生物骨科材料与临床研究2024，Vol.21Issue(5)：59-63,5.DOI:10.3969/j.issn.1672-5972.2024.05.012
机器人导航辅助治疗复杂踝关节骨折并下胫腓联合损伤的临床疗效
Clinical efficacy of TiRobot navigation assisted treatment of complex fracture and inferior tibiofibular syndesmosis separation
李兵兵 1任泰超 1徐军奎 1胡东 1刘亮 1鹿军1
作者信息
- 1. 西安交通大学附属红会医院足踝外科,陕西 西安,710054
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摘要
Abstract
Objective To investigate the application of TiRobot navigation-assisted therapy in the treatment of inferior tibiofibular syndesmosis separation.Methods A retrospective analysis of 12 cases of lower limb injury admitted to Xi'an Jiaotong University Affiliated Red Cross Hospital from January 2022 to August 2023 was performed.Tibiofibular clinical data of patients with combined injuries and dislocation,9 males and 3 females,aged 25-52 years,all with unilateral injuries,including 4 cases on the left side and 8 cases on the right side.Causes of injury:3 cases of falls from a height,4 cases of car accident injuries,and 5 cases of sports injuries,all of which were closed lower extremity injuries.Inferior tibiofibular syndesmosis separation.Follow-up observations were conducted on wound healing and complications after surgery.The final follow-up assessment of ankle joint function was performed using the American Orthopaedic Foot and Ankle Society(AOFAS)ankle and hindfoot functional scale and Baird-Jackson functional score.Results All 12 cases were followed up for 4 to 20 months,with an average of 13 months.The incisions all healed in one stage without incision infection,nonunion,or delayed union.One case developed traumatic arthritis.At the final follow-up,the ankle joint function was assessed using the AOFAS ankle and hindfoot functional scale,with 9 cases rated as excellent,2 cases rated as good,and 1 case rated as fair,for an excellent and good rate of 91.67%(11/12).The Baird-Jackson functional score showed 8 cases rated as excellent,2 cases rated as good,and 2 cases rated as fair,for an excellent and good rate of 83.33%(10/12).Conclusion Treatment of inferior tibiofibular syndesmosis separation is effective in improving ankle function.Inferior tibiofibular syndesmosis separation is more common in high-energy injuries,and can be treated with TiRobot navigation tibiofibular.The combined injury has the following characteristics:Tibia and fibula nail placement.It has the advantages of precision,intelligence,minimization of soft tissue injury,and satisfactory clinical efficacy.关键词
踝关节/骨折/下胫腓联合损伤/机器人Key words
Ankle joint/Fracture/Inferior tibiofibular syndesmosis separation/TiRobot分类
临床医学引用本文复制引用
李兵兵,任泰超,徐军奎,胡东,刘亮,鹿军..机器人导航辅助治疗复杂踝关节骨折并下胫腓联合损伤的临床疗效[J].生物骨科材料与临床研究,2024,21(5):59-63,5.
