Abstract：Objective This study aims to explore the clinical efficacy of arthroscopic reduction combined with robot positioning nails for the treatment of talar neck Hawkin Ⅱ fractures. Methods A retrospective study of the clinical data of 11 patients with talar neck Hawkin Type Ⅱ fractures from January 2018 to May 2020 in Xuzhou Renci Hospital was conducted. Among these patients, seven are males and four are females, with ages ranging from 28 to 47 years. A four left-sided fracture and seven right-sided fracture were included in this study. All patients were reduced under arthroscopy, combined with orthopedic robot 3D navigation and positioning, where hollow screws were inserted. In consideration of the postoperative follow-up observation of wounds and complications, the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale was used to assess post-operative function at the last follow-up. Results All wounds were successfully closed and healed. The average operation time was within (45–168) min and the average volume of estimated blood loss was (10–30) mL. All patients finished follow-up, and the mean follow-up time were (12–25) months. Among all patients, two cases of subtalar arthritis occurred, but no talus necrosis or fracture nonunion occurred. During the final follow-up examination, the AOFAS score results were excellent in 8 cases and good in 3 cases. Conclusion Arthroscopic fracture reduction combined with robotic positioning nails for the treatment of talar Hawkin Type Ⅱ fractures has the advantages on visualization of reduction fractures, computer positioning nails intelligence, accuracy, reliability, small damage, and good curative effect.
徐明亮, 陈国梁, 伊力扎提·伊力哈木, 苏省, 石荣剑, 李翠华. 关节镜下复位机器人定位置钉治疗距骨颈HawkinⅡ型骨折[J]. 中华解剖与临床杂志, 2022, 27(4): 237-241.
Xu Mingliang, Chen Guoliang, Ilham Ilizati, Su Xing, Shi Rongjian, Li Cuihua. Treatment of type Ⅱ fracture of talar neck Hawkin with arthroscopic fracture reduction combined with robot fixed-position nail. Chinese Journal of Anatomy and Clinics, 2022, 27(4): 237-241.
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2022, Vol. 27 
