Minimally Invasive Pelvic and Acetabular Surgery: Case Report of a Robot-Assisted Osteosynthesis of an Open-Book Injury of the Pelvic Ring

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-10-19 DOI:10.1002/rcs.70002

Markus A. Küper, Jonas Johannink, Bastian Amend, Tina Histing, Steven C. Herath

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Abstract

Background

In recent years, endoscopic treatment of pelvic ring injuries has emerged. In addition to the complex 3D anatomy of the bony pelvis, a particular challenge is its embedding in the surrounding soft tissue structures. It is known from other surgical specialties that the preparation can be facilitated by using surgical robot systems.

Materials and Methods

In a patient with an open-book injury of the pelvic ring, a symphysis plate was performed using the DaVinci system.

Results

We describe the robotic-assisted osteosynthesis on the anterior pelvic ring with available instruments.

Conclusion

The further development of minimally invasive surgical techniques is always linked to the development of new instruments. For trauma surgery, this means in particular the reduction of dislocated fractures. If appropriate techniques and instruments are developed here, minimally invasive treatment of injuries to the pelvic ring or acetabulum may represent an alternative to open procedures in the future.

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微创骨盆和髋臼手术：骨盆环开放性损伤的机器人辅助骨合成术病例报告

背景近年来，出现了骨盆环损伤的内窥镜治疗。除了骨盆复杂的三维解剖结构外，其嵌入周围软组织结构也是一项特殊挑战。根据其他外科专业的经验，使用手术机器人系统可以简化准备工作。材料和方法在一名骨盆环开放性损伤的患者身上，使用 DaVinci 系统进行了干骺板手术。结果我们描述了使用现有器械对骨盆前环进行机器人辅助骨合成的情况。结论微创手术技术的进一步发展总是与新器械的开发息息相关。对于创伤手术而言，这尤其意味着脱位骨折的复位。如果能开发出合适的技术和器械，骨盆环或髋臼损伤的微创治疗可能会成为未来开放手术的替代方案。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.