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
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

253

Informations de copyright

© 2024. The Author(s).

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Auteurs

Koroush Kabir (K)

Centre of Trauma and Orthopaedic Surgery, Helios University Clinic Wuppertal, Wuppertal, Germany.

Friedrich-Carl von Rundstedt (FC)

Department of Urology, Helios University Hospital Wuppertal, University of Witten/Herdecke, Wuppertal, Germany.

Jonas Roos (J)

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, Bonn, 53127, Germany. Jonas.roos@ukbonn.de.

Martin Gathen (M)

Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.

Classifications MeSH