Abstract：Objective: To investigate the effect of robot-assisted tension screw internal fixation surgery on Majeed score and gait parameters in patients with pelvic fracture (PF). Methods: Eighty-six patients with PF in our hospital from Februarry 2022 to Februarry 2023 were selected and divided into two groups based on the treatment plan, 43 patients each. The control group underwent manual incisional repositioning and fixation, and the observation group underwent robot-assisted tension screw internal fixation. The surgical indicators (surgical time, intraoperative bleeding, time to first weight-bearing, length of hospital stay) of the two groups were compared, as well as Majeed score, Matta score, and pain status. Enzyme-linked immunosorbent assay (ELISA) was used to detect the serum stress response indicators Norepinephrine (NE), tumor necrosis factor-α (TNF-α), angiotensin Ⅱ (Ang Ⅱ), C-reactive protein (CRP) before and after surgery. Fully automated chemiluminescence immunoassay analyzer was used to analyze serum fracture healing-related indexes alkaline phosphatase (ALP), osteocalcin (BGP), osteoprotegerin (OPG), postoperative gait parameters (stride speed, stride length, and percentage of support time), and adverse effects. Results: The operating time, intraoperative bleeding, time to first weight-bearing on the ground and hospital stay were less in the observation group than in the control group (P<0.05); the excellent rates of Majeed score and Matta score were higher in the observation group than in the control group at 3 months after surgery (P<0.05); the degree of postoperative pain was lower in the observation group than in the control group (P<0.05). The serum NE, TNF-α, Ang II and CRP levels in the observation group were lower than those in the control group at 24 h and 72 h after surgery, and the serum ALP, BGP and OPG levels were higher than those in the control group at 1 and 3 months after surgery (P<0.05); the gait speed, stride length and percentage of support time in the observation group were higher than those in the control group at 3 and 6 months after surgery (P<0.05); the incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). Conclusion: Robot-assisted tension screw internal fixation surgery for PF can optimize the surgery, reduce the stress response and relieve the patient's pain, while promoting fracture healing, improving the patient's pelvic function, restoring the body's coordination, and improving the safety of the surgery.
罗鸿. 机器人辅助拉力螺钉内固定手术对骨盆骨折患者Majeed评分步态参数的影响[J]. 河北医学, 2023, 29(9): 1512-1519.
LUO Hong. Effect of Robot-Assisted Tension Screw Internal Fixation Surgery on Majeed Score and Gait Parameters in Patients with Pelvic Fractures. HeBei Med, 2023, 29(9): 1512-1519.
[1] Zhao H,Souders C,Masterson JM,et al.Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014[J].World Urol,2021,39(12):4499-4503. [2] Abboud AE,Boudabbous S,Andereggen E,et al.Incidence rate and topography of intra-pelvic arterial lesions associated with high-energy blunt pelvic ring injuries:a retrospective cohort study[J].BMC Emerg Med,2021,21(1):75. [3] Behanova M,Haschka J,Reichardt B,et al.Pelvic fractures-an underestimated problem incidence and mortality risk after pelvic fracture in austria,2010-2018[J].Clin Med,2022,11(10):2834. [4] 杨成志,黄站珠,唐经励,等.骨科手术机器人与“O”型臂X线导航辅助骨盆骨折经皮内固定术的比较[J].中华骨科杂志,2021,41(19):1387-1395. [5] Thisayakorn P,Thipakorn Y,Tantavisut S,et al.Delirium due to hip fracture is associated with activated immune-inflammatory pathways and a reduction in negative immunoregulatory mechanisms[J].BMC Psychiatry,2022,22(1):369. [6] Yuan S,Wan ZH,Cheng SL,et al.Insulin-like growth factor-1,bone mineral density,and fracture:a mendelian randomization study[J].Clin Endocrinol Metab,2021,106(4):1552-1558. [7] Roynska J.Taking the principle of the primacy of the human being seriously[J].Med Health Care Philos,2021,24(4):547-562. [8] Kleweno C,Vallier H,Agel J.Inaccuracies in the use of the majeed pelvic outcome score:a systematic literature review[J].Orthop Trauma,2020,34(2):63-69. [9] 王虎,马吉海,蔡明建,等.股骨头负重区压缩对老年髋臼骨折切开复位内固定术后疗效的影响[J].中华骨科杂志,2021,41(19):1434-1442. [10] Shafshak TS,Elnemr R.The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain[J].Clin Rheumatol,2021,27(7):282-285. [11] Basile G,Passeri A,Bove F,et al.Pelvic ring and acetabular fracture:concepts of traumatological forensic interest[J].Injury,2022,53(2):475-480.
2023, Vol. 29 
冀公网安备13080202000677号