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全髋关节置换术中的机器人技术:发展历程、应用及证据基础综述

Robotics in total hip arthroplasty: a review of the evolution, application and evidence base.

作者信息

St Mart Jean-Pierre, Goh En Lin, Shah Zameer

机构信息

Department of Trauma and Orthopaedics, King's College Hospital, London, UK.

Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

出版信息

EFORT Open Rev. 2020 Dec 4;5(12):866-873. doi: 10.1302/2058-5241.5.200037. eCollection 2020 Dec.

DOI:10.1302/2058-5241.5.200037
PMID:33425375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7784137/
Abstract

Robotic systems used in orthopaedics have evolved from active systems to semi-active systems.Early active systems were associated with significant technical and surgical complications, which limited their clinical use.The new semi-active system Mako has demonstrated promise in overcoming these limitations, with positive early outcomes.There remains a paucity of data regarding long-term outcomes associated with newer systems such as Mako and TSolution One, which will be important in assessing the applicability of these systems.Given the already high satisfaction rate of manual THA, further high-quality comparative studies are required utilizing outcome scores that are not limited by high ceiling effects to assess whether robotic systems justify their additional expense. Cite this article: 2020;5:866-873. DOI: 10.1302/2058-5241.5.200037.

摘要

骨科中使用的机器人系统已从主动系统发展到半主动系统。早期的主动系统伴随着重大的技术和手术并发症,这限制了它们的临床应用。新型半主动系统Mako已显示出克服这些局限性的前景,早期结果良好。关于Mako和TSolution One等更新系统的长期结果的数据仍然很少,这对于评估这些系统的适用性很重要。鉴于人工全髋关节置换术(THA)的满意度已经很高,需要进一步开展高质量的比较研究,利用不受高天花板效应限制的结果评分来评估机器人系统是否值得额外的费用。引用本文:2020;5:866 - 873。DOI:10.1302/2058 - 5241.5.200037。

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