临床骨科杂志2025，Vol.28Issue(1)：56-60,5.DOI:10.3969/j.issn.1008-0287.2025.01.018
机器人导航系统辅助髓芯减压植骨治疗早期股骨头缺血性坏死
Robot navigation system assisted core decompression and bone grafting on early-stage osteo-necrosis of the femoral head
摘要
Abstract
Objective To investigate the efficacy of robot navigation system assisted core decompression and bone grafting for treatment of early-stage osteonecrosis of the femoral head(ONFH).Methods Thirty-four patients with early-stage ONFH were randomly divided into two groups:the robot navigation group(18 cases,25 hips)and the con-versational group(16 cases,21 hips),the robot navigation group was performed with the robot navigation system assis-ted the core decompression and bone grafting,and the conversational group was treated with conversational core de-compression and bone grafting.The situation of operation and hip preservation were compared between the two groups.The pain condition was evaluated with pain VAS,and the hip function was assessed by Harris scores.Results All patients were followed up for 12～28(17.3±4.2)months.The frequency of intraoperative drilling and fluoroscopy,operation time in the robot navigation group were less(shorter)than those in the conversational group(P<0.05).The 3 cases with 3 hips(there were 1 case with 1 hip in the robot navigation group,and 2 cases with 2 hips in the conver-sational group)failed hip preservation,there was no statistical difference in the failure rate of hip preservation between the two groups(P>0.05);while in the other31 cases(43 hips),the progress of ONFH was slower.Except of the fail-ure patients of hip preservation,the scores of VAS and Harris:At various time-points after operation,the two groups were better than the preoperation(P<0.05),and there were no statistical differences between the two groups and in-tra-group of two groups(P>0.05).Conclusions Core decompression and bone grafting for treatment of early-stage ONFH can delay the progress of osteonecrosis,reduce the collapse of femoral head,relieve pain and improve hip func-tion.Compared with the conversational method,the robot navigation system assistant has the advantages of less intraop-erative frequency fluoroscopy and drilling,shorter operation time and less ionizing radiation injuries.关键词
早期股骨头坏死/机器人导航/髓芯减压/植骨Key words
early-stage osteonecrosis of the femoral head/robot navigation/core decompression/bone grafting分类
临床医学引用本文复制引用
张才东,罗晓中,丁勇,童祎,石维祥,王佳琦..机器人导航系统辅助髓芯减压植骨治疗早期股骨头缺血性坏死[J].临床骨科杂志,2025,28(1):56-60,5.基金项目
四川省自贡市科技局重点研发计划(编号:2021YLSF17) （编号:2021YLSF17）
