Robotic-assisted plate fixation of the anterior acetabulum - clinical description of a new technique.
Acetabulum
Minimally invasive approach
Pelvic ring
Plate fixation
Robotic-assisted surgery
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
22 Apr 2024
22 Apr 2024
Historique:
received:
01
03
2024
accepted:
11
04
2024
medline:
22
4
2024
pubmed:
22
4
2024
entrez:
21
4
2024
Statut:
epublish
Résumé
We present a detailed procedure for the robotic-assisted plate osteosynthesis of an anterior acetabular fracture. The purpose of this work was to describe a robotic-assisted minimally invasive technique as a possible method for reducing complications, pain, and hospitalization. Another goal was to present technical recommendations and to assess potential pitfalls and problems of the new surgical approach. Surgery was performed in an interdisciplinary setting by an experienced orthopedic surgeon and a urologist. The DaVinci System with standard instruments was used. Reduction was achieved through indirect traction of a pin that was introduced into the femoral neck and direct manipulation via the plate. The plate position and fixation were achieved through 7 additional minimally invasive incisions. The technique has multiple advantages, such as no detachment of the rectus abdominal muscle, a small skin incision, and minimal blood loss. Furthermore, this approach might lower the incidence of hernia formation, infection, and postoperative pain. We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation. The study was approved by the local institutional review board (Nr. 248/18).
Identifiants
pubmed: 38644485
doi: 10.1186/s13018-024-04731-x
pii: 10.1186/s13018-024-04731-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
253Informations de copyright
© 2024. The Author(s).
Références
Tosounidis TH, Giannoudis VP, Kanakaris NK, Giannoudis PV. The Ilioinguinal Approach: state of the art. JBJS Essent Surg Techniques. 2018;8(2):e19.
doi: 10.2106/JBJS.ST.16.00101
Elmadağ M, Güzel Y, Acar MA, Uzer G, Arazi M. The Stoppa approach versus the ilioinguinal approach for anterior acetabular fractures: a case control study assessing blood loss complications and function outcomes. Orthop Traumatology: Surg Res. 2014;100(6):675–80.
Wu X, Wang J, Sun X, Zhao C. Guidance for Treatment of Pelvic Acetabular Injuries with Precise minimally invasive internal fixation based on the orthopaedic surgery Robot Positioning System. Orthop Surg. 2019;11(3):341–7.
doi: 10.1111/os.12452
pubmed: 31062515
pmcid: 6595112
Kabir K, Welle K, Lingohr P, Jaenisch M, Roos J, Gathen M. APACHE—Anterior plating of the Acetabulum in Hemi-Endoscopic technique: an alternative method for internal fixation of the Acetabulum. Arthrosc Techniques. 2021;10(7):e1815–9.
doi: 10.1016/j.eats.2021.03.030
Trulson A, Küper M, Trulson I, Minarski C, Grünwald L, Hirt B, et al. Endoscopic Approach to the quadrilateral plate (EAQUAL): a New Endoscopic Approach for plate osteosynthesis of the Pelvic Ring and Acetabulum – a Cadaver Study. Z Orthop Unfall. 2019;157(01):22–8.
doi: 10.1055/a-0621-9570
pubmed: 29902833
Küper MA, Ateschrang A, Hirt B, Stöckle U, Stuby FM, Trulson A. Laparoscopic Acetabular Surgery (LASY) – vision or illusion? Orthopaedics & Traumatology: Surgery & Research. 2021;107(6):102964.
Wright JD. Robotic-assisted surgery: balancing evidence and implementation. JAMA. 2017;318(16):1545.
doi: 10.1001/jama.2017.13696
pubmed: 29067404
Basiri A, de la Rosette JJ, Tabatabaei S, Woo HH, Laguna MP, Shemshaki H. Comparison of retropubic, laparoscopic and robotic radical prostatectomy: who is the winner? World J Urol. 2018;36(4):609–21.
doi: 10.1007/s00345-018-2174-1
pubmed: 29362896
Ezekian B, Sun Z, Adam MA, Kim J, Turner MC, Gilmore BF, et al. Robotic-assisted Versus Laparoscopic Colectomy results in increased operative time without Improved Perioperative outcomes. J Gastrointest Surg. 2016;20(8):1503–10.
doi: 10.1007/s11605-016-3124-0
pubmed: 26966028
Wright JD, Ananth CV, Lewin SN, Burke WM, Lu YS, Neugut AI, et al. Robotically assisted vs laparoscopic hysterectomy among women with benign gynecologic disease. JAMA. 2013;309(7):689–98.
doi: 10.1001/jama.2013.186
pubmed: 23423414
Schuijt HJ, Hundersmarck D, Smeeing DPJ, van der Velde D, Weaver MJ. Robot-assisted fracture fixation in orthopaedic trauma surgery: a systematic review. OTA International: Open Access J Orthop Trauma. 2021;4(4):e153.
doi: 10.1097/OI9.0000000000000153
Keel MJB, Siebenrock KA, Tannast M, Bastian JD. The Pararectus Approach: a New Concept. JBJS Essent Surg Tech. 2018;8(3):e21.
doi: 10.2106/JBJS.ST.17.00060
pubmed: 30588366
pmcid: 6292723
Kloen P, Siebenrock KA, Ganz R. Modification of the ilioinguinal approach. J Orthop Trauma. 2002;16(8):586–93.
doi: 10.1097/00005131-200209000-00008
pubmed: 12352568
Murphy PG, Tadros E, Cross S, Hehir D, Burke PE, Kent P, et al. Skin Closure and the incidence of Groin Wound infection: a prospective study. Ann Vasc Surg. 1995;9(5):480–2.
doi: 10.1007/BF02143863
pubmed: 8541198
Kabir K, Lingohr P, Jaenisch M, Hackenberg RK, Sommer N, Ossendorff R, et al. Total endoscopic anterior pelvic approach (TAPA) - a new approach to the internal fixation of the symphysis. Injury. 2022;53(2):802–8.
doi: 10.1016/j.injury.2021.09.043
pubmed: 34635336
Küper MA, Trulson A, Johannink J, Hirt B, Leis A, Hoßfeld M, et al. Robotic-assisted plate osteosynthesis of the anterior pelvic ring and acetabulum: an anatomical feasibility study. J Robotic Surg. 2022;16(6):1401–7.
doi: 10.1007/s11701-022-01381-1