Bautista Maria, Manrique Jorge, Hozack William J
Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, School of Medicine, Universidad del Rosario, Bogota, Colombia.
Rothman Institute, Department of Orthopedic surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
J Knee Surg. 2019 Jul;32(7):600-606. doi: 10.1055/s-0039-1681053. Epub 2019 Mar 1.
Total knee arthroplasty (TKA) is a highly successful operation that improves patients' quality of life and functionality. Yet, up to 20% of TKA patients remain unsatisfied with their clinical result. Robotic TKA has gained increased attention and popularity as a means of improving patient satisfaction. The promise of robotic-assisted TKA is that it provides a surgeon with a tool that accurately executes bone cuts according to presurgical planning, as well as provides the surgeon with intraoperative feedback helpful for restoring knee kinematics and soft tissue balance. Several systems are now available, each with their own advantages and disadvantages. Evidence that the use of robotics will lead to improved implant survival, function, and patient-reported outcomes is slowly being accumulated, but this has not been clearly proven to date. Recent literature does show that the use of robotics during TKA is not associated with increased surgical time or complications. The goal of this review is to provide an objective assessment of the evidence surrounding robotic technology for TKA.
全膝关节置换术（TKA）是一种非常成功的手术，可提高患者的生活质量和功能。然而，高达20%的TKA患者对其临床结果仍不满意。机器人辅助全膝关节置换术作为提高患者满意度的一种手段，已越来越受到关注和欢迎。机器人辅助全膝关节置换术的前景在于，它为外科医生提供了一种工具，可根据术前规划精确执行截骨操作，并为外科医生提供有助于恢复膝关节运动学和软组织平衡的术中反馈。现在有几种系统可供使用，每种系统都有其自身的优缺点。使用机器人技术将提高植入物存活率、功能以及患者报告结局的证据正在慢慢积累，但迄今为止尚未得到明确证实。最近的文献确实表明，在TKA手术中使用机器人技术与手术时间增加或并发症增多无关。本综述的目的是对围绕机器人辅助全膝关节置换术技术的证据进行客观评估。
