机器人导航下改良Stoppa入路治疗骨盆髋白骨折的临床效果研究

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中图分类号 R687.3文献标识码 A 文章编号 2096-7721（2026）01-0045-07

AbstractObjective：Toinvestigateeficacyrobot-asistednavigatedscrewplacementwithmodified Stoppaapproach for acetabularfractures.Methods：Aprospectiverandomizedcontroledtrial wasconductedon102patients with acetabularfractures whoweretreatedatAfiliatedKangdaCoegebetwenNvemberO22andApril 2024.They were randomly divided into control group （n=51） and study group （ n= ：51）using a random number table.Both groups underwent surgery via modified Stoppa approach. The control roup received conventional freehand screw fixation under guidance C-arX-raforoyileesuyoudeentbotaviatedewfiatioeropratieiicatos，ressakesctue reductionquality（excelent/godate），modifiedMerleD'AubigneandPostelscores，andpostoperativecomplicationswereprd between twogroups.Results：Thestudygrouphadsignificantlyshorteroperativetime，fewernumber itraoperativefluoroscopies， lesstotalintrapeativebloodlossfewertotaldrillngtemptsndasorerlengthospitalstaompadtoeotoloup （P<0.05） . At 24h and 72 h after surgery， study group had significantly lower levels stress markers than control group （ P <0.05）. Thefracturereductionexcelent/goodratewassignificantlyhigherinstudygroupthancontrolgroup.Furrmore，modified MerleD'AubigneandPostelscoresat3，6，and12monthsaftersurgeryweresignificantlyhigherinstudygroupthanthosein control group （P<0.05） . The incidence postoperative complications was significantly lower in study group than thatin control group （P<0.05） . Conclusion： The application robot-navigated screw placement with modified Stoppa approach can enhance surgical precisionandeuilddpseielyloatitrsposee recovery，and lower risk postoperative complications.

KeyWordsRoboistedNvigateSrePlacnt;MidStoappach;AcetaularFrtures;StrssRespse;HJtcti

骨盆髋白骨折是指骨盆环及髋白部位的骨折，通常由交通事故、高处坠落等高能量损伤引起[。（剩余10400字）