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全髋关节置换术的进展与创新

Advances and innovations in total hip arthroplasty.

作者信息

Fontalