內容目錄
At 7 pm on March 7th, in the operating room of the First People’s Hospital of Dali City, Zhang Jiyuan, a famous doctor from Baizhou, the leader of the provincial key clinical specialty, and the chief physician of the Department of Orthopedics, was leading the team to provide A 64-year-old patient with osteoarthritis, traumatic arthritis underwent total knee replacement. Unlike traditional surgery, this surgery is done with robotic assistance.
On January 15 this year, Dali First People’s Hospital joined The multi-center research team of minimally invasive robots in Yunnan Province, on January 17, Zhang Jiyuan’s team completed the first robot-assisted total knee replacement in Dali.
Source: Dali First People’s Hospital
Nowadays, “robots” are not uncommon in all walks of life and in daily life. What is the difference between total knee replacement surgery and traditional surgery under the “blessing” of robots?
The knee joint is one of the important joints for human activities. To use the knee joint, if the knee joint is diseased or injured, the pain is self-evident.
Total knee arthroplasty is a surgical procedure in which the worn articular cartilage is replaced with artificial prostheses to restore joint movement. The operation is mainly to open the knee joint, cut off the worn cartilage, and then install the prosthesis and fix it with bone cement. Total knee arthroplasty can be very effective in eradicating advanced knee pain, improving the range of motion of the knee joint, and greatly improving the quality of life of patients.
For total knee arthroplasty, the force line, osteotomy volume, prosthesis placement angle, etc. are the decisive factors affecting the surgical effect and prosthesis life expectancy. In traditional surgery, manual positioning tools are used to determine the amount of osteotomy, locate the position of the prosthesis and restore the force line of the lower extremity by relying on the experience of the operator and intraoperative visual inspection. Different doctors and different surgical habits may exist. certain error.
Traditional surgery mainly relies on the clinical experience of doctors, even for experienced clinicians For example, the error of the osteotomy should be about 3 mm. Intramedullary positioning is required during the operation, and the patient will experience more bleeding.
Robot-assisted total knee arthroplasty can effectively avoid these problems.
What is Robot-Assisted Total Knee Replacement?
In short, it is to input the patient’s CT data into the robot before surgery, the robot will perform 3D reconstruction, and provide a prosthesis implantation surgical plan. The doctor can customize the surgical plan according to the actual situation of the patient. for the best surgical plan.
During the operation, the robotic arm can be positioned to the expected planned position to assist in the completion of the osteotomy accurately, stably and efficiently, and with the prosthesis.
With the help of the robot, the amount of osteotomy is more accurate, and the error can be reduced to about 1 mm.In addition, the extramedullary positioning is used, and the patient will have less bleeding , the placement of the prosthesis is more reasonable, and the patient’s lower limb alignment can be restored more perfectly.The patient’s pain can be quickly relieved after the operation, and the patient can usually move the next day.
Dali First People’s Hospital uses “Honghu Orthopaedic Robot”, and its operation interface is very user-friendly, respecting doctors While traditional surgical habits, the learning curve is short, which is convenient for clinicians to operate.
“this This operation is the second total knee replacement performed by robots in our hospital. The osteotomy and recovery lines are relatively good, and it is very successful. After getting off the operating table, Zhang Jiyuan said with emotion: “Medical technology is advancing with the times. We will continue to learn new medical technologies and master new skills to better benefit patients.” ”
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Zhang Jiyuan
Secretary of the Department of Surgery, First People’s Hospital of Dali, Director of Orthopedics, the 1st Baizhou Famous Doctor, the 4th Excellent High-level Talents of Dali Prefecture, Xiaguang Talents of Dali Prefecture, Dali Prefecture “May 1st Labor Medal”, and Advanced Worker of Dali City. The 8th Committee of the Orthopaedic Branch of the Chinese Association of Integrative Medicine Member of Popular Science Expert Committee; Standing Member of Orthopaedic Branch of Yunnan Medical Association; Standing Committee of Trauma Professional Committee of Yunnan Rehabilitation Medicine Association; Member of Orthopedic Branch of Yunnan Medical Association; Deputy head of the spine minimally invasive group of the Orthopedic Physician Branch of the Provincial Medical Doctor Association; deputy head of the Foot and Ankle Group of the Orthopedic Physician Branch of the Yunnan Provincial Medical Doctor Association; member of the Sarcoma Professional Committee of the Yunnan Anti-Cancer Association; Group member; member of the Sports Medicine Group of the Orthopedic Physician Branch of the Yunnan Medical Association; member of the first session of the Medical Engineering Management Professional Committee of the Yunnan Provincial Hospital Association; Chairman of the Trauma Branch of the Dali Medical Association; Vice Chairman of the Orthopedic Branch of the Dali Medical Association; Dali Prefecture Deputy Director of Sports Medicine Branch of Medical Association; Adjunct Professor of Dali University; Member of Bethune Foundation-Yunnan Orthopaedic Enhanced Rehabilitation Alliance; published more than 20 articles in core journals of China and other statistical sources in China, and won the new technology of Dali health system for many times New project award. Specializes in various difficult orthopaedic diseases, complex and severe trauma fractures, pelvic fractures, and repair and reconstruction operations, and has extensive clinical surgical experience in spinal trauma, spinal tumors, spinal degeneration, scoliosis, etc., especially the replantation of severed fingers , large limb amputation replantation, artificial hip joint (including minimally invasive (Supe rPATH) hip replacement), total artificial knee, shoulder, elbow, interphalangeal joint replacement, etc.
Department introduction p>
The Department of Orthopedics of the First People’s Hospital of Dali is a provincial clinical key point in Yunnan Province It has developed into a special department integrating spine, joint, bone disease, trauma orthopedics, microscopic hand and foot surgery, sports medicine, pain, orthopedics and plastic surgery. Our department has strong technical force and a reasonable talent echelon. There are 2 chief physicians (including 1 senior senior doctor), 4 deputy chief physicians, 16 attending physicians, 4 resident physicians, and 52 professional nursing staff at all levels; master’s degree There are 11 graduate students (including 3 master students) and 29 undergraduates in medical and nursing. There are 145 approved beds, and 195 beds are actually open; at present, there are three wards and one special technical specialty. Including: 16F (trauma orthopaedic ward; spine and joint ward); 17F (trauma orthopedic ward; microscopic hand and foot surgery and orthopaedic, plastic ward); 18F (pain and sports medicine ward). The department has been successively awarded the “Dali State Pediatric Anesthesia Orthopaedic Center” and “Dali State Physical Disability Rehabilitation Center” by the Dali State Health Bureau. After the continuous efforts of several generations of orthopedic predecessors, it is now a special department in Dali Prefecture, covering the entire western Yunnan area.
Reporter: Zhang Hui and Qian Na, part of the data sourced from Dali First People’s Hospital
Editor:Xiang Hongyu
Weekly: Yang Danni< span>Zhang Hui
Editor-in-Chief: Li Sheng
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