Skip to main content
Top
Published in: Journal of Orthopaedic Surgery and Research 1/2024

Open Access 01-12-2024 | Artificial Intelligence | Research article

Bone cement reinforcement improves the therapeutic effects of screws in elderly patients with pelvic fragility factures

Authors: Lecai Gao, Baorui Xing

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

Login to get access

Abstract

Background

Pelvic fragility fractures in elderly individuals present significant challenges in orthopedic and geriatric medicine due to reduced bone density and increased frailty associated with aging.

Methods

This study involved 150 elderly patients with pelvic fragility fractures. The patients were divided into two groups, the observation group (Observation) and the control group (Control), using a random number table. Artificial intelligence, specifically the Tianji Orthopedic Robot, was employed for surgical assistance. The observation group received bone cement reinforcement along with screw fixation using the robotic system, while the control group received conventional screw fixation alone. Follow-up data were collected for one-year post-treatment.

Results

The observation group exhibited significantly lower clinical healing time of fractures and reduced bed rest time compared to the control group. Additionally, the observation group experienced less postoperative pain at 1 and 3 months, indicating the benefits of bone cement reinforcement. Moreover, patients in the observation group demonstrated significantly better functional recovery at 1-, 3-, and 6-months post-surgery compared to the control group.

Conclusion

The combination of bone cement reinforcement and robotic technology resulted in accelerated fracture healing, reduced bed rest time, and improved postoperative pain relief and functional recovery.
Literature
1.
go back to reference Rommens PM, Hofmann A. Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment. Injury. 2013;44:1733–44.CrossRefPubMed Rommens PM, Hofmann A. Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment. Injury. 2013;44:1733–44.CrossRefPubMed
2.
go back to reference Oberkircher L, Ruchholtz S, Rommens PM, Hofmann A, Bucking B, Kruger A. Osteoporotic pelvic fractures. Dtsch Arztebl Int. 2018;115:70–80.PubMedPubMedCentral Oberkircher L, Ruchholtz S, Rommens PM, Hofmann A, Bucking B, Kruger A. Osteoporotic pelvic fractures. Dtsch Arztebl Int. 2018;115:70–80.PubMedPubMedCentral
3.
go back to reference Migliorini F, Giorgino R, Hildebrand F, Spiezia F, Peretti GM, Alessandri-Bonetti M, Eschweiler J, Maffulli N. Fragility fractures: risk factors and management in the Elderly. Med (Kaunas) 2021;57. Migliorini F, Giorgino R, Hildebrand F, Spiezia F, Peretti GM, Alessandri-Bonetti M, Eschweiler J, Maffulli N. Fragility fractures: risk factors and management in the Elderly. Med (Kaunas) 2021;57.
4.
go back to reference Sahota O, van Berkel D, Ong T, Drummond A, Hendrick P, Quraishi N, Salem K. Pelvic fragility fractures-the forgotten osteoporotic fracture! Osteoporos Int. 2021;32:785–6.CrossRefPubMedPubMedCentral Sahota O, van Berkel D, Ong T, Drummond A, Hendrick P, Quraishi N, Salem K. Pelvic fragility fractures-the forgotten osteoporotic fracture! Osteoporos Int. 2021;32:785–6.CrossRefPubMedPubMedCentral
5.
go back to reference Smith CT, Barton DW, Piple AS, Carmouche JJ. Pelvic fragility fractures: an opportunity to improve the undertreatment of osteoporosis. J Bone Joint Surg Am. 2021;103:213–8.CrossRefPubMed Smith CT, Barton DW, Piple AS, Carmouche JJ. Pelvic fragility fractures: an opportunity to improve the undertreatment of osteoporosis. J Bone Joint Surg Am. 2021;103:213–8.CrossRefPubMed
