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中华关节外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 646 -650. doi: 10.3877/cma.j.issn.1674-134X.2025.05.017

个案报道

机器人联合带襻钢板治疗髋臼四边体骨折1例
代永鸿1, 曾焰辉1,2,()   
  1. 1528000 广州中医药大学第八临床医学院
    2528000 佛山市中医院
  • 收稿日期:2025-03-06 出版日期:2025-10-01
  • 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 robotic-assisted suture-button plate fixation for acetabular quadrilateral plate fracture

Yonghong Dai, Yanhui Zeng()   

  • Received:2025-03-06 Published:2025-10-01
  • Corresponding author: Yanhui Zeng
引用本文:

代永鸿, 曾焰辉. 机器人联合带襻钢板治疗髋臼四边体骨折1例[J/OL]. 中华关节外科杂志(电子版), 2025, 19(05): 646-650.

Yonghong Dai, Yanhui Zeng. Case report on robotic-assisted suture-button plate fixation for acetabular quadrilateral plate fracture[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2025, 19(05): 646-650.

图1 天玑Ⅱ骨科手术机器人
图2 髋臼四边体骨折患者手术全过程图。图A为患者术前的骨盆CT,示髋臼四边体骨折;图B为术者在机器人手术规划平台规划1枚穿透四边体的螺钉路径;图C为制作带襻钢板;图D为术中将要使用到的夹钳,用于置入带襻钢板;图E为利用夹钳夹持带襻钢板;图F~G为在机器人辅助下精准置入带襻钢板;图H~I为防止套筒内陷入骨质而置入的外侧钢板;图J~K为将带襻钢板连接到卷线收紧器,并完成骨折加压复位;图L~M为规划内固定空心螺钉路径;图O为机器人辅助下置入导针;图P为拧入空心螺钉;图Q为二维透视验证螺钉位置;图R~S为术后切口情况;图T为术后患者的骨盆前后位X线片;图U为患者术后骨盆CT及手术前后髋臼四边体位移情况的对比
图3 患者术后康复情况。图A~C为患者术后4个月骨盆前后位、出口位、入口位X线片,示骨折愈合;图D~F为末次随访时患者的骨盆功能情况
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