| Objective:To compare the efficacy of robot-assisted closed reduction internal fixation and traditional open reduction internal fixation in the treatment of pelvic fractures,it further provides a reliable basis for the choice of surgical options for patients with pelvic fractures in clinical practice.Methods:In this paper,the case-control research method is selected,and the observation group and the control group are set up separately.A total of 102 patients with pelvic fractures were collected from 2019.03 to 2021.12,jilin University First Hospital Trauma orthopedics,through pre-set inclusion criteria and exclusion criteria,after screening,the observation group was set up for robot-assisted closed reduction and internal fixation treatment of a total of 20 patients,fracture classification: 9 cases B2,2 cases B3,6 cases C1,1 case C2,this group of patients using robot-assisted closed reduction internal fixation,of which 4 cases combined with anterior external fixation mechanism fixation.In addition,the control group was a total of 15 patients with traditional open reduction and reconstruction of steel plate internal fixation,and the fracture classification was: 4 cases B1,9 cases B2,2 cases C1,and the patients in this group adopted open reduction internal fixation,and some of them were fixed with percutaneous screws.The follow-up time of both groups of patients was 6 months to12 months,and according to the relevant data of the patients,the sex ratio,age,height,weight,body mass index（BMI）,the injury reason,the length of hospitalization,hospitalization cost,operation time,intraoperative blood loss,the length of surgical incision,blood transfusion rate,fracture healing time,excellent rate of fracture reduction,postoperative functional recovery and postoperative complication rate of the two groups of patients were sorted out,and this part of the data was analyzed through SPSS22.0 statistical software to draw relevant conclusions.Results:1.The differences between the operation time,blood transfusion rate,the length of hospitalization,the cost of hospitalization,the length of incision,and time of fracture healing of patients in the observation group and control group were statistically significant（p<0.05）.In terms of the operation time,the median duration of surgery was 160.00（130.00-260.00）min for patients in the observation group,and328.00（235.00-400.00）min for patients in the control group,and the observation group was significantly shorter than that of the control group（Z=3.621,p=0.001）.In terms of intraoperative blood transfusion rate,the proportion of intraoperative blood transfusion in the observation group was 30%,and the difference between the control group was 93.3%,and the difference between them was statistically significant（χ2=14.039,p<0.001）;the blood transfusion rate in the observation group was significantly lower than that of the control group,and the blood loss in the observation group was a small amount（<50.00ml）;and the total blood loss in the control group was 680.95-656.77 ml.In terms of length of hospitalization,the length of hospitalization in the observation group was 22.50（20.00-25.75）days,the length of hospitalization in the control group was 27.00（24.00-29.00）days,the observation group was shorter than the control group（Z=3.043,p=0.002）;in terms of hospitalization costs,the observation group hospitalization cost was 7.23（6.64-8.29）ten thousand yuan,the control group hospitalization cost was 11.58（8.59-14.06）ten thousand yuan,and the observation group was less than the control group（Z=3.200,p=0.001）。In terms of fracture healing time,the observation group was 12.00（8.00 to13.50）weeks,the control group was 16.00（12.00-16.00）weeks,and the observation group was shorter than the control group（Z= 2.696,p=0.007）.In terms of the length of the surgical incision,the observation group was 4.00（3.25-4.00）cm,and the control group was 20.00（15.00-20.00）cm（Z=5.164,p=0.001）.2.There was no statistical significance between two groups in postoperative complication rate,postoperative fracture reduction and postoperative functional assessment,and in terms of postoperative complication rate,the observation group was 3/20 and the control group was 4/15（χ2=0.729,p=0.393）.In terms of the excellent rate of fracture reduction,according to matta evaluation criteria,the observation group was superior: 14（70%）,good: 6（30%）,and the control group was excellent: 9（60%）,good: 6（40%）（χ2 = 0.380,p = 0.537）.In terms of postoperative functional recovery assessment,according to the Majeed score,the average score of the observation group was 72.65±18.65,and the average score of the control group was 64.46±19.67（t=1.255,p=0.218）.Conclusion:Robot-assisted closed reduction internal fixation and traditional open reduction reconstruction of steel plate internal fixation,compared with the former has the advantages of short surgical time,low intraoperative transfusion rate,short hospitalization time,low hospitalization cost,small length of surgical incision,and short postoperative fracture healing time.Compared with the latter,it has the same reliable clinical treatment effect in terms of postoperative complication rate,postoperative fracture reduction effect and postoperative function recovery.Therefore,when treating same type pelvic fractures clinically,robotic minimally invasive surgery should be further recommended and used. |
PDF Full Text Request