Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot

ZHANG Di; XIAO Rui; ZHANG Mengmeng; LI Na

doi:10.7619/jcmp.20231509

Journal of Clinical Medicine in Practice > 2023 > 27(12): 23-26. > DOI: 10.7619/jcmp.20231509

ZHANG Di, XIAO Rui, ZHANG Mengmeng, LI Na. Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot[J]. Journal of Clinical Medicine in Practice, 2023, 27(12): 23-26. DOI: 10.7619/jcmp.20231509

Citation:

PDF (642 KB)

Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot

1.
Operating Room, Beijing Jishuitan Hospital, Beijing, 100035
2.
Department of Anesthesiology, Beijing Jishuitan Hospital, Beijing, 100035
3.
Disinfection Supply Center, Beijing Jishuitan Hospital, Beijing, 100035

More Information

Received Date: May 10, 2023
Revised Date: June 08, 2023
Available Online: July 07, 2023

Graphical Abstract

Abstract

Abstract

Objective
To observe the application effect of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot.
Methods
A total of 48 patients with femoral neck fracture from January 2020 to December 2021 were selected as control group, and 51 patients with femoral neck fracture from January to June 2022 were selected as experimental group. Completion time of surgery, accident incidence rate of intraoperative robot use and doctor′s satisfaction degree were compared between two groups.
Results
The average operation time of the experimental group was (75.67±6.88) minutes, which was shorter than (98.83±7.39) minutes of the control group (t=16.159, P < 0.001). The accident incidence rate of robot use in the experimental group was 3.9% (2/51), which was significantly lower than the 16.7% (8/48) in the control group (χ²=4.423, P=0.035). In the experimental group, scores of surgical item preparation, surgical coordination and robot equipment preparation as well as total score were significantly higher than those in the control group (P < 0.01).
Conclusion
Standardized nursing for internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot can standardize the nursing behavior of nurses in operation room and improve surgical efficiency.
- Tianji orthopedic robot,
- femoral neck fracture,
- cannulated screws,
- internal fixation,
- standardized nursing

FullText(HTML)

References (18)

References

[1]	易少华, 张德华, 王健, 等. 机器人导航辅助经皮空心钉内固定治疗股骨颈骨折的临床疗效评价[J]. 中国骨与关节损伤杂志, 2022, 37(4): 337-341. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202204001.htm
[2]	王军强, 吴新宝, 张腾. 基于骨科手术机器人定位系统的精准微创内固定治疗股骨颈骨折[J]. 骨科临床与研究杂志, 2019, 4(1): 57-60. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201901016.htm
[3]	DUAN S J, LIU H S, WU W C, et al. Robot-assisted percutaneous cannulated screw fixation of femoral neck fractures: preliminary clinical results[J]. Orthop Surg, 2019, 11(1): 34-41. doi: 10.1111/os.12430
[4]	WANG X D, LAN H, LI K N. Treatment of femoral neck fractures with cannulated screw invasive internal fixation assisted by orthopaedic surgery robot positioning system[J]. Orthop Surg, 2019, 11: 864-872. doi: 10.1111/os.12548
[5]	马赛, 刘波, 李楠, 等. 机器人辅助与传统徒手置入皮质骨轨迹螺钉在老年骨质疏松性腰椎手术应用中的比较[J]. 中国组织工程研究, 2023, 27(27): 4332-4336. doi: 10.12307/2023.399
[6]	范明星, 施崭, 张琦, 等. 天玑骨科手术机器人高精度工作区域研究[J]. 北京生物医学工程, 2022, 41(3): 266-270. https://www.cnki.com.cn/Article/CJFDTOTAL-BJSC202203008.htm
[7]	孟磊, 张贯林, 李东风, 等. "天玑"骨科手术机器人辅助下经皮椎弓根钉内固定治疗胸腰椎骨折的疗效观察[J]. 中国骨与关节损伤杂志, 2022, 37(7): 705-708. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202207008.htm
[8]	王永标, 冯小仍, 姚艺艺, 等. 天玑骨科手术机器人结合三维成像技术辅助微创治疗骨盆骨折的疗效分析[J]. 中华创伤骨科杂志, 2022, 24(10): 856-861. doi: 10.3760/cma.j.cn115530-20220126-00055
[9]	张天, 季滢瑶, 胡加林, 等. 骨科手术机器人3D模式下辅助经皮固定骶髂螺钉的学习曲线[J]. 温州医科大学学报, 2022, 52(9): 757-761. https://www.cnki.com.cn/Article/CJFDTOTAL-WZYX202209012.htm
[10]	荆玉龙, 张树栋, 韩紫音, 等. 骨科机器人辅助股骨颈动力交叉钉系统治疗新鲜股骨颈骨折的近期疗效[J]. 中国修复重建外科杂志, 2022, 36(8): 946-950. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXCW202208006.htm
[11]	范明星, 刘亚军, 段芳芳, 等. 机器人辅助胸腰椎椎弓根螺钉内固定术的学习曲线和临床意义[J]. 骨科临床与研究杂志, 2018, 3(4): 213-217. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201804007.htm
[12]	何猛, 张腾, 韩巍, 等. 双平面骨科机器人辅助股骨颈骨折空心钉内固定[J]. 骨科临床与研究杂志, 2018, 3(4): 195-199. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201804003.htm
[13]	赵春鹏, 王军强, 王豫, 等. 双平面骨科机器人系统辅助股骨颈骨折空心螺钉内固定术的实验研究[J]. 中华创伤骨科杂志, 2006, 8(1): 50-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZCGK200601013.htm
[14]	PROBE R, WARD R. Internal fixation of femoral neck fractures[J]. J Am Acad Orthop Surg, 2006, 14(9): 565-571.
[15]	FLORSCHUTZ A V, LANGFORD J R, HAIDUKEWYCH G J, et al. Femoral neck fractures: current management[J]. J Orthop Trauma, 2015, 29(3): 121-129.
[16]	张萌萌, 赵丹, 徐诚实, 等. 骨科机器人辅助下脊柱胸腰椎手术的护理配合[J]. 护士进修杂志, 2020, 35(11): 1022-1024. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202011016.htm
[17]	龚喜雪, 刘建全. 骨科机器人导航定位系统辅助股骨颈骨折空心螺钉内固定术患者临床护理[J]. 齐鲁护理杂志, 2018, 24(2): 90-92. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201802040.htm
[18]	陈国立, 陈哲颖, 王淑容, 等. 天玑骨科机器人辅助脊柱手术护理标准操作程序的建立与应用[J]. 护理学杂志, 2022, 37(14): 56-59. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202214016.htm

