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机器人技术在全髋关节置换术中的当前作用。

The current role of robotics in total hip arthroplasty.

作者信息

Kayani Babar, Konan Sujith, Ayuob Atif, Ayyad Salamah, Haddad Fares S

机构信息

University College London Hospital, London, UK.

出版信息

EFORT Open Rev. 2019 Nov 1;4(11):618-625. doi: 10.1302/2058-5241.4.180088. eCollection 2019 Nov.

DOI:10.1302/2058-5241.4.180088
PMID:31754468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6851528/
Abstract

Robotic total hip arthroplasty (THA) improves accuracy in achieving the planned acetabular cup positioning compared to conventional manual THA.Robotic THA improves precision and reduces outliers in restoring the planned centre of hip rotation compared to conventional manual THA.Improved accuracy in restoring hip biomechanics and acetabular cup positioning in robotic THA have not translated to any differences in early functional outcomes, correction of leg-length discrepancy, or postoperative complications compared to conventional manual THA.Limitations of robotic THA include substantive installation costs, additional radiation exposure, steep learning curves for gaining surgical proficiency, and compatibility of the robotic technology with a limited number of implant designs.Further higher quality studies are required to compare differences in conventional versus robotic THA in relation to long-term functional outcomes, implant survivorship, time to revision surgery, and cost-effectiveness. Cite this article: 2019;4:618-625. DOI: 10.1302/2058-5241.4.180088.

摘要

与传统人工全髋关节置换术（THA）相比，机器人辅助全髋关节置换术在实现计划的髋臼杯定位方面提高了准确性。与传统人工THA相比，机器人辅助THA在恢复计划的髋关节旋转中心方面提高了精度并减少了偏差。与传统人工THA相比，机器人辅助THA在恢复髋关节生物力学和髋臼杯定位方面提高的准确性并未转化为早期功能结果、腿长差异矫正或术后并发症方面的任何差异。机器人辅助THA的局限性包括大量的安装成本、额外的辐射暴露、获得手术熟练程度的陡峭学习曲线以及机器人技术与有限数量植入物设计的兼容性。需要进一步的高质量研究来比较传统THA与机器人辅助THA在长期功能结果、植入物生存率、翻修手术时间和成本效益方面的差异。引用本文：2019；4：618 - 625。DOI：10.1302/2058 - 5241.4.180088。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/a5c2534b0dcf/eor-4-618-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/5555b1903afa/eor-4-618-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/a5c2534b0dcf/eor-4-618-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/5555b1903afa/eor-4-618-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/34fe83832b76/eor-4-618-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/6851528/d581a588f926/eor-4-618-g003.jpg
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