计算机辅助骨科手术在创伤骨科的应用

目的讨论计算机辅助骨科手术（computer assisted orthopedic surgery，CAOS）在创伤骨科的应用及其意义。方法分析CAOS在创伤骨科应用的现状，总结其应用的价值及相关问题。结果目前CAOS在创伤骨科主要应用于脊柱、四肢骨折内固定物的植入和人工髋、膝关节置换以及膝关节交叉韧带的重建等，而在骨折复位方面的应用很少且技术不成熟，但已显示明显的优越性。在CAOS应用过程中应注意其缺点、临床医学评价、手术医生的地位、正确的微创观念等相关问题。结论CAOS在创伤骨科手术微创化进程中有重要意义和无可替代的价值，应处理好一些相关的问题，促进其更好地发展。

APPLICATION OF COMPUTER ASSISTED ORTHOPEDIC SURGERY IN ORTHOPEDIC TRAUMA SURGERY

OBJECTIVE: To investigate the application and significance of computer assisted orthopedic surgery (CAOS) in orthopedic trauma surgery. METHODS: In orthopedic trauma surgery, the application status of CAOS was analysed and the related problems were summarized. RESULTS: At present, CAOS is seldom used to reduce fractures but frequently used to insert internal fixation devices and reconstruct the cruciate ligament in orthopedic trauma surgery. And the studies have shown its superiority. During CAOS application, surgeons should pay attention to some problems such as the disadvantages, clinical evaluation, the roles of the surgeons and correct micro-traumatic concept. CONCLUSION: CAOS is very important and cannot be replaced in orthopedic trauma minimal invasion surgery and surgeons should pay attention to some important related problems to make it develop successfully in the study of CAOS.