Kalavrytinos Dimitrios, Koutserimpas Christos, Kalavrytinos Ioannis, Dretakis Konstantinos
Department of Health Sciences, University of Patras, Greece.
2nd Department of Orthopaedics, "Hygeia" General Hospital of Athens, Greece.
Case Rep Orthop. 2020 Feb 12;2020:4806987. doi: 10.1155/2020/4806987. eCollection 2020.
Robotic arm-assisted arthroplasty was introduced in 2006 and has expanded its applications into unicompartmental knee, total knee, and total hip replacement. The first case of a revision surgery from conventional unicompartmental to total knee arthroplasty with the utilization of the robotic arm-assisted MAKO system is presented. An 87-year-old female presented with deteriorating left knee pain due to failure of medial unicompartmental knee arthroplasty at the outpatient clinic. The patient was advised to undergo revision surgery. Through medial parapatellar arthrotomy, the joint was exposed. With the use of the MAKO system, the estimated depth of the medial plateau according to CT planning was found to be 10 mm more distal than the lateral. The resection line of the remaining plateau was placed deliberately 2 mm more distal in order to achieve satisfactory replacement of the bony gap of the medial tibial condyle by a 10 mm augment. The patient had an uneventful recovery. A plethora of additional applications in the future, such as total shoulder or reverse total shoulder arthroplasty, megaprosthesis placement in oncological patients, and total hip or knee revision surgeries, may improve patient-related outcomes.
机器人手臂辅助关节成形术于2006年引入，其应用已扩展到单髁膝关节置换、全膝关节置换和全髋关节置换。本文介绍了首例利用机器人手臂辅助MAKO系统从传统单髁膝关节置换翻修为全膝关节置换的手术病例。一名87岁女性因门诊单髁膝关节内侧置换失败，出现左膝疼痛加剧。建议该患者接受翻修手术。通过内侧髌旁关节切开术暴露关节。使用MAKO系统时，根据CT规划，发现内侧平台的估计深度比外侧远10毫米。为了通过10毫米的垫块令人满意地替代内侧胫骨髁的骨间隙，将剩余平台的切除线故意再向远侧放置2毫米。患者恢复顺利。未来大量的其他应用，如全肩关节或反式全肩关节置换、肿瘤患者的大假体植入以及全髋关节或膝关节翻修手术，可能会改善患者相关的治疗效果。
