Department of Sports Medicine, Stanford Hospital, 450 Broadway St., MC 6342, Redwood City, CA, 94036, USA,
Curr Rev Musculoskelet Med. 2013 Jun;6(2):150-7. doi: 10.1007/s12178-013-9166-y.
Computer-assisted surgery (CAS) has been investigated in a number of sports medicine procedures in the knee. Current barriers to its widespread introduction include increased costs, duration, and invasiveness of surgery. Randomized trials on the use of CAS in anterior cruciate ligament reconstruction have failed to demonstrate a clinical benefit. Data on CAS use in high tibial osteotomy are more promising; however, long-term studies are lacking. CAS has a number of research applications in knee ligament surgery, and studies continue to explore its use in the treatment of osteochondral lesions. This article reviews the applications of CAS in sports medicine knee surgery and summarizes current literature on clinical outcomes.
计算机辅助手术(CAS)已在膝关节的许多运动医学手术中进行了研究。目前其广泛应用的障碍包括手术成本增加、手术时间延长和侵入性增加。在前交叉韧带重建中使用 CAS 的随机试验未能显示出临床获益。关于 CAS 在高位胫骨截骨术中应用的数据更有希望;然而,缺乏长期研究。CAS 在膝关节韧带手术中有许多研究应用,研究仍在继续探索其在治疗骨软骨病变中的应用。本文综述了 CAS 在运动医学膝关节手术中的应用,并总结了目前关于临床结果的文献。