骨折微创复位技术的研究现状与展望

      Research Progress and Future Perspectives on Minimally Invasive Fracture Reduction Techniques

      • 摘要: 随着道路交通伤、运动损伤及人口老龄化的增加,全球骨折发生率稳步上升。当前,随着髓内钉、通道螺钉、微创接骨板技术等器械和技术的发展,骨折的微创固定得到了有效解决。然而,如何在微创条件下进行骨折复位依然充满挑战。传统的骨折微创复位需要外科医生在C臂机透视下操作,但C臂机仅能提供二维畸形参数,因此很难达到满意复位效果。近年来,随着医学、工程学、计算机学、信息学等学科的交叉融合,在骨折微创复位领域取得了一些进展,本文现对基于外固定支架、3D打印技术、手术导航系统以及机器人的复位技术进行综述。

         

        Abstract: With the increase of road traffic injuries, sports injuries and population aging, the global incidence of fractures has been steadily rising. At present, with the development of instruments and techniques such as intramedullary nails, channel screws, and minimally invasive plate oseoynthesis (MIPO), the minimally invasive fixation of fractures has been effectively solved. However, how to perform fracture reduction under minimally invasive conditions remains full of challenges. Traditional minimally invasive reduction of fractures requires surgeons to operate under fluoroscopy with a C-arm machine. However, the C-arm machine can only provide two-dimensional deformity parameters, so it is difficult to achieve satisfactory reduction results. In recent years, with the cross-integration of disciplines such as medicine, engineering, computer science, and informatics, some progress has been made in the field of minimally invasive fracture reduction. In this article, we will review the reduction techniques based on external fixation, 3D printing technology, surgical navigation systems, and surgical robots.

         

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