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中华损伤与修复杂志(电子版)

中华损伤与修复杂志(电子版) ›› 2023, Vol. 18 ›› Issue (06) : 464 -468. doi: 10.3877/cma.j.issn.1673-9450.2023.06.002

标准与规范

机器人辅助无移位急性舟骨骨折经皮内固定的诊疗与手术操作规范
伊喆, 王志新, 陈伟, 齐伟亚, 方杰, 石海飞, 赵夏, 赵喆, 竺枫, 盛伟, 陈焱, 张宇昊, 朱瑾, 殷耀斌, 杨勇, 陈山林, 刘波†()   
  1. 100035　首都医科大学附属北京积水潭医院手外科
    221004　徐州仁慈医院手外科
    310003　浙江大学医学院附属第一医院手显微外科
    266003　青岛大学附属医院运动医学科
    518035　深圳大学第一附属医院足踝外科手外科
    315040　宁波市第六医院手外科
    435000　湖北理工学院附属黄石爱康医院骨科
    430033　武汉市第四医院　武汉市骨科医院手外中心
    650101　昆明医科大学第二附属医院骨科
  • 收稿日期:2023-10-30 出版日期:2023-12-01
  • 通信作者: 刘波
  • 基金资助:
    北京市科技计划课题(Z201100005520094); 国家自然科学基金(82272581); 北京市自然科学基金－海淀原始创新联合基金资助项目(L202030); 云南省科技人才与平台工程(202105AF150050)

Surgical operation specifications for robot-assisted percutaneous fixation of non-displaced acute scaphoid fracture

Zhe Yi, Zhixin Wang, Wei Chen, Weiya Qi, Jie Fang, Haifei Shi, Xia Zhao, Zhe Zhao, Feng Zhu, Wei Sheng, Yan Chen, Yuhao Zhang, Jin Zhu, Yaobin Yin, Yong Yang, Shanlin Chen, Bo Liu†()   

  1. Department of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China
    Department of Hand Surgery, Xuzhou Renci Hospital, Xuzhou 221004, China
    Department of Hand & Microsurgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
    Department of Sports Medicine, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
    Department of Hand & Foot Surgery, the First Affiliated Hospital of Shenzhen University, Shenzhen 518035, China
    Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo 315040, China
    Department of Orthopedics, Huangshi Aikang Hospital, Hubei Polytechnic University, Huangshi 435000, China
    Hand Surgery Center, Wuhan Fourth Hospital, Wuhan Orthopaedic Hospital, Wuhan 430033, China
    Department of Orthopedics, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
  • Received:2023-10-30 Published:2023-12-01
  • Corresponding author: Bo Liu
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伊喆, 王志新, 陈伟, 齐伟亚, 方杰, 石海飞, 赵夏, 赵喆, 竺枫, 盛伟, 陈焱, 张宇昊, 朱瑾, 殷耀斌, 杨勇, 陈山林, 刘波. 机器人辅助无移位急性舟骨骨折经皮内固定的诊疗与手术操作规范[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 464-468.

Zhe Yi, Zhixin Wang, Wei Chen, Weiya Qi, Jie Fang, Haifei Shi, Xia Zhao, Zhe Zhao, Feng Zhu, Wei Sheng, Yan Chen, Yuhao Zhang, Jin Zhu, Yaobin Yin, Yong Yang, Shanlin Chen, Bo Liu. Surgical operation specifications for robot-assisted percutaneous fixation of non-displaced acute scaphoid fracture[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 464-468.

经皮微创螺钉内固定无明显移位的急性舟骨骨折目前已在我国较多医疗机构开展，但实现精准置钉、避免手术并发症仍是临床面临的一个重要挑战。已证实天玑®骨科手术机器人辅助下可提高舟骨骨折经皮微创内固定术的安全性和精确性，但由于机器人辅助骨科手术是相对较新的技术，尤其是应用于骨骼结构复杂而精细的腕关节，目前尚无相关诊疗和手术操作规范。该文在综合国内有经验的医疗机构及相关专家的实践经验基础上，结合我国医疗现状，制定了天玑®骨科手术机器人辅助无移位急性舟骨骨折经皮内固定的诊疗和手术操作规范，以指导临床医师进行规范的诊疗操作，提高机器人辅助舟骨骨折经皮微创内固定的安全性和可靠性。

关键词: 急性舟骨骨折, 机器人辅助手术, 经皮内固定, 操作规范

Percutaneous minimally invasive screw fixation of non-displaced acute scaphoid fracture has been carried out in many medical institutions in China, but it is still an important clinical challenge to achieve precise screw placement and avoid surgical complications. It has been verified that robot-assisted procedure with TiRobot system can improve the safety and accuracy of percutaneous fixation of scaphoid fractures. However, robot-assisted orthopedic surgery is a relatively new technology, especially when applied to wrist joints with complex and delicate bone structure. Currently there are no relevant surgical operation specifications to follow. On the basis of the practical experience of experienced medical institutions and experts, combined with the current medical situation in China, this article has formulated the diagnosis and treatment procedures and surgical operation specifications for robot-assisted percutaneous fixation of non-displaced acute scaphoid fractures with TiRobot system. This will guide the clinicians to carry out standardized diagnosis and treatment protocols, improve the safety and reliability of robot-assisted minimally invasive percutaneous fixation of scaphoid fractures.

Key words: Acute scaphoid fracture, Robot-assisted surgery, Percutaneous internal fixation, Operation specification
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