PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation.
BACKGROUND: The study was approved by the local institutional review board (Nr. 248/18).
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation.
BACKGROUND: The study was approved by the local institutional review board (Nr. 248/18).
摘要：
背景：我们提出了机器人辅助的髋臼前骨折钢板接骨术的详细程序。这项工作的目的是描述一种机器人辅助的微创技术，作为减少并发症的可能方法，疼痛,和住院。另一个目标是提出技术建议并评估新手术方法的潜在陷阱和问题。
方法：手术在跨学科环境中由经验丰富的整形外科医生和泌尿科医生进行。使用具有标准仪器的达芬奇系统。通过间接牵引引入股骨颈的销钉并通过板直接操纵来实现减少。通过7个额外的微创切口实现了钢板的位置和固定。
结果：该技术具有多种优点，例如腹直肌没有脱离，一个小的皮肤切口，和最小的失血。此外，这种方法可能会降低疝气形成的发生率，感染,和术后疼痛。
结论：我们认为所提出的技术是治疗髋臼骨折的一种要求苛刻但进步和创新的手术方法，具有前路钢板内固定的适应症。
背景：该研究获得了当地机构审查委员会的批准（Nr。248/18)。
方法：手术在跨学科环境中由经验丰富的整形外科医生和泌尿科医生进行。使用具有标准仪器的达芬奇系统。通过间接牵引引入股骨颈的销钉并通过板直接操纵来实现减少。通过7个额外的微创切口实现了钢板的位置和固定。
结果：该技术具有多种优点，例如腹直肌没有脱离，一个小的皮肤切口，和最小的失血。此外，这种方法可能会降低疝气形成的发生率，感染,和术后疼痛。
结论：我们认为所提出的技术是治疗髋臼骨折的一种要求苛刻但进步和创新的手术方法，具有前路钢板内固定的适应症。
背景：该研究获得了当地机构审查委员会的批准（Nr。248/18)。
