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中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 122 -126. doi: 10.3877/cma.j.issn.1674-134X.2025.01.018

个案报道

机器人辅助治疗老年骨盆骨折术后内固定失效1例
代永鸿1, 曾焰辉1,2,()   
  1. 1. 528000 广州中医药大学第八临床医学院
    2. 528000 佛山市中医院创伤骨科
  • 收稿日期:2024-10-08 出版日期:2025-02-01
  • 通信作者: 曾焰辉
  • 基金资助:
    国家重点研发计划项目(2022YFC2407500)广东省佛山市科学技术局医学类科技攻关项目(2420001004268)

Case report on robot-assisted surgical management of internal fixation failure of geriatric pelvic fracture

Yonghong Dai, Yanhui Zeng()   

  • Received:2024-10-08 Published:2025-02-01
  • Corresponding author: Yanhui Zeng
引用本文:

代永鸿, 曾焰辉. 机器人辅助治疗老年骨盆骨折术后内固定失效1例[J/OL]. 中华关节外科杂志(电子版), 2025, 19(01): 122-126.

Yonghong Dai, Yanhui Zeng. Case report on robot-assisted surgical management of internal fixation failure of geriatric pelvic fracture[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(01): 122-126.

图1 天玑Ⅱ骨科手术机器人
图2 患者螺钉置入与松脱的发展过程。图A ~C 为患者术前骨盆X 线片及CT,示右耻骨上下支粉碎性骨折,骶2 椎体及右侧翼粉碎性骨折伴骨质疏松;图D 为手术规划后呈现的三维立体的螺钉的位置、长度及直径;图E 为沿机械臂套筒置入4 枚导针;图F 为验证导针位置;图G 为验证螺钉位置;图H ~L 为术后第2 天骨盆X 线片及CT,示于机器人辅助下共置入两枚骶髂关节贯穿螺钉及2 枚耻骨上支逆行螺钉,螺钉位置良好,未穿出骨皮质;图M ~O 为患者术后第35 天复查骨盆X 光片示1 枚骶髂关节贯穿螺钉和耻骨上支逆行螺钉发生松动,出现明显移位。
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