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計(jì)算機(jī)輔助股骨干骨折復(fù)位技術(shù)研究進(jìn)展_________

Progress of computer assisted reduction for femoral shaft fracture

作者:               韓巍  劉文勇  王軍強(qiáng)  王滿宜          
單位:           北京積水潭醫(yī)院創(chuàng)傷骨科(北京100035)    
關(guān)鍵詞:           骨折固定;股骨干骨折;導(dǎo)航;機(jī)器人技術(shù);計(jì)算機(jī)輔助手術(shù)      
分類號(hào):
出版年·卷·期(頁(yè)碼):2013·32·1(101-105)
摘要:

股骨干骨折復(fù)位是長(zhǎng)骨骨折治療的核心技術(shù)。本文在概述傳統(tǒng)復(fù)位方法的基礎(chǔ)上,分析了計(jì)算機(jī)輔助股骨干骨折復(fù)位技術(shù)的現(xiàn)狀、特點(diǎn)和趨勢(shì)。筆者首先分析了導(dǎo)航復(fù)位具有的空間映射、可視化界面等技術(shù)特征。其次,比較了串聯(lián)機(jī)構(gòu)機(jī)器人和并聯(lián)機(jī)構(gòu)機(jī)器人在骨折復(fù)位操作過程中的特點(diǎn),即串聯(lián)機(jī)器人操作空間大、靈巧性高,而并聯(lián)機(jī)器人定位精度高、狀態(tài)維持性好。然后,從計(jì)算機(jī)輔助股骨干骨折復(fù)位的人機(jī)操作模式角度,分析骨折復(fù)位本地操作的實(shí)時(shí)操作特性和遙操作的抗輻射特性。最后,討論了骨折復(fù)位效果的評(píng)估方法及其未來發(fā)展趨勢(shì)。

Femoral shaft fracture reduction is a key technique for long bone fracture therapy.Based on the description of traditional reduction methods,the status,characteristics and performance of computer assisted reduction for femoral shaft fracture are summarized.Firstly,the technical aspects of navigated reduction in space mapping and visualization interface are analyzed.Secondly,the operational characters of serial mechanism robot and parallel mechanism robot in the procedure of bone fracture reduction are compared.The operation space and dexterity of serial robot are bigger,positioning accuracy and pose maintenance stability of parallel robot are higher.Then the real time operation feature of local operation and the anti-eradiation feature of tele-operation are investigated from the aspect of human-machine operation mode in the femoral shaft fracture reduction.Finally,the evaluation methods of fracture reduction effect and the development trend are discussed.

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