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机器人辅助单髁膝关节置换术:现状与文献回顾。

Robotic-Assisted Unicompartmental Knee Arthroplasty: State-of-the Art and Review of the Literature.

机构信息

Division of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York.

Division of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, New York.

出版信息

J Arthroplasty. 2018 Jul;33(7):1994-2001. doi: 10.1016/j.arth.2018.01.050. Epub 2018 Mar 16.

Abstract

BACKGROUND

Unicompartmental knee arthroplasty is a successful treatment for unicompartmental knee osteoarthritis that has lower complication rates, faster recovery, and a more natural feeling knee compared to total knee arthroplasty. However, long-term survival has been a persistent concern. As more surgeon-controlled variables have been linked to survival, interest in robotic-assisted surgery has continued to grow.

METHODS

A review and synthesis of the literature on the subject of robotic-assisted unicompartmental knee arthroplasty was performed.

RESULTS

We present the driving factors behind the development of robotic-assisted techniques in unicompartmental knee arthroplasty and the current state-of-the art. The ability of surgeons to achieve intraoperative targets with robotic assistance and the outcomes of robotic-assisted surgery are also described.

CONCLUSION

Robotic-assisted surgery has become increasingly popular in unicompartmental knee arthroplasty, as it allows surgeons to more accurately and reproducibly plan and achieve operative targets during surgery. Cost remains a concern, and it remains to be seen whether robotic-assisted surgery will improve long-term survivorship after unicompartmental knee arthroplasty.

摘要

背景

单髁膝关节置换术是一种治疗单间室膝关节骨关节炎的成功方法,与全膝关节置换术相比,其具有更低的并发症发生率、更快的康复速度和更自然的膝关节感觉。然而,长期生存率一直是一个持续存在的问题。随着更多与外科医生相关的变量与生存率相关联,机器人辅助手术的兴趣不断增长。

方法

对机器人辅助单髁膝关节置换术的相关文献进行了回顾和综合分析。

结果

我们介绍了机器人辅助技术在单髁膝关节置换术中发展的驱动因素以及当前的最新技术。我们还描述了外科医生使用机器人辅助技术实现术中目标的能力以及机器人辅助手术的结果。

结论

机器人辅助手术在单髁膝关节置换术中越来越受欢迎,因为它可以使外科医生更准确和可重复地规划和实现手术中的目标。成本仍然是一个问题,机器人辅助手术是否会提高单髁膝关节置换术后的长期生存率仍有待观察。

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