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使用O臂和3D导航来准确定位圣节螺丝:一个案例系列
Antonio Gilli1, Samih Daoudi2, Pierre-Emmanuel Moreau3
1Hôpital Paris Saint-Joseph, Paris, France. gilli.antonio1@gmail.com.
概括
在骨盆骨折固定过程中,用于神经关节 (SI) 螺杆放置的手术内3D导航是安全有效的,可以有效地减少皮质穿孔. 虽然角度精度中等,但这一大系列证实了导航的准确性.
科学领域:
- 整形外科手术 整形外科手术
- 医学成像技术 医学成像技术
- 创伤护理的护理人员.
背景情况:
- 穿皮神经 (SI) 螺丝固定为骨盆骨折提供了一种最少的侵入性方法.
- 尽管有优点,但与SI螺丝布置相关的并发症仍然存在.
- 术内导航系统旨在提高骨科手术的精度.
研究的目的:
- 为了评估SI螺杆放置的准确性,使用操作内3D导航.
- 评估并发症的发生率,特别是皮质穿孔和螺丝角偏差.
- 为了确定SI中3D导航的安全性和有效性,用于盆腔损伤的SI螺丝固定.
主要方法:
- 针对圣骨骨折或SI关节位移进行SI螺丝固定的患者的回顾性分析 (2016-2023年).
- 所有程序都使用O-Arm 3D光镜和隐形站S8导航.
- 在最终的3D扫描中进行了精度测量 (长度,角度,穿孔).
主要成果:
- 在241个植入的SI螺丝中,83.2%没有表现出皮质穿孔.
- 26.5%的螺丝出现了轻微的角度偏差 (离理想轨迹≥5°).
- 与冠状平面相比,轴平面的准确性较低;螺丝平均占最大S1走廊长度的78%.
结论:
- 这项研究是评估SI螺丝植入3D导航的最大系列.
- 使用O-Arm的3D导航是SI螺杆放置的安全技术,特别有效地防止皮质穿孔.
- 虽然角精度略低于一些报告,但庞大,异质的队列和多名外科医生支持其临床实用性.
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