使用两个半自主机器人系统进行单髁膝关节置换术时医源性并发症发生率较低。
Low rate of iatrogenic complications during unicompartmental knee arthroplasty with two semiautonomous robotic systems.
作者信息
Lonner Jess H, Kerr Glenn J
机构信息
Rothman Orthopaedic Institute, Sidney Kimmel Medical College at Thomas Jefferson University, 925 Chestnut St., Philadelphia, PA 19107, United States of America.
OrthoVirginia, St. Francis Medical Center, Bon Secours, 13710 St. Francis Blvd, Midlothian, VA 23114, United States of America.
出版信息
Knee. 2019 Jun;26(3):745-749. doi: 10.1016/j.knee.2019.02.005. Epub 2019 Mar 19.
BACKGROUND
Intraoperative complications due to utilization of robotic assistance during unicompartmental knee arthroplasty have not been reported. While inadvertent soft tissue injury has been reported during total knee and hip arthroplasty with autonomous style robotic systems, the incidence of these problems with semiautonomous (i.e. surgeon-driven) systems is unknown.
METHODS
We report on a series of 1064 consecutive unicompartmental knee arthroplasties performed by one surgeon with either one of two commercially available semiautonomous robotic systems.
RESULTS
There were no soft tissue, bone injuries or other complications related to the use of the robotic bone preparation method. Six complications related to the use of standard computer navigation pins occurred (0.6%) - one pseudoaneurysm of a branch of the tibialis anterior artery, one tibial metaphyseal stress fracture, and four areas of pin site irritation/superficial infection that resolved with a short course of oral antibiotics.
CONCLUSION
Current semiautonomous robotic methods are safe, with few complications using meticulous surgical techniques.
背景
单髁膝关节置换术中使用机器人辅助导致的术中并发症尚未见报道。虽然在全膝关节和髋关节置换术中使用自主式机器人系统时曾有意外软组织损伤的报道，但半自主（即由外科医生驱动）系统出现这些问题的发生率尚不清楚。
方法
我们报告了由一名外科医生使用两种市售半自主机器人系统之一连续进行的1064例单髁膝关节置换术。
结果
未发生与使用机器人骨准备方法相关的软组织、骨损伤或其他并发症。发生了6例与使用标准计算机导航针相关的并发症（0.6%）——1例胫前动脉分支假性动脉瘤、1例胫骨干骺端应力性骨折，以及4处针道刺激/浅表感染区域，经短期口服抗生素治疗后痊愈。
结论
目前的半自主机器人方法是安全的，采用精细的手术技术时并发症很少。
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