计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折

doi:10.13418/j.issn.1001-165x.2021.04.017

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (4): 454-459.doi: 10.13418/j.issn.1001-165x.2021.04.017

计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折

吴铭杰，庄伟达，郑杰，李修往，陈敏，樊晓海，吴家昌，桑宏勋

南方医院大学深圳医院骨科中心，广东深圳 518101

收稿日期:2021-03-08 出版日期:2021-07-25 发布日期:2021-07-26
通讯作者: 桑宏勋，教授，主任医师，博士生导师，E-mail：sanghongxun11@163.com；吴家昌，副主任医师，E-mail：wujiachang1982@163.com
作者简介:吴铭杰（1985-），男，主治医师，从事数字骨科、创伤与关节外科专业，E-mail：648009346@qq.com
基金资助:
国家自然科学基金面上项目（81871767）；深圳市医疗卫生“三名工程”高层次医学团队（SZSM201612019）；深圳市数字外科3D打印重点实验室（ZDSYS201707311542415）；南方医科大学临床研究启动项目（LC2016ZD036）；南方医科大学深圳医院苗苗培育计划（2018MM13）；广东省医学科研基金项目（B2021174）

Computerized navigation system assisted the placement of the cannulated screw and internal fixation for the treatment of femoral neck fractures

Wu Mingjie, Zhuang Weida, Zheng Jie, Li Xiuwang, Chen Min, Fan Xiaohai, Wu Jiachang, Sang Hongxun

Department of Orthopaedics, Shenzhen Hospital, Southern Medical University, Shenzhen 518101, China

Received:2021-03-08 Online:2021-07-25 Published:2021-07-26

摘要/Abstract

摘要： 目的探讨计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折的安全性及疗效。方法选取本院2017年1月至2020年7月采用空心螺钉内固定术治疗股骨颈骨折患者59例，根据是否用计算机手术导航系统分为导航组29例，非导航组30例，比较两组术中出血量、透视次数、钻孔次数、总手术时间、术中人员流动情况及术后患者正侧位X线片任意2枚螺钉的夹角、2枚最远距离的螺钉在股骨颈的离散程度等指标。结果　导航组术中出血量、透视次数、导针钻孔次数、总手术时间及手术相关人员出入人次均少于非导航组，差异均有统计学意义（P<0.05），患者术后正侧位X线片任意2枚螺钉的夹角及2枚最远距离螺钉在股骨颈的离散程度优于非导航组，差异均有统计学意义（P<0.05）。结论计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折安全精准，值得推广实践。

关键词: 股骨颈骨折； , , 计算机辅助； , , 骨折内固定； , , 导航系统

Abstract: Objective　To evaluate the clinical effects of computerized navigation system assisted the placement of the cannulated screw and internal fixation for the treatment of femoral neck fractures.　Methods　Fifty-nine patients diagnosed with femoral neck fracture and treated with cannulated screw internal fixation from January 2017 to July 2020 were selected. All the patients were divided into a navigation group (n=29) and a non-navigation group (n=30) according to whether using Medtronic computer surgical navigation system (S7) or not. The intraoperative blood loss, times of intraoperative fluoroscopy, times of guide needle drilling, total operation time, persons’ movement frequency during operation of the two groups were compared. The average angles of any two screws and the dispersion degree of the two screws with the farthest distance in the femoral neck on the postoperative anteroposterior and lateral X-ray films of the two groups were recorded and compared.　Results　Compared with non-navigation group, there were less intraoperative blood loss, shorter total operation time, less usages of intraoperative fluoroscopy, fewer guide needle drilling and less persons’ movement frequency during operation of the navigation group. There were statistical significances in intraoperative blood loss, total operation time, usages of intraoperative fluoroscopy, guide needle drilling and persons’ movement frequency during operation between the two groups (P<0.05). The average angles of any two screws and the dispersion degree of the two screws with the farthest distance in the femoral neck on the postoperative anteroposterior and lateral X-ray films of the navigation group were better than those in the non-navigation group (P<0.05). There were statistical significances in the above two indexes between the two groups.　Conclusions 　It is safe and accurate to insert cannulated screws for the treatment of femoral neck fracture with the aid of the computer navigation system. It is worthy of promotion and practice.

Key words: Femoral neck fracture, 　Computer assisted, 　Internal fixation of fracture, 　Navigation system

中图分类号:

R683.42

吴铭杰, 庄伟达, 郑杰, 李修往, 陈敏, 樊晓海, 吴家昌, 桑宏勋. 计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折[J]. 中国临床解剖学杂志, 2021, 39(4): 454-459.

Wu Mingjie, Zhuang Weida, Zheng Jie, Li Xiuwang, Chen Min, Fan Xiaohai, Wu Jiachang, Sang Hongxun. Computerized navigation system assisted the placement of the cannulated screw and internal fixation for the treatment of femoral neck fractures[J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 454-459.

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计算机导航系统辅助置入空心螺钉内固定术治疗股骨颈骨折

Computerized navigation system assisted the placement of the cannulated screw and internal fixation for the treatment of femoral neck fractures

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