机器人辅助下经皮空心螺钉内固定治疗股骨头骨骺滑动。

IF 1.6 4区 医学 Q3 ORTHOPEDICS
Journal of Childrens Orthopaedics Pub Date : 2025-02-14 eCollection Date: 2025-04-01 DOI:10.1177/18632521251319987
Yunfeng Xu, Gang Fu, Chao Feng, Lin Huang, Yuan Ma, Yucheng Zhang, Yuan Zhou, Xiao Luo, Ming Lu, Jie Yang, Yukun Wang, Xuemin Lv, Xieyuan Jiang, Zheng Yang
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引用次数: 0

摘要

目的:探讨机器人辅助下经皮空心螺钉内固定治疗股骨头骨骺滑动,包括急性、慢性和急性伴慢性滑动。我们的研究包括所有稳定和不稳定的卡瓦。方法:于2019年10月至2021年10月对31例单侧SCFE患儿进行治疗。31例患者均随访12 ~ 36个月,平均随访时间24.56±6.73个月。在手术机器人的辅助下,用经皮空心螺钉固定股骨骨骺。结果:31个股骨头均成功固定。平均手术时间为98.25±15.13 min,平均出血21.65±11.25 ml。在正位和侧位视图上,实际和计划进入点之间的平均距离分别为1.13±0.58 mm和0.91±0.72 mm。实际插入轨迹与计划位置的偏离在正位和侧位分别为3.61±1.34°和2.33±1.32°。平均透视时间为每颗螺钉6.56±3.23次。非关节炎髋关节评分由术前的28.53±9.17分改善至末次随访时的67.34±6.21分(P P)结论:机器人辅助经皮空心螺钉内固定治疗小儿SCFE是有效的。螺钉固定准确、安全,临床效果满意。证据级别:4级,案例系列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robot-assisted percutaneous cannulated screw fixation in the treatment of slipped capital femoral epiphysis.

Purpose: To investigate robot-assisted percutaneous cannulated screw fixation for treating slipped capital femoral epiphysis, including acute, chronic, and acute-on-chronic slips. Our study included all stable and unstable slips.

Methods: Thirty-one children with unilateral SCFE were treated from October 2019 to October 2021. All 31 patients were followed up for 12-36 months, with an average follow-up time of 24.56 ± 6.73 months. The femoral epiphysis was fixed with a percutaneous cannulated screw assisted by a surgical robot.

Results: All 31 femoral head epiphyses underwent successful fixation in one attempt. The average operation time and bleeding were 98.25 ± 15.13 min and 21.65 ± 11.25 ml, respectively. The average distance between the actual and planned entry points was 1.13 ± 0.58 mm and 0.91 ± 0.72 mm in the anteroposterior (AP) and lateral views, respectively. The actual insertion trajectory deviated from the planned position by 3.61 ± 1.34° and 2.33 ± 1.32° in the AP and lateral views, respectively. The average fluoroscopy time was 6.56 ± 3.23 times per screw. The Non-Arthritic Hip Score improved from 28.53 ± 9.17 preoperatively to 67.34 ± 6.21 at the last follow-up (P < 0.05), and the Harris hip score improved from 46.47 ± 15.34 to 89.63 ± 7.52 (P < 0.05). The wounds healed without avascular necrosis or chondrolysis of the femoral head.

Conclusion: Robot-assisted percutaneous cannulated screw fixation is effective for treating pediatric SCFE. Screw fixation was accurate and safe, and clinical outcomes were satisfactory.

Level of evidence: Level 4, Case Series.

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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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