Department of Orthopedic Surgery, McGovern Medical School, UTHealth-Houston, 5420 West Loop South, Suite 1300, Houston, TX 77401, USA.
Department of Orthopedic Surgery, McGovern Medical School, UTHealth-Houston, 5420 West Loop South, Suite 1300, Houston, TX 77401, USA.
Orthop Clin North Am. 2021 Apr;52(2):83-92. doi: 10.1016/j.ocl.2020.12.001. Epub 2021 Feb 10.
The success of total knee arthroplasty (TKA) depends on restoration of the stability and biomechanical efficiency of the native knee. The emergence of robotic surgical technologies has greatly increased the precision and reproducibility. We discuss contemporary robotic TKA systems by reviewing the features of the individual platforms, their accuracy, and the clinical outcomes. While early results suggest significant gains in patient outcomes, long-term evidence is still awaited from multicenter prospective clinical trials. Moreover, advances in this technology are needed to address knee laxity while individualizing the functional performance of each patient's new joint.
全膝关节置换术 (TKA) 的成功取决于恢复膝关节的稳定性和生物力学效率。机器人手术技术的出现极大地提高了手术的精度和可重复性。我们通过回顾各个平台的特点、准确性和临床结果来讨论当代的机器人 TKA 系统。虽然早期结果表明患者的治疗效果显著改善,但仍需要多中心前瞻性临床试验提供长期证据。此外,需要在解决膝关节松弛的同时,根据每位患者新关节的功能表现进行个体化治疗,以推进该技术的发展。