Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children
Abstract Objective To retrospectively analyze and assess the long-term effectiveness of robotic navigation and traditional closed reduction internal fixation in the treatment of Delbet type II femoral neck fracture in children. Methods A total of fifty-five patients diagnosed with pediatric Delbet t...
| Автори: | , , , , , , , |
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| Формат: | Стаття |
| Мова: | English |
| Опубліковано: |
BMC
2024-09-01
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| Серія: | Journal of Orthopaedic Surgery and Research |
| Предмети: | |
| Онлайн доступ: | https://doi.org/10.1186/s13018-024-05035-w |
| _version_ | 1827124148725350400 |
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| author | Zhaoxiong Shen Zhenjiang Liu Chulong Shen Zhihong Mo Yongge Chen Yueming Guo Feng Wu Junqing Gao |
| author_facet | Zhaoxiong Shen Zhenjiang Liu Chulong Shen Zhihong Mo Yongge Chen Yueming Guo Feng Wu Junqing Gao |
| author_sort | Zhaoxiong Shen |
| collection | DOAJ |
| description | Abstract Objective To retrospectively analyze and assess the long-term effectiveness of robotic navigation and traditional closed reduction internal fixation in the treatment of Delbet type II femoral neck fracture in children. Methods A total of fifty-five patients diagnosed with pediatric Delbet type II femoral neck fracture, who were admitted to Foshan Hospital of Traditional Chinese Medicine between January 2018 and June 2022, were included in this study. Among them, 22 cases of nailing under robotic navigation were set as the observation group, and 33 cases of nailing under fluoroscopy of the C-arm machine were set as the control group. All patients had their femoral neck fractures closed and repositioned first. After confirming the satisfactory fracture repositioning under the fluoroscopic view of the C-arm machine, internal fixation was performed by inserting hollow compression screws in the corresponding surgical way.A comparative analysis was conducted between the two groups to assess the disparity in the amount of X-ray exposure during surgery, the number of guide pins inserted, and the duration of the surgical procedure. The quality of comparative fracture reduction was assessed according to the Haidukewych criteria on the first postoperative hip X-ray, and the parallelism and distribution of the comparative screws were measured. The incidence of hip function and postoperative complications according to the Ratliff criteria were evaluated between each of the subgroups at the final follow-up. Results Comparison of general information, operation duration, and quality of fracture reduction between the two groups failed to reveal statistically significant results (P > 0.05). The observation group had a lower number of X-ray exposures and guide pin placements compared to the control group, and this difference was statistically significant (P < 0.05).At the last follow-up, the observation group exhibited superior screw parallelism and distribution, as well as hip joint function, compared to the control group, and this difference was statistically significant (P < 0.05). The incidence of complications in the observation group was lower than that in the control group; however, the difference was not statistically significant (P > 0.05). Conclusion Closed reduction and internal fixation under orthopedic robot navigation can achieve better long-term efficacy in treating Delbet type II femoral neck fracture in children. |
| first_indexed | 2025-03-20T14:36:13Z |
| format | Article |
| id | doaj.art-340c5bf234ed4c23b5724f645c0c5dce |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2025-03-20T14:36:13Z |
| publishDate | 2024-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-340c5bf234ed4c23b5724f645c0c5dce2024-09-08T11:36:29ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-09-011911810.1186/s13018-024-05035-wLong-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in childrenZhaoxiong Shen0Zhenjiang Liu1Chulong Shen2Zhihong Mo3Yongge Chen4Yueming Guo5Feng Wu6Junqing Gao7The Eighth Clinical Medical College, Guangzhou University of Chinese MedicineThe Eighth Clinical Medical College, Guangzhou University of Chinese MedicineDepartment of Orthopedics, Foshan Hospital of Traditional Chinese MedicineThe Eighth Clinical Medical College, Guangzhou University of Chinese MedicineDepartment of Orthopedics, Foshan Hospital of Traditional Chinese MedicineDepartment of Orthopedics, Foshan Hospital of Traditional Chinese MedicineDepartment of Orthopedics, Foshan Hospital of Traditional Chinese MedicineDepartment of Orthopedics, Foshan Hospital of Traditional Chinese MedicineAbstract Objective To retrospectively analyze and assess the long-term effectiveness of robotic navigation and traditional closed reduction internal fixation in the treatment of Delbet type II femoral neck fracture in children. Methods A total of fifty-five patients diagnosed with pediatric Delbet type II femoral neck fracture, who were admitted to Foshan Hospital of Traditional Chinese Medicine between January 2018 and June 2022, were included in this study. Among them, 22 cases of nailing under robotic navigation were set as the observation group, and 33 cases of nailing under fluoroscopy of the C-arm machine were set as the control group. All patients had their femoral neck fractures closed and repositioned first. After confirming the satisfactory fracture repositioning under the fluoroscopic view of the C-arm machine, internal fixation was performed by inserting hollow compression screws in the corresponding surgical way.A comparative analysis was conducted between the two groups to assess the disparity in the amount of X-ray exposure during surgery, the number of guide pins inserted, and the duration of the surgical procedure. The quality of comparative fracture reduction was assessed according to the Haidukewych criteria on the first postoperative hip X-ray, and the parallelism and distribution of the comparative screws were measured. The incidence of hip function and postoperative complications according to the Ratliff criteria were evaluated between each of the subgroups at the final follow-up. Results Comparison of general information, operation duration, and quality of fracture reduction between the two groups failed to reveal statistically significant results (P > 0.05). The observation group had a lower number of X-ray exposures and guide pin placements compared to the control group, and this difference was statistically significant (P < 0.05).At the last follow-up, the observation group exhibited superior screw parallelism and distribution, as well as hip joint function, compared to the control group, and this difference was statistically significant (P < 0.05). The incidence of complications in the observation group was lower than that in the control group; however, the difference was not statistically significant (P > 0.05). Conclusion Closed reduction and internal fixation under orthopedic robot navigation can achieve better long-term efficacy in treating Delbet type II femoral neck fracture in children.https://doi.org/10.1186/s13018-024-05035-wTiRobot orthopaedic robotNavigated nail placementDelbet type II pediatric femoral neck fractureClosed reduction internal fixation |
| spellingShingle | Zhaoxiong Shen Zhenjiang Liu Chulong Shen Zhihong Mo Yongge Chen Yueming Guo Feng Wu Junqing Gao Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children Journal of Orthopaedic Surgery and Research TiRobot orthopaedic robot Navigated nail placement Delbet type II pediatric femoral neck fracture Closed reduction internal fixation |
| title | Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children |
| title_full | Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children |
| title_fullStr | Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children |
| title_full_unstemmed | Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children |
| title_short | Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children |
| title_sort | long term outcome of robotic guided closed reduction internal fixation for delbet ii femoral neck fractures in children |
| topic | TiRobot orthopaedic robot Navigated nail placement Delbet type II pediatric femoral neck fracture Closed reduction internal fixation |
| url | https://doi.org/10.1186/s13018-024-05035-w |
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