دورية أكاديمية
The Use of a Robotic Arm for Fixation of Pelvic Fractures.
| العنوان: | The Use of a Robotic Arm for Fixation of Pelvic Fractures. |
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| المؤلفون: | Gilani S; Department of Orthopaedic Surgery, University of Louisville, Louisville, KY., Mohamed M, Hartley B, Zamora R, Zou J, Daccarett M, Carlson JB |
| المصدر: | Journal of orthopaedic trauma [J Orthop Trauma] 2023 Nov 01; Vol. 37 (11S), pp. S28-S32. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8807705 Publication Model: Print Cited Medium: Internet ISSN: 1531-2291 (Electronic) Linking ISSN: 08905339 NLM ISO Abbreviation: J Orthop Trauma Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [c1987- |
| مواضيع طبية MeSH: | Robotic Surgical Procedures*/methods , Surgery, Computer-Assisted*/methods , Fractures, Bone*/diagnostic imaging , Fractures, Bone*/surgery , Fractures, Bone*/etiology , Pedicle Screws*, Adult ; Humans ; Imaging, Three-Dimensional/methods ; Prospective Studies ; Tomography, X-Ray Computed ; Fracture Fixation, Internal/methods ; Fluoroscopy/methods ; Retrospective Studies |
| مستخلص: | Objectives: The objective of this study was to evaluate unplanned cortical or neuroforaminal violation of iliosacral and transsacral screw placement using fluoroscopy versus screw placement using a robotic arm. Design: This is a prospective cohort study. Setting: Single surgeon, single North American level 1 trauma center. Patients: Radiographic and clinical data for 21 consecutive adult trauma patients with pelvic ring fractures undergoing surgical treatment were prospectively collected. Treatment consisted of iliosacral and/or transsacral screws with or without anterior fixation. Intervention: Ten patients were treated with the assistance of a robotic arm. Eleven patients were treated with standard fluoroscopic techniques. Main Outcome Measurements: Thirty-two screws were placed and evaluated with postoperative computed tomography or O-arm spins to assess unplanned cortical or neuroforaminal violation. Violations were graded according to the Gertzbein and Robbins system for pedicle screw violation, categorizing screw violation in 2-mm increments. The postoperative images were blindly reviewed by 5 fellowship-trained orthopaedic traumatologists. The treating surgeon was excluded from review. Results: The Mann-Whitney U test on the Gertzbein and Robbins system results demonstrated significantly (P = 0.02) fewer violations with robotic assistance. χ2 analysis of whether there was a cortical violation of any distance demonstrated significantly (P = 0.003) fewer cortical violations with robotic assistance. There were no neurovascular injuries in either group. Conclusion: Robotic assistance demonstrated significantly fewer unplanned cortical or neuroforaminal violations. Further research is needed with additional surgeons and sites to evaluate the accuracy of iliosacral and transsacral screw placement with robotic assistance. Level of Evidence: Therapeutic, level II. Competing Interests: B. Hartley is a consultant for Stryker. R. Zamora is a consultant for Stryker. J. B. Carlson is a consultant for BONESUPPORT, Arthrex, and Globus Medical. The remaining authors report no conflict of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
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| تواريخ الأحداث: | Date Created: 20231013 Date Completed: 20231101 Latest Revision: 20231106 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/BOT.0000000000002691 |
| PMID: | 37828699 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1531-2291 |
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| DOI: | 10.1097/BOT.0000000000002691 |