Intelligent robot-assisted fracture reduction system for the treatment of unstable pelvic fractures

J Orthop Surg Res. 2024 Apr 30;19(1):271. doi: 10.1186/s13018-024-04761-5.

Abstract

Background: Precise and minimally invasive closed reduction is the premise of minimally invasive internal fixation. This paper aims to explore the safety and efficacy of a robot-assisted fracture reduction system (RAFR) in the treatment of pelvic fractures and to analyze its clinical advantages and existing problems.

Methods: The RAFR system intelligently designed the optimal reduction path and target position based on a preoperative three-dimensional(3D) CT scan of the patient. The reduction robotic arm automatically reduced the affected hemipelvis according to the pre-planned reduction path.

Results: The average residual displacement was the 6.65 ± 3.59 mm. According to Matta's criteria, there were 7 excellent, 10 good, and 3 fair, and the excellent and good rate was 85%. No postoperative complications occurred.

Conclusion: In our study, the RAFR system could complete accurate and minimally invasive closed reduction for most patients with unstable pelvic fractures, which could achieve good fracture reduction quality and short-term efficacy.

Keywords: Closed reduction; Elastic traction; Navigation; Pelvic fracture; Robot-assisted surgery.

MeSH terms

  • Adult
  • Aged
  • Female
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / instrumentation
  • Minimally Invasive Surgical Procedures / methods
  • Pelvic Bones* / diagnostic imaging
  • Pelvic Bones* / injuries
  • Pelvic Bones* / surgery
  • Robotic Surgical Procedures* / methods
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult