Abstract：
OBJECTIVE: To investigate the clinical effect of orthopedic robot combined with Starr pelvic reduction frame in the treatment of Tile type C pelvic ring fracture.
METHODS: From October 2019 to May 2021, 14 patients with type C pelvic ring fracture were treated with robotic combined with Starr pelvic reduction frame, including 9 males and 5 females. The age ranged from 33 to 69 years. All the 14 patients had fresh closed fractures without femur, tibia and fibula fracture. Surgery was completed from 4 to 7 d after hospital admission. During the operation, the X-ray carbon bed was used, the pelvic ring was reduced by Starr pelvis reduction frame, and pelvic ring fracture was treated by orthopedic robot. Operation time, bleeding volume, fluoroscopy times of single screw placement, fracture reduction quality, affected limb function and complications were observed. Radiological reduction was evaluated using Matta scoring standard, and clinical efficacy was evaluated by Majeed pelvic function scoring system at the final follow-up.
RESULTS: All of 14 patients successfully completed the operation, the operation time was 84 to 141 min, the bleeding volume was 20 to 50 ml, and the fluoroscopy times of single screw insertion was 4 to 9 times. All of 14 patients were followed up for 12 to 24 months. The healing time was 3 to 7 months. No complications such as fracture of internal fixation, screw loosening, infection and nerve injury were found. According to the evaluation criteria of Matta imaging reduction, 9 cases were excellent, 4 cases were good, and 1 case was fair. At the final follow-up, Majeed pelvic function scoring system was used:10 cases were excellent, 4 cases were good.
CONCLUSIONS: The treatment of type C pelvic ring fracture with robotic combined Starr pelvis reduction frame is simple, time-saving, less trauma, less complications and effective.
METHODS: From October 2019 to May 2021, 14 patients with type C pelvic ring fracture were treated with robotic combined with Starr pelvic reduction frame, including 9 males and 5 females. The age ranged from 33 to 69 years. All the 14 patients had fresh closed fractures without femur, tibia and fibula fracture. Surgery was completed from 4 to 7 d after hospital admission. During the operation, the X-ray carbon bed was used, the pelvic ring was reduced by Starr pelvis reduction frame, and pelvic ring fracture was treated by orthopedic robot. Operation time, bleeding volume, fluoroscopy times of single screw placement, fracture reduction quality, affected limb function and complications were observed. Radiological reduction was evaluated using Matta scoring standard, and clinical efficacy was evaluated by Majeed pelvic function scoring system at the final follow-up.
RESULTS: All of 14 patients successfully completed the operation, the operation time was 84 to 141 min, the bleeding volume was 20 to 50 ml, and the fluoroscopy times of single screw insertion was 4 to 9 times. All of 14 patients were followed up for 12 to 24 months. The healing time was 3 to 7 months. No complications such as fracture of internal fixation, screw loosening, infection and nerve injury were found. According to the evaluation criteria of Matta imaging reduction, 9 cases were excellent, 4 cases were good, and 1 case was fair. At the final follow-up, Majeed pelvic function scoring system was used:10 cases were excellent, 4 cases were good.
CONCLUSIONS: The treatment of type C pelvic ring fracture with robotic combined Starr pelvis reduction frame is simple, time-saving, less trauma, less complications and effective.
摘要：
目的：探讨骨科机器人联合Starr骨盆复位架治疗TileC型骨盆环骨折的临床效果。
方法：自2019年10月至2021年5月，采用机器人联合Starr骨盆复位架治疗14例C型骨盆环骨折患者，包括9名男性和5名女性。年龄从33岁到69岁不等。14例患者均为新鲜闭合性骨折，无股骨。胫腓骨骨折.入院后4～7d完成手术。在操作过程中,使用X射线碳床，骨盆环被Starr骨盆复位架复位,采用骨科机器人治疗骨盆环骨折。操作时间,出血量,单螺钉放置的透视次数，骨折复位质量，观察患肢功能及并发症。使用Matta评分标准评估放射学还原，最后随访时采用Majeed盆腔功能评分系统评价临床疗效。
结果：14例患者均顺利完成手术，手术时间为84至141分钟，出血量为20到50毫升，单螺钉插入的透视次数为4至9次。14例患者均获随访,随访时间12～24个月。愈合时间为3～7个月。无骨折内固定等并发症,螺钉松动,感染和神经损伤。根据Matta成像缩小的评价标准,9例优秀，4例良好，1个案例是公平的。在最后的后续行动中，采用Majeed骨盆功能评分系统：优10例，4例良好。
结论：机器人联合Starr骨盆复位架治疗C型骨盆环骨折简单易行，节省时间,更少的创伤，并发症少，有效。
方法：自2019年10月至2021年5月，采用机器人联合Starr骨盆复位架治疗14例C型骨盆环骨折患者，包括9名男性和5名女性。年龄从33岁到69岁不等。14例患者均为新鲜闭合性骨折，无股骨。胫腓骨骨折.入院后4～7d完成手术。在操作过程中,使用X射线碳床，骨盆环被Starr骨盆复位架复位,采用骨科机器人治疗骨盆环骨折。操作时间,出血量,单螺钉放置的透视次数，骨折复位质量，观察患肢功能及并发症。使用Matta评分标准评估放射学还原，最后随访时采用Majeed盆腔功能评分系统评价临床疗效。
结果：14例患者均顺利完成手术，手术时间为84至141分钟，出血量为20到50毫升，单螺钉插入的透视次数为4至9次。14例患者均获随访,随访时间12～24个月。愈合时间为3～7个月。无骨折内固定等并发症,螺钉松动,感染和神经损伤。根据Matta成像缩小的评价标准,9例优秀，4例良好，1个案例是公平的。在最后的后续行动中，采用Majeed骨盆功能评分系统：优10例，4例良好。
结论：机器人联合Starr骨盆复位架治疗C型骨盆环骨折简单易行，节省时间,更少的创伤，并发症少，有效。
