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Journal of Orthopaedic Surgery and Research
Article . 2024 . Peer-reviewed
License: CC BY
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Robotic-assisted plate fixation of the anterior acetabulum - clinical description of a new technique

Authors: Kabir, Koroush; von Rundstedt, Friedrich-Carl; Roos, Jonas; Gathen, Martin;

Robotic-assisted plate fixation of the anterior acetabulum - clinical description of a new technique

Abstract

Abstract Introduction 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. Methods 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. Results 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. Discussion We see the presented technique as a demanding yet progressive and innovative surgical method for treating acetabular fractures with indications for anterior plate fixation. Trial registration The study was approved by the local institutional review board (Nr. 248/18).

Keywords

Robotic-assisted surgery, Orthopedic surgery, Male, Adult, Female [MeSH] ; Minimally Invasive Surgical Procedures/instrumentation [MeSH] ; Acetabulum/surgery [MeSH] ; Minimally Invasive Surgical Procedures/methods [MeSH] ; Adult [MeSH] ; Fracture Fixation, Internal/instrumentation [MeSH] ; Humans [MeSH] ; Plate fixation ; Acetabulum/injuries [MeSH] ; Robotic-assisted surgery ; Bone Plates [MeSH] ; Methodology ; Male [MeSH] ; Minimally invasive approach ; Pelvic ring ; Acetabulum ; Fracture Fixation, Internal/methods [MeSH] ; Fractures, Bone/surgery [MeSH] ; Robotic Surgical Procedures/methods [MeSH], Minimally invasive approach, Methodology, Pelvic ring, Acetabulum, Diseases of the musculoskeletal system, Plate fixation, Fracture Fixation, Internal, Fractures, Bone, RC925-935, Robotic Surgical Procedures, Humans, Minimally Invasive Surgical Procedures, Female, Bone Plates, RD701-811

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
gold