Haida Dominik M, Wagenblast Iris, Huber-Wagner Stefan
Klinikum rechts der Isar, Klinik für Unfallchirurgie, Technische Universität München, München, Deutschland.
Klinik für Unfallchirurgie, Wirbelsäulenchirurgie und Alterstraumatologie, DIAK Klinikum Schwäbisch Hall, Diakoniestraße 10, 74523, Schwäbisch Hall, Deutschland.
Unfallchirurgie (Heidelb). 2025 May 6. doi: 10.1007/s00113-025-01580-z.
The aim of this operation is to stabilize the anterior pelvic ring fractures on both sides and the sacral fracture on the right using robotically assisted screw osteosynthesis and to restore the mobility of the patient.
The indications arise from the patient's very severe pain, resulting immobility under conservative treatment measures and a fragility fracture of the pelvis grade II (FFP II).
Typical contraindications for this type of operation are the same as for conventional techniques (mainly infection and swelling).
Performed in the 3D navigation hybrid operating theatre Robotic Suite with the following components: navigation unit "Curve Navigation System", movable robotic 3D cone beam computed tomography (CBCT) "Loop‑X", robotic arm "Cirq Arm System" and wall monitor "BUZZ" (Brainlab, Munich, Germany). The individual surgical steps are explained in the video online (English).
FOLLOW-UP TREATMENT: Full weight bearing, pain medication according to the World Health Organization (WHO) stage scheme, physiotherapy after the first postoperative day.
Navigated and robotically assisted techniques are mainly used on the spine. These techniques are also increasingly being used on the pelvis, whereby very high levels of accuracy can also be achieved.
本手术的目的是使用机器人辅助螺钉骨合成术稳定双侧骨盆前环骨折和右侧骶骨骨折，并恢复患者的活动能力。
适应症源于患者非常严重的疼痛、在保守治疗措施下导致的活动受限以及II级骨盆脆性骨折（FFP II）。
此类手术的典型禁忌症与传统技术相同（主要是感染和肿胀）。
在配备以下组件的3D导航混合手术室机器人套件中进行手术：导航单元“Curve导航系统”、可移动机器人3D锥形束计算机断层扫描（CBCT）“Loop-X”、机器人手臂“Cirq手臂系统”和墙壁监视器“BUZZ”（德国慕尼黑Brainlab公司）。各个手术步骤在在线视频（英文）中有说明。
完全负重，根据世界卫生组织（WHO）分期方案使用止痛药物，术后第一天后进行物理治疗。
导航和机器人辅助技术主要用于脊柱。这些技术也越来越多地用于骨盆，从而也能实现非常高的准确性。
