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| Effect of Robot-Assisted Tension Screw Internal Fixation Surgery on Majeed Score and Gait Parameters in Patients with Pelvic Fractures |
| LUO Hong |
| Beijing Jishuitan Hospital Guizhou Hospital, Guizhou Guiyang 550001, China |
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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.
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2023, Vol. 29 
