Recently, Professor Xu Yongqing, Director of the Department of Orthopedics, Professor Fan Xinyu, Deputy Director of the Department of Orthopedics, and the medical team of the 920th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army successfully applied the orthopedic surgical robot to the minimally invasive treatment of complex pelvic fractures, and made a breakthrough in completing the first orthopedic surgical robot in southwest China to assist the whole process of pelvic fracture closure reduction and internal fixation surgery.
The high-quality completion of the operation marks that the Department of Orthopedics of the 920th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army has entered the era of intelligent, precise and minimally invasive treatment in the field of pelvic fractures, and the hospital has reached a new level in accelerating the promotion of the concept and technology promotion of minimally invasive orthopedic diagnosis and treatment, which will provide patients with better quality, more convenient and lower risk diagnosis and treatment services, and lay a solid foundation for further innovation and development of digital and intelligent orthopedics.
Ms. Zhang (pseudonym), who is in her 30s, suffered multiple pain throughout her body due to injuries sustained in a car accident and was limited in her activities for 6 days (TileB2.1). Before the operation, after full discussion by Professor Xu Yongqing, director of the Department of Orthopedics of the 920th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, and Professor Fan Xinyu, deputy director of the Department of Orthopedics, considering that the patient is a young woman, the injury is serious, and the traditional open reduction and bleeding is large, it is recommended to use the world's most advanced orthopedic surgical robot to assist the whole process of pelvic fracture closure reduction and internal fixation surgery.
The scene of the surgery
Compared with traditional surgery, the use of intelligent orthopedic surgical robots can achieve minimally invasive treatment with "less trauma, less incision, less bleeding, and less pain", which greatly reduces the risk of surgery, shortens the recovery and hospital stay of patients, and reduces the radiation exposure dose of patients and medical care. Ms. Zhang agreed to the surgery and expressed her hope that she would recover quickly and return to her normal life.
It is understood that pelvic fracture is a serious bone trauma, which is difficult and risky to surgical treatment, often accompanied by a large amount of blood loss and other organ injuries, and has always been a recognized difficulty in the field of trauma orthopedics. Traditional open reduction is traumatic, internal fixation surgery is time-consuming, and the patient is greatly damaged, which is more likely to lead to massive bleeding, and the amount of intraoperative bleeding often reaches several thousand milliliters.
Before the operation, after careful preparation, based on the patient's preoperative images, with the help of automatic surgical planning based on AI and big data, the medical team will mirror register the patient's unaffected limb, and realize personalized and quantitative reduction planning through refined automatic segmentation and reconstruction. During the operation, the chief surgeons Xu Yongqing and Fan Xinyu realized high-precision real-time dynamic 3D visual navigation of the pelvis during the operation through the fusion and registration of preoperative and intraoperative image data, and under the real-time dynamic 3D visual navigation, the robot-assisted accurate and safe placement of channel screws was used, and the operation was successful. The patient had only 4 surgical incisions, the average length of the incisions was less than 1 cm, and the intraoperative blood loss was only 20 ml. After the operation, Ms. Zhang recovered well and was able to walk on the ground within 3 weeks after the operation.
It is understood that with the progress of science and technology and the continuous update of surgical equipment, the application of intelligent equipment such as robots to assist doctors to complete more accurate and minimally invasive surgery has become an important development direction of orthopedic surgery.