[1]	ZHANG Shuyan, WANG Jing, AN Ning. Application of standardized sedative nursing in patients in Intensive Care Unit[J]. Journal of Clinical Medicine in Practice, 2020, 24(9): 47-49. DOI: 10.7619/jcmp.202009014
[2]	LI Na, LI Yanjun, GUAN Lei. Effect analysis of standardized nursing process in prevention of incontinence-associated dermatitis in elderly patients with incontinence[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 114-116, 120. DOI: 10.7619/jcmp.201916031
[3]	LI Qin, ZHANG Wei, FANG Fang, XIE Ping, LI Ping, TANG Dong. Effect of standardized operation procedure in homogenization nursing for patients with colostomy[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 45-47, 50. DOI: 10.7619/jcmp.201916012
[4]	DUAN Qiuyan, WANG Qinli. Application of standardized rescue nursing process in rescue of acute myocardial infarction[J]. Journal of Clinical Medicine in Practice, 2019, 23(14): 52-55. DOI: 10.7619/jcmp.201914014
[5]	WANG Yan. Effect comparison of standardized nursing and process optimized nursing in reducing transport risk in emergency patients in department of obstetrics and gynecology[J]. Journal of Clinical Medicine in Practice, 2018, (8): 89-91,95. DOI: 10.7619/jcmp.201808027
[6]	CHEN Shili. Effect of standardized process in disinfection and sterilization of laparoscopic professional instruments[J]. Journal of Clinical Medicine in Practice, 2017, (16): 82-84. DOI: 10.7619/jcmp.201716026
[7]	YANG Linna, HE Wei, WEI Xuejing. Influence of standardized nursing for patients with electric injury[J]. Journal of Clinical Medicine in Practice, 2017, (10): 101-104. DOI: 10.7619/jcmp.201710031
[8]	SHENG Fen, HUANG Zongxuan, HUANG Yingying. Application of standardized nursing program in patients with heart failure in observation of disease in the intensive care unit[J]. Journal of Clinical Medicine in Practice, 2016, (12): 8-10. DOI: 10.7619/jcmp.201612003
[9]	WANG Lili, WANG Pei, ZHAO Yi. Application of standardized nursing process for minimally invasive breast surgery[J]. Journal of Clinical Medicine in Practice, 2015, (20): 63-65. DOI: 10.7619/jcmp.201520020
[10]	Gu Ming, CHEN Yueying, ZENG Lijuan, LI Xu, YUAN Xiaoling, LOU Yanfeng, ZHOU Guangxin. Perioperative nursing of vertebral decompression and internal fixation for thoracic and lumber vertebral tumor patients[J]. Journal of Clinical Medicine in Practice, 2014, (20): 69-72,80. DOI: 10.7619/jcmp.201420022

Cited By

Cited by

Periodical cited type(3)

1.	张盼，王禺，李秀娥，王彩娥，刘媛. 纤维蛋白原、D-二聚体及血栓四项在中老年肾病综合征患者检测中的应用价值. 中国临床实用医学. 2024(05): 29-34 .
2.	顾志坚. 血清降钙素原在重症感染患者临床治疗中的应用效果探讨. 系统医学. 2021(14): 35-38 .
3.	乐大峰，杨君华，李声凤. 肾病综合征合并感染患者血清D-二聚体、IL-6、TNF-α水平变化及临床意义. 热带医学杂志. 2021(09): 1205-1208 .

Other cited types(0)

Get Citation

PDF

XML

Article views (136) PDF downloads (8) Cited by(3)

Turn off MathJax

Article Contents

Abstract

References

Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(0)

Catalog

Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(0)

Catalog

Export File

Citation

Format

Content