可视化电磁导航系统髓内钉股骨模型置钉测试△
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林旺,副主任医师,研究方向:创伤骨科,(电话)18750375860,(电子信箱)yaodao.81@163.com

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R687

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:2020 年福建省自然科学基金项目(编号:2020J011334)


A test of intramedullary nail placement in femur model using the visual electromagnetic navigation system
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    摘要:

    [目的] 测试一种国产可视化电磁导航系统并观察其在股骨模型髓内针远端锁定螺钉置入效果。[方法] 运用测量3个互相垂直的磁场强度变化率,推算出待测物体坐标位置的测量原理,采用定位线圈与磁阻传感器结合的方案,研发出可视化导航系统。将30 根人工股骨模型随机分为导航组和常规组,每组各15 个。两组将髓内针连带手柄插入股骨模型中。导航组采用可视化电磁导航系统辅助髓内针远端3 枚螺钉锁入;常规组采用机械瞄准器辅助远端3 枚螺钉锁入;记录两组3 枚螺钉的锁入时间及一次置钉成功率。[结果] 两组第1、2、3 枚螺钉锁入时间按置入顺序均依次增加,差异均有差异有统计学意义(P<0.05),导航组第1 [(156.3±14.8) s vs (266.8±31.2) s, P<0.05]、2 [(230.7±17.1) s vs (318.1±32.2) s, P<0.05]、3 枚[(306.5±20.8) s vs(408.6±27.7) s, P<0.05] 螺钉锁入时间均显著少于常规组。两组3 枚螺钉一次置钉成功率差异无统计学意义(P>0.05)。[结论]本可视化电磁导航系统定位准确,对比机械瞄准器,能明显缩短股骨模型髓内针远端螺钉锁入时间。

    Abstract:

    [Objective] To test a domestic visual electromagnetic navigation system by observing its effect on distal locking screw place-ment of intramedullary nail in the femur model. [Method] Based on the measurement principle of coordinate position of the object measur-ing the change rate of three mutually perpendicular magnetic fields, this visual electromagnetic navigation system was developed by combin-ing positioning coil and reluctance sensor. Thirty artificial femur models were randomly divided into navigation group and conventionalgroup, with 15 in each group. In both groups, intramedullary nail with handles were inserted into the femur model. In the navigation group,the visual electromagnetic navigation system was used to assist the 3 locking screws placement at the distal end of the intramedullary nail,while in the conventional group, a conventional mechanical guider was used to assist the 3 locking screws placement at the distal end. Thecontinuous insertion time of 3 screws in two groups and the success rate at the first placement were recorded and compared. [Results] Theinsertion time of the first, second and third screws in the two groups increased in sequence, with statistical significance (P<0.05). The navi-gation group proved significantly superior to the conventional group in terms of continuous insertion time of the first screw [(156.3±14.8) secvs (266.8±31.2) sec, P<0.05], the second screw [(230.7±17.1) sec vs (318.1±32.2) sec, P<0.05], and the third screw [(306.5±20.8) sec vs(408.6±27.7) sec, P<0.05]. However, there was no significant difference in the success rate at the first placement between the two groups(P>0.05). [Conclusion] This visual electromagnetic navigation system is accurate in positioning, and does significantly shorten the time ofdistal locking screw placement of intramedullary nail in femur model compared with the mechanical guider.

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林旺,王盈盈,薛芳群,等. 可视化电磁导航系统髓内钉股骨模型置钉测试△[J]. 中国矫形外科杂志, 2023, 31 (22): 2078-2082. DOI:10.3977/j. issn.1005-8478.2023.22.12.
LIN Wang, WANG Ying-ying, XUE Fang-qun, et al. A test of intramedullary nail placement in femur model using the visual electromagnetic navigation system[J]. Orthopedic Journal of China , 2023, 31 (22): 2078-2082. DOI:10.3977/j. issn.1005-8478.2023.22.12.

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  • 收稿日期:November 11,2022
  • 最后修改日期:May 05,2023
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  • 在线发布日期: November 23,2023
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