The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head

Abstract Background The aim of the current paper is to evaluate the effects of robot-navigation-assisted core decompression compared with conventional core decompression surgery for early-stage osteonecrosis of the femoral head. Methods Twenty patients with a total of 36 hips who were diagnosed with...

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Main Authors: Benjun Bi, Shudong Zhang, Yuchi Zhao
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13018-019-1437-x
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author Benjun Bi
Shudong Zhang
Yuchi Zhao
author_facet Benjun Bi
Shudong Zhang
Yuchi Zhao
author_sort Benjun Bi
collection DOAJ
description Abstract Background The aim of the current paper is to evaluate the effects of robot-navigation-assisted core decompression compared with conventional core decompression surgery for early-stage osteonecrosis of the femoral head. Methods Twenty patients with a total of 36 hips who were diagnosed with Association Research Circulation Osseous stage 2 avascular necrosis of the femoral head and who received core decompression with or without robotic assistance were reviewed. The Harris hip score and visual analog scale score were used to assess clinical function. Intraoperative radiation exposure and operation time were used to evaluate the effectiveness of the robot-assisted system. Results At a mean follow-up of 26.4 months (24–36 months), the Harris hip score, visual analog scale score, and survival rate of the patients were similar between the conventional and robot-assisted groups. The guidewire insertion time, number of guidewire attempts, and radiation exposure during guidewire insertion were all significantly lower in the robot-assisted group than in the conventional group. Conclusions Robot-assisted core decompression of the femoral head is as safe and effective as a conventional core decompression surgery. It can reduce operation time and decrease intraoperative radiation exposure.
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spelling doaj.art-d721425210754df9ac100f88bc45eecd2022-12-22T02:22:41ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-11-011411910.1186/s13018-019-1437-xThe effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral headBenjun Bi0Shudong Zhang1Yuchi Zhao2Orthopaedic Department, The Affiliated Hospital of Qingdao UniversityDepartment of Orthopaedic Surgery, Yantaishan HospitalDepartment of Osteoarthropathy, Yantaishan HospitalAbstract Background The aim of the current paper is to evaluate the effects of robot-navigation-assisted core decompression compared with conventional core decompression surgery for early-stage osteonecrosis of the femoral head. Methods Twenty patients with a total of 36 hips who were diagnosed with Association Research Circulation Osseous stage 2 avascular necrosis of the femoral head and who received core decompression with or without robotic assistance were reviewed. The Harris hip score and visual analog scale score were used to assess clinical function. Intraoperative radiation exposure and operation time were used to evaluate the effectiveness of the robot-assisted system. Results At a mean follow-up of 26.4 months (24–36 months), the Harris hip score, visual analog scale score, and survival rate of the patients were similar between the conventional and robot-assisted groups. The guidewire insertion time, number of guidewire attempts, and radiation exposure during guidewire insertion were all significantly lower in the robot-assisted group than in the conventional group. Conclusions Robot-assisted core decompression of the femoral head is as safe and effective as a conventional core decompression surgery. It can reduce operation time and decrease intraoperative radiation exposure.http://link.springer.com/article/10.1186/s13018-019-1437-xAvascular necrosis of the femoral headRobot navigationCore decompression
spellingShingle Benjun Bi
Shudong Zhang
Yuchi Zhao
The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
Journal of Orthopaedic Surgery and Research
Avascular necrosis of the femoral head
Robot navigation
Core decompression
title The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
title_full The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
title_fullStr The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
title_full_unstemmed The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
title_short The effect of robot-navigation-assisted core decompression on early stage osteonecrosis of the femoral head
title_sort effect of robot navigation assisted core decompression on early stage osteonecrosis of the femoral head
topic Avascular necrosis of the femoral head
Robot navigation
Core decompression
url http://link.springer.com/article/10.1186/s13018-019-1437-x
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