6.
go back to reference Rommens PM, Wagner D, Hofmann A. Minimal invasive Surgical treatment of Fragility fractures of the Pelvis. Chirurgia (Bucur). 2017;112:524–37.CrossRefPubMed Rommens PM, Wagner D, Hofmann A. Minimal invasive Surgical treatment of Fragility fractures of the Pelvis. Chirurgia (Bucur). 2017;112:524–37.CrossRefPubMed
7.
8.
go back to reference Humphrey CA, Maceroli MA. Fragility fractures requiring special consideration: pelvic insufficiency fractures. Clin Geriatr Med. 2014;30:373–86.CrossRefPubMed Humphrey CA, Maceroli MA. Fragility fractures requiring special consideration: pelvic insufficiency fractures. Clin Geriatr Med. 2014;30:373–86.CrossRefPubMed
9.
11.
12.
go back to reference Monzon RA, Coury JG, Disse GD, Lum ZC. Bone cement in total hip and knee arthroplasty. JBJS Rev. 2019;7:e6.CrossRefPubMed Monzon RA, Coury JG, Disse GD, Lum ZC. Bone cement in total hip and knee arthroplasty. JBJS Rev. 2019;7:e6.CrossRefPubMed
13.
go back to reference de Franca Silva Azevedo AC, Morua OC, de Lima GG, da Silva HN, da Silva Ferreira J, Fook MVL, de Sa MJC. Brushite bone cement containing polyethylene glycol for bone regeneration. Biomed Mater Eng. 2022;33:221–33.PubMed de Franca Silva Azevedo AC, Morua OC, de Lima GG, da Silva HN, da Silva Ferreira J, Fook MVL, de Sa MJC. Brushite bone cement containing polyethylene glycol for bone regeneration. Biomed Mater Eng. 2022;33:221–33.PubMed
14.
go back to reference Lai PL, Chen LH, Chen WJ, Chu IM. Chemical and physical properties of bone cement for vertebroplasty. Biomed J. 2013;36:162–7.CrossRefPubMed Lai PL, Chen LH, Chen WJ, Chu IM. Chemical and physical properties of bone cement for vertebroplasty. Biomed J. 2013;36:162–7.CrossRefPubMed
15.
go back to reference Chen Y, Caneli G, Xie D. A PMMA bone cement with improved antibacterial function and flexural strength. J Biomater Sci Polym Ed. 2022;33:1398–414.CrossRefPubMed Chen Y, Caneli G, Xie D. A PMMA bone cement with improved antibacterial function and flexural strength. J Biomater Sci Polym Ed. 2022;33:1398–414.CrossRefPubMed
16.
go back to reference Yamamuro T. Acrylic bone cement: its clinical development and current status in Japan. Orthop Clin North Am. 2005;36:85–8. vii.CrossRefPubMed Yamamuro T. Acrylic bone cement: its clinical development and current status in Japan. Orthop Clin North Am. 2005;36:85–8. vii.CrossRefPubMed
17.
go back to reference Ellmerer AE, Kuper MA, Rollmann MF, Herath SC, Histing T. [Cement augmentation in pelvic ring fractures]. Unfallchirurgie (Heidelb). 2022;125:443–51.CrossRefPubMed Ellmerer AE, Kuper MA, Rollmann MF, Herath SC, Histing T. [Cement augmentation in pelvic ring fractures]. Unfallchirurgie (Heidelb). 2022;125:443–51.CrossRefPubMed
18.
go back to reference Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jonsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8:136.CrossRefPubMedPubMedCentral Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jonsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8:136.CrossRefPubMedPubMedCentral
19.
go back to reference Wilson DGG, Kelly J, Rickman M. Operative management of fragility fractures of the pelvis - a systematic review. BMC Musculoskelet Disord. 2021;22:717.CrossRefPubMedPubMedCentral Wilson DGG, Kelly J, Rickman M. Operative management of fragility fractures of the pelvis - a systematic review. BMC Musculoskelet Disord. 2021;22:717.CrossRefPubMedPubMedCentral
20.
