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髋关节和膝关节置换术中的机器人手术

Robotic surgery in hip and knee arthroplasty.

作者信息

Konan Sujith, Maden Carla, Robbins Alex

机构信息

Consultant Orthopaedic Surgeon, Department of Trauma and Orthopaedics, University College London Hospital, London NW1 2PG and Honorary Senior Lecturer, University College London, London.

Medical Student, University College London, London.

出版信息

Br J Hosp Med (Lond). 2017 Jul 2;78(7):378-384. doi: 10.12968/hmed.2017.78.7.378.

Abstract

This article provides an overview of current use of robotics in hip and knee arthroplasty. Several studies have reported radiographic improvements in joint alignment using robotic-assisted arthroplasty surgery. The economic case made for introducing robotics in joint arthroplasty largely focuses on the hypothesis of reduced hospital stay and reduction in the rate of revisions. This awaits robust data from long-term studies along with the documentation of clinical benefits that will follow the larger implementation of robotic-assisted surgery. However, modern robotic systems offer an opportunity for reproducible implementation of a preoperative plan, with low complication rates. Growing clinical use may in future present robust data demonstrating an appreciable clinical benefit that justifies the large scale clinical use of robotic technology.

摘要

本文概述了机器人技术在髋关节和膝关节置换术中的当前应用情况。多项研究报告称,使用机器人辅助关节置换手术可在影像学上改善关节对线。在关节置换术中引入机器人技术的经济理由主要集中在缩短住院时间和降低翻修率的假设上。这有待长期研究提供有力数据,以及随着机器人辅助手术的更广泛应用所带来的临床益处的记录。然而,现代机器人系统为可重复实施术前计划提供了机会,且并发症发生率较低。随着临床应用的不断增加,未来可能会出现有力数据,证明机器人技术具有明显的临床益处,从而证明其大规模临床应用的合理性。

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