骨科手术机器人辅助导航下精准置钉治疗中青年股骨颈骨折

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中图分类号 R683文献标识码 A文章编号 2096-7721（2025）06-0937-05

Orthopedic surgical robot-assisted navigation for precise screw placement in the treatment of femoral neck fractures in young and middle-aged patients

ZHANG Chengcheng'，LI Ming'，LI Zhong'， ZHANG Kun1 ， WU Bo'，WANG Zhimeng'， QI Hongfei， DU Bing1

JIShuai，XUNMei²

（1.LowerLimbWard，DeparmentofamaticOrthopedics;2.Departmentofnesthesiology，Honghui HospitalAfiliatedtoian Jiaotong University，Xi'an710o54，China）

AbstractObjective：Toinvestigatetheeficacyofprecisionscrewplacementunder theasistanceofTiRobotorthopedicsurgical robotnavigationsystemintetreatmentoffemoralnckfraturesinyoungandiddleagedpatients.Methods：6patientswithfemoal neckfractureswhowereadmitedtoHonghuiHospitalAfiliatedtoXi'anJiaotongUniversityfromJanuary2O21toMarch3were selected.Basedondiferentsugicalapproaches，patientsweredividedintotheexperimental group（n=3O）andthecontrolgroup（ n= 30）. Theexperimentalgoupunderwentobotasistednavigationforprecisesrewplacement，whilethecontrolgoupreceivedcoetional frehandscrew placement.Comparisons weremadebetweenthetwo groupsregardingoperative time，numberof guidewiredrilligs， intraoperatiooyesilesgotieod，oa shortening，hipjintfunctiodringfolowup，ndfracturealingtie.Results：Comparedtoteontrolgroup，teexperimealgoup exhibitedsigatloaibfeilaio angle deviation，and anteversion angle deviation （ P <0.05）. Statistically significant differences were observed in postoperative Harris scores and intraoperative blood loss between the two groups （P<0.05） . The experimental group demonstrated shorter fracture healing time and less postoperative femoral neck shortening than the control group P<0.05 ）.No severe complications such as incision infections or internal fixationfailureouedinitrgroup，andllfracureshealeduringfolloup.Concusio：Compaedtoonventioalfrandse placement，robot-asistedprecisscreplacmentformoralnckfracresinyounganddeagedpatientsdemostratessifiant clinicalefficacyiowrsuralmpeityoeaiwerdiredilngdaoatiefooo itcouldminimizeioningrdiationexposureforsurgicalstaffacceleratefracturehealing，andreducecomplications，whichcanbe recommended forwidespreadapplication Key WordsRobot-assisted Navigation; Femoral Neck Fracture; Postoperative Femoral Neck Shortening

股骨颈骨折约占髋部骨折的 54%[1] ，该类型骨折不愈合概率较高，且常伴有并发症[2-3]，临床上多见于老年人，一般以低能量损伤为主。（剩余7273字）