Netravali Nathan A, Shen Feimo, Park Youngbae, Bargar William L
Curexo Technology Corporation, Fremont, CA 94539, USA.
Adv Orthop. 2013;2013:970703. doi: 10.1155/2013/970703. Epub 2013 Apr 30.
Knee arthroplasty is used to treat patients with degenerative joint disease of the knee to reduce pain and restore the function of the joint. Although patient outcomes are generally quite good, there are still a number of patients that are dissatisfied with their procedures. Aside from implant design which has largely become standard, surgical technique is one of the main factors that determine clinical results. Therefore, a lot of effort has gone into improving surgical technique including the use of computer-aided surgery. The latest generation of orthopedic surgical tools involves the use of robotics to enhance the surgeons' abilities to install implants more precisely and consistently. This review presents an evolution of robot-assisted surgical systems for knee replacement with an emphasis on the clinical results available in the literature. Ever since various robotic-assistance systems were developed and used clinically worldwide, studies have demonstrated that these systems are as safe as and more accurate than conventional methods of manual implantation. Robotic surgical assistance will likely result in improved surgical technique and improved clinical results.
膝关节置换术用于治疗膝关节退行性关节疾病患者，以减轻疼痛并恢复关节功能。尽管患者的总体预后通常相当不错，但仍有一些患者对手术不满意。除了在很大程度上已成为标准的植入物设计外，手术技术是决定临床结果的主要因素之一。因此，人们在改进手术技术方面投入了大量精力，包括使用计算机辅助手术。最新一代的骨科手术工具涉及使用机器人技术，以提高外科医生更精确、更一致地植入植入物的能力。本综述介绍了用于膝关节置换的机器人辅助手术系统的发展历程，并重点关注文献中可得的临床结果。自从各种机器人辅助系统在全球范围内得到开发并应用于临床以来，研究表明这些系统与传统手动植入方法一样安全，且准确性更高。机器人手术辅助可能会带来手术技术的改进和临床结果的改善。
