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计算机辅助全膝关节置换术:有区别吗?

Computer Assisted Total Knee Arthroplasty: Does it Make a Difference?

作者信息

Haritinian Emil G, Pimpalnerkar Ashvin L

机构信息

"Carol Davila" University of Medicine and Pharmacy, Foisor Clinical Hospital of Orthopedics, Traumatology and Osteo-Articular Tuberculosis, Bucharest, Romania.

Good Hope Hospital, Heart of England Foundation Trust, Birmingham, UK.

出版信息

Maedica (Bucur). 2013 Jun;8(2):176-81.

PMID:24371482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3865127/
Abstract

The longevity of total knee prostheses depends mostly on the correct alignment (frontal, sagittal and axial) of the prosthetic components, soft tissue balancing and restoring the mechanical axis of the lower limb.The use of computer-assisted navigation allows more accurate and reproducible restoration of mechanical axis and component positioning, better results in patients with extra-articular deformities and it has an important role in surgical training.Better alignment should lead to an improved functional outcome and an increased long-term survival of the prosthesis. Several studies have proven an improved function in the short and mid-term but we still lack long-term data regarding functional outcome and longevity of the prostheses.

摘要

全膝关节假体的使用寿命主要取决于假体组件的正确对线(冠状面、矢状面和轴向)、软组织平衡以及恢复下肢的机械轴。计算机辅助导航的应用可实现更精确且可重复的机械轴恢复和组件定位,对于关节外畸形患者能取得更好的效果,并且在手术训练中具有重要作用。更好的对线应能带来功能结局的改善以及假体长期生存率的提高。多项研究已证实短期内和中期功能有所改善,但我们仍缺乏关于假体功能结局和使用寿命的长期数据。

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本文引用的文献

1
Estimating the burden of total knee replacement in the United States.评估美国全膝关节置换术的负担。
J Bone Joint Surg Am. 2013 Mar 6;95(5):385-92. doi: 10.2106/JBJS.L.00206.
2
Computer-assisted total knee arthroplasty: impact of the surgeon's experience on the component placement.计算机辅助全膝关节置换术:术者经验对假体放置的影响。
Arch Orthop Trauma Surg. 2013 Mar;133(3):397-403. doi: 10.1007/s00402-012-1666-5. Epub 2012 Dec 11.
3
Computer navigation is a useful intra-operative tool for joint line measurement in total knee arthroplasty.计算机导航是全膝关节置换术中用于测量关节线的一种有用的术中工具。
Knee. 2013 Aug;20(4):256-62. doi: 10.1016/j.knee.2012.10.026. Epub 2012 Dec 7.
4
Evaluation of total knee arthroplasty performed with and without computer navigation: a bilateral total knee arthroplasty study.计算机导航下与非计算机导航下全膝关节置换术的评估:一项双侧全膝关节置换术研究。
J Arthroplasty. 2013 Mar;28(3):455-8. doi: 10.1016/j.arth.2012.06.026. Epub 2012 Nov 17.
5
Training benefits of computer navigated total knee arthroplasty.计算机导航全膝关节置换术的训练益处
Knee. 2013 Aug;20(4):236-41. doi: 10.1016/j.knee.2012.09.012. Epub 2012 Oct 9.
6
Less femoral lift-off and better femoral alignment in TKA using computer-assisted surgery.计算机辅助手术可减少全膝关节置换术中股骨的抬起和改善股骨对线。
Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2255-62. doi: 10.1007/s00167-012-2230-0. Epub 2012 Oct 6.
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Blood loss following total knee replacement is reduced when using computer-assisted versus standard methods.与标准方法相比,使用计算机辅助技术进行全膝关节置换时,失血量会减少。
Acta Orthop Belg. 2012 Feb;78(1):75-9.
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Rotational alignment in total knee arthroplasty: nonimage-based navigation system versus conventional technique.全膝关节置换术中的旋转对线:非影像导航系统与传统技术比较。
Chin Med J (Engl). 2012 Jan;125(2):236-43.
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Meta-analysis of navigation vs conventional total knee arthroplasty.导航与传统全膝关节置换术的荟萃分析。
J Arthroplasty. 2012 Jun;27(6):1177-82. doi: 10.1016/j.arth.2011.12.028. Epub 2012 Feb 13.
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A prospective study comparing the functional outcome of computer-assisted and conventional total knee replacement.一项比较计算机辅助全膝关节置换与传统全膝关节置换功能结果的前瞻性研究。
J Bone Joint Surg Br. 2012 Feb;94(2):194-9. doi: 10.1302/0301-620X.94B2.27454.