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机器人辅助全髋关节置换术的发展综述。

A review of the evolution of robotic-assisted total hip arthroplasty.

作者信息

Subramanian Padmanabhan, Wainwright Tom W, Bahadori Shayan, Middleton Robert G

机构信息

1 The Royal Free Trust, UK.

2 Trauma and Orthopaedics, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK.

出版信息

Hip Int. 2019 May;29(3):232-238. doi: 10.1177/1120700019828286.

Abstract

INTRODUCTION

Total hip arthroplasty (THA) is currently a very successful operation but continues to evolve as we try to perfect techniques and improve outcomes for our patients. Robotic hip surgery (RHS) began with the 'active' ROBODOC system in the 1980s. There were drawbacks associated with the original ROBODOC and most recently, the MAKO robot was introduced with early promising results.

AIM

The aim of this paper is to provide an up-to-date review surrounding this area and discuss the pros and cons of this technique.

METHODS

A literature review searching Medline, Embase, Ovidsp, Cochrane library, pubmed database and google scholar was performed searching keywords including: 'Robotic hip surgery', 'Robotic orthopaedic surgery', 'Computer assisted hip surgery', 'robotic arthroplasty', and 'computer assisted orthopaedic surgery'.

CONCLUSION

Robotic hip surgery aims to tackle the limitations of the human factor in surgery by promising reproducible and reliable methods of component positioning in arthroplasty surgery. However, as orthopaedic surgeons, we must critically appraise all new technology and support the use providing there is sound robust evidence backing it.

摘要

引言

全髋关节置换术(THA)目前是一项非常成功的手术,但随着我们努力完善技术并改善患者的治疗效果,该手术仍在不断发展。机器人髋关节手术(RHS)始于20世纪80年代的“主动式”ROBODOC系统。原始的ROBODOC存在一些缺点,最近,MAKO机器人被引入,早期取得了令人鼓舞的结果。

目的

本文的目的是提供有关该领域的最新综述,并讨论该技术的优缺点。

方法

进行文献综述,检索了Medline、Embase、Ovidsp、Cochrane图书馆、pubmed数据库和谷歌学术,检索关键词包括:“机器人髋关节手术”、“机器人骨科手术”、“计算机辅助髋关节手术”、“机器人关节成形术”和“计算机辅助骨科手术”。

结论

机器人髋关节手术旨在通过在关节置换手术中提供可重复且可靠的假体定位方法来解决手术中人为因素的局限性。然而,作为骨科医生,我们必须严格评估所有新技术,并在有充分有力证据支持的情况下支持其使用。

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