A case report of the first successful use of 3D image-guided robot-assisted reverse shoulder arthroplasty

Intelligent Surgery Pub Date : 2023-01-01 DOI:10.1016/j.isurg.2023.08.001

Wei Han , Zhao Jia , Teng Zhang , Junqiang Wang , Anjie Shen , Xieyuan Jiang

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Abstract

Objective

This report describes the first successful use of 3D image-guided robot-assisted reverse shoulder arthroplasty (RSA) and validates the feasibility of this technology.

Methods

The clinical data, preoperative preparation, surgical procedure, and postoperative outcomes of a patient with proximal humerus fracture who underwent 3D image-guided robot-assisted RSA on May 18, 2023, at Beijing Jishuitan Hospital were summarized.

Results

The patient underwent 3D image-guided robot-assisted RSA successfully. The surgery lasted for 2 h and blood loss was about 200 ml. No significant adverse events were observed during the procedure. Immediate postoperative joint range of motion was as follows: forward flexion 150°, abduction 90°, neutral rotation 50° externally and 60° internally, with no dislocation. The drainage tube was removed on the second postoperative day, and an X-ray examination confirmed the proper positioning of the prosthesis.

Conclusion

In conclusion, we are the first to report the successful use of 3D image-guided robot-assisted RSA, demonstrating the feasibility of this technique. However, further upgrades and enhancements to the orthopedic robotic system are necessary to provide more assistance to surgeons.

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首次成功使用3D图像引导机器人辅助的反向肩关节置换术的病例报告

目的本报告首次成功应用三维图像引导机器人辅助反向肩关节置换术(RSA)，并验证该技术的可行性。方法总结2023年5月18日北京积水潭医院1例肱骨近端骨折患者行三维图像引导机器人辅助RSA手术的临床资料、术前准备、手术过程及术后结果。结果患者成功行三维图像引导机器人辅助RSA手术。手术持续2小时，出血量约200毫升。在手术过程中未观察到明显的不良事件。术后即刻关节活动范围如下:前屈150°，外展90°，外旋50°，内旋60°，无脱位。术后第二天拔除引流管，x线检查确认假体位置正确。总之，我们首次报道了3D图像引导机器人辅助RSA的成功应用，证明了该技术的可行性。然而，为了给外科医生提供更多的帮助，骨科机器人系统的进一步升级和增强是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Intelligent Surgery

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