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全膝关节置换术的创新:技术精度提高,但临床益处尚不明确。

Innovations in Total Knee Arthroplasty: Improved Technical Precision, But Unclear Clinical Benefits.

作者信息

Keeney James A

出版信息

Orthopedics. 2016 Jul 1;39(4):217-20. doi: 10.3928/01477447-20160628-03.

Abstract

Total knee arthroplasty has been an effective treatment for advanced degenerative joint disease. Traditional knee designs and surgical approaches have resulted in consistently high performance, but some patients may remain dissatisfied after their surgery. Several surgical innovations, including accelerometer-based navigation, patient-specific instrumentation, and robotic-assisted total knee arthroplasty, have been developed to improve the accuracy and precision of total knee arthroplasty surgery, with anticipated secondary benefits of improved functional outcomes and implant survivorship. This article reviews the current status of these technologies as reported in contemporary orthopedic literature. [Orthopedics. 2016; 39(4):217-220.].

摘要

全膝关节置换术一直是治疗晚期退行性关节疾病的有效方法。传统的膝关节设计和手术方法一直具有很高的性能,但一些患者术后可能仍不满意。为提高全膝关节置换手术的准确性和精确性,已开发出多种手术创新技术,包括基于加速度计的导航、定制化器械以及机器人辅助全膝关节置换术,预期这些技术还会带来功能改善和植入物生存率提高等附带益处。本文回顾了当代骨科文献中报道的这些技术的现状。[《骨科》。2016年;39(4):217 - 220。]

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