杖独立行走时间以及Harris髋关节功能评分（HHFS）。两组患者术前一般情况无统计学差异。与对照组相比，观察组的手术时间、PFNA操作时间、IBL、PHBL、PABTR、TAD、住院时间、术后首次使用拐杖独立行走时间、无需拐杖独立行走时间、VAS评分和HHFS均有显著改善。因此，与老年患者UFIF的传统PFNA手术相比，机器人辅助PFNA在PFNA手术质量、手术创伤、节约临床血液资源和患者恢复方面具有更好的疗效。