go back to reference Wagner D, Ossendorf C, Gruszka D, Hofmann A, Rommens PM. Fragility fractures of the sacrum: how to identify and when to treat surgically? Eur J Trauma Emerg Surg. 2015;41:349–62.CrossRefPubMedPubMedCentral Wagner D, Ossendorf C, Gruszka D, Hofmann A, Rommens PM. Fragility fractures of the sacrum: how to identify and when to treat surgically? Eur J Trauma Emerg Surg. 2015;41:349–62.CrossRefPubMedPubMedCentral
21.
22.
go back to reference Loftus TJ, Tighe PJ, Filiberto AC, Efron PA, Brakenridge SC, Mohr AM, Rashidi P, Upchurch GR Jr., Bihorac A. Artificial Intelligence and Surgical decision-making. JAMA Surg. 2020;155:148–58.CrossRefPubMedPubMedCentral Loftus TJ, Tighe PJ, Filiberto AC, Efron PA, Brakenridge SC, Mohr AM, Rashidi P, Upchurch GR Jr., Bihorac A. Artificial Intelligence and Surgical decision-making. JAMA Surg. 2020;155:148–58.CrossRefPubMedPubMedCentral
23.
go back to reference Yamashiro T, Ko CC. Artificial intelligence and machine learning in orthodontics. Orthod Craniofac Res. 2021;24(Suppl 2):3–5.CrossRefPubMed Yamashiro T, Ko CC. Artificial intelligence and machine learning in orthodontics. Orthod Craniofac Res. 2021;24(Suppl 2):3–5.CrossRefPubMed
24.
go back to reference Hornung AL, Hornung CM, Mallow GM, Barajas JN, Rush A 3rd, Sayari AJ, Galbusera F, Wilke HJ, Colman M, Phillips FM, An HS, Samartzis D. Artificial intelligence in spine care: current applications and future utility. Eur Spine J. 2022;31:2057–81. Hornung AL, Hornung CM, Mallow GM, Barajas JN, Rush A 3rd, Sayari AJ, Galbusera F, Wilke HJ, Colman M, Phillips FM, An HS, Samartzis D. Artificial intelligence in spine care: current applications and future utility. Eur Spine J. 2022;31:2057–81.
25.
26.
go back to reference Myers TG, Ramkumar PN, Ricciardi BF, Urish KL, Kipper J, Ketonis C. Artificial Intelligence and Orthopaedics: an introduction for clinicians. J Bone Joint Surg Am. 2020;102:830–40.CrossRefPubMed Myers TG, Ramkumar PN, Ricciardi BF, Urish KL, Kipper J, Ketonis C. Artificial Intelligence and Orthopaedics: an introduction for clinicians. J Bone Joint Surg Am. 2020;102:830–40.CrossRefPubMed
28.
go back to reference D’Antoni F, Russo F, Ambrosio L, Vollero L, Vadala G, Merone M, Papalia R, Denaro V. Artificial Intelligence and Computer Vision in Low Back Pain: a systematic review. Int J Environ Res Public Health 2021;18. D’Antoni F, Russo F, Ambrosio L, Vollero L, Vadala G, Merone M, Papalia R, Denaro V. Artificial Intelligence and Computer Vision in Low Back Pain: a systematic review. Int J Environ Res Public Health 2021;18.
29.
30.
go back to reference Keller M, Guebeli A, Thieringer F, Honigmann P. Artificial intelligence in patient-specific hand surgery: a scoping review of literature. Int J Comput Assist Radiol Surg. 2023;18:1393–403.CrossRefPubMedPubMedCentral Keller M, Guebeli A, Thieringer F, Honigmann P. Artificial intelligence in patient-specific hand surgery: a scoping review of literature. Int J Comput Assist Radiol Surg. 2023;18:1393–403.CrossRefPubMedPubMedCentral
31.
go back to reference von Eisenhart-Rothe R, Hinterwimmer F, Graichen H, Hirschmann MT. Artificial intelligence and robotics in TKA surgery: promising options for improved outcomes? Knee Surg Sports Traumatol Arthrosc. 2022;30:2535–7.CrossRef von Eisenhart-Rothe R, Hinterwimmer F, Graichen H, Hirschmann MT. Artificial intelligence and robotics in TKA surgery: promising options for improved outcomes? Knee Surg Sports Traumatol Arthrosc. 2022;30:2535–7.CrossRef
Metadata
Title
Bone cement reinforcement improves the therapeutic effects of screws in elderly patients with pelvic fragility factures
Authors
Lecai Gao
Baorui Xing
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-024-04666-3

Other articles of this Issue 1/2024

Journal of Orthopaedic Surgery and Research 1/2024 Go to the issue