Abstract：Objective This study aimed to investigate the clinical effect of arthroscopy combined with orthopedic robotic nails in the treatment of talar neck fractures. Methods A retrospective study included 8 patients with talus fractures admitted to the Department of Foot and Ankle of Xuzhou Renci Hospital from January 2017 to February 2021, including 7 males and 1 female, Five right and 3 left sides, aged 30-62(41.8±11.3) years, one case of traffic injury, and 7 cases of high fall injury. All patients underwent arthroscopic poking reduction of talar neck fractures, and orthopedic robot-assisted positioning and internal fixation with screws. Regular follow-up after operation was performed to observe the occurrence of postoperative complications and fracture healing. X-ray and CT were reviewed to evaluate foot function. At the last follow-up, imaging examinations were performed to observe fracture healing and talar osteonecrosis, and visual analog scale (VAS) was used, and compared with preoperative. The ankle joint was scored using the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale. Results All patients underwent successful operation, and they were followed up after the operation for 12-23(15.9±3.9) months. All incisions healed by primary intention, and no fracture nonunion nor talus necrosis occurred in any patient. One patient developed subtalar arthritis, which was relieved by oral nonsteroidal drugs. At the last follow-up, the AOFAS ankle-hindfoot score was 97.0(96.0,99.3) points, and the VAS score was 0(0,1) points, compared with the preoperative ratio, the difference was statistically significant (Z=-2.52,-2.39, all P values <0.05). Conclusion Arthroscopy combined with orthopedic robotic screw placement technology for the treatment of talar neck fractures has the advantages of less trauma and precise placement of the screws, and the clinical treatment effect is satisfactory.
陈国梁, 徐明亮, 曹广超, 袁罕, 石荣剑. 关节镜下复位联合骨科机器人置钉治疗距骨颈骨折的疗效观察[J]. 中华解剖与临床杂志, 2022, 27(10): 697-701.
Chen Guoliang, Xu Mingliang, Cao Guangchao, Yuan Han, Shi Rongjian. Curative effect of arthroscopy eduction combined with orthopedic robotic screw placement in the treatment of talar neck fractures. Chinese Journal of Anatomy and Clinics, 2022, 27(10): 697-701.
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2022, Vol. 27 
