{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:22:47Z","timestamp":1788823367213,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T00:00:00Z","timestamp":1529366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to investigate the safety and efficacy of the combination of robot\u2010assisted percutaneous screw placement and pelvic internal fixator (INFIX) for minimally invasive treatment of unstable anterior and posterior pelvic ring injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From September 2016 to June 2017, twenty\u2010four patients with unstable anterior and posterior pelvic ring injuries were treated with TiRobot\u2010assisted percutaneous sacroiliac cannulated screw fixation on the posterior pelvic ring combined with robot\u2010assisted pedicle screw placement in the anterior inferior iliac spine along with INFIX on the anterior pelvic ring. The results of the treatment, including surgery duration, fluoroscopy frequency, total drilling, amount of blood loss, fracture healing time, and postoperative functional outcomes were recorded and compared with another 21 similar patients who underwent conventional manual positioning surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The TiRobot group incurred significantly shorter duration of surgery; less fluoroscopy frequency, intraoperative bleeding, and total drilling than in the conventional group (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Postoperative radiological follow\u2010up showed that all screws were in the safe area and no screw penetrated the cortex. All wounds healed by primary intention and no iatrogenic damage to the blood vessels, nerves, and organs occurred. Patients showed good tolerance to INFIX and reported no discomfort. The mean follow\u2010up duration was 5.4\u00a0months; the fractures were all healed, no loss of reduction occurred, and the mean Majeed score at the last follow\u2010up did not show any difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TiRobot\u2010assisted percutaneous screw placement combined with INFIX for the anterior and posterior pelvic ring injuries is accurate, safe, less invasive, and shows satisfactory efficacy, suggesting it is a better method for minimally invasive treatment of unstable pelvic ring fractures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.1927","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T20:51:34Z","timestamp":1529441494000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Robot\u2010assisted percutaneous screw placement combined with pelvic internal fixator for minimally invasive treatment of unstable pelvic 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010ming","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Third People's Hospital of Jinan  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010cen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Orthopedics, Third People's Hospital of Jinan  Jinan 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