Associate Professor Gao Shuguang implements robot-assisted navigation hip preservation therapy.
Associate Professor Gao Shuguang provides postoperative rehabilitation guidance for patients.
RedNet Moment News April 18 (Correspondent Yu Hua Yan Xiaobo) Recently, the team of Associate Professor Gao Shuguang, deputy director of the Department of Orthopedics of Xiangya Hospital of Central South University, applied robot-assisted navigation, hip arthroscopy technology and bioregenerative therapy to successfully protect the hip of a patient with femoral head necrosis and femoral acetabular impact. This operation is another breakthrough for Xiangya Hospital to take advantage of medical technology integration and innovation to meet clinical and patient needs.
Mr. Jiang, 39, of Chenzhou, had pain in his hip joint on his right side 4 years ago, went to a local hospital for treatment, and found necrosis of both femoral heads, which was more serious on the right side. Three years ago, due to the aggravation of pain in the right hip joint, the right hip replacement was performed at the local hospital. For more than a year, the pain in his left hip joint has worsened, and accompanied by his family, he came to Xiangya Hospital for treatment.
In the Joint Surgery Clinic, Associate Professor Gao Shuguang conducted a specialist examination for the patient and found that the patient was lame, tender in the anterior hip joint on the left side and at the large rotor, and the flexion and extension and rotational movement were partially restricted. In combination with imaging, it is diagnosed as necrosis of the left femoral head with femoral acetabular impact sign.
Osteonecrosis of the femoral head is one of the common clinical diseases, and trauma, alcohol, hormones, etc. are common causes of necrosis of the femoral head. The disability rate of the disease is high, and hip replacement has been required in the past, but the replacement hip prosthesis has a certain service life, which means that for young adult patients, multiple joint replacement surgeries are required. Gao Shuguang said that at present, the necrosis of the left femoral head of the patient is in stage III. and is suitable for hip preservation treatment, in addition, the femoral acetabular impact sign is also one of the causes of hip pain in patients, which can be treated with mature hip arthroscopy technology.
According to the patient's situation, the surgical team decided to apply robot-assisted navigation and positioning, combined with myeloid heart decompression, PRP (platelet-rich plasma), autologous iliac rod support, hip preservation treatment, and then combined with hip arthroscopy technology to explore the support of the necrotic collapse area of the femoral head, and at the same time treat the femoral acetabular impact sign. "Such a comprehensive operation can solve two major problems for patients at the same time," Gao Shuguang said.
Gao Shuguang explained that robot-assisted navigation is like installing a "clairvoyant eye" for doctors, ensuring the accuracy of the nail path and the safety of surgery, injecting autologous PRP (platelet-rich plasma) into the necrotic area of the femoral head in the nail channel of the robot navigation can improve the accuracy of injection; minimally invasive treatment of intra-articular lesions under arthroscopy also further improves the patient's postoperative effect. Intelligent minimally invasive, accurate diagnosis and treatment, which is the comprehensive advantage of orthopedic robots and arthroscopy, provides new ideas for difficult and complex hip protection treatment.
After sufficient preoperative preparation, on April 12, according to the predetermined surgical idea, the surgical team first accurately injected the guide needle into the necrosis area of the femoral head according to the robot positioning, used an 8mm drill to make the bone passage to the necrotic area, then decompressed the marrow heart, injected autologous PRP (platelet-rich plasma) into the necrotic area, and finally implanted the autologous iliac rod in stages to provide reliable support for the necrosis area of the femoral head. Subsequently, hip arthroscopic exploration found intra-articular inflammatory synovial hyperplasia, acetabulum lip injury, cam deformity of the neck of the femoral head, inflammatory synovial excision, injured glenoid lip trimming, and femoral head neck Camforming. At the same time, the necrotic collapse area of the femoral head can be seen in the hip arthroscopy, and the operation is successfully completed. The patient is currently recovering well and will be discharged from the hospital in the near future.
Robots, arthroscopy is to promote the development and popularization of orthopedic surgery is one of the core intelligent equipment and treatment methods, biological regenerative therapy is an internationally applied use of growth factors or stem cells and other cutting-edge medical technology to repair human organs or tissues, the innovative integration of the three integrated applications in improving the level of orthopedic treatment is of great significance.
At present, the Department of Orthopedics of Xiangya Hospital is accelerating the research and development and promotion of minimally invasive and accurate orthopedic technologies based on orthopedic robots and intelligent navigation. With the in-depth application of artificial intelligence and high technology in the medical field, the Xiangya orthopedic team deeply integrates "industry-university-research", fully solves the difficulties and pain points in the clinic, creates an academic innovation highland, promotes the rapid development of disciplines, and realizes more intelligent, informatized, minimally invasive and precise medical treatment to better benefit patients.