{Reference Type}: Journal Article
{Title}: Robotic-assisted plate fixation of the anterior acetabulum - clinical description of a new technique.
{Author}: Kabir K;von Rundstedt FC;Roos J;Gathen M;
{Journal}: J Orthop Surg Res
{Volume}: 19
{Issue}: 1
{Year}: 2024 Apr 22
{Factor}: 2.677
{DOI}: 10.1186/s13018-024-04731-x
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation.<BR><B>BACKGROUND: </B>The study was approved by the local institutional review board (Nr. 248/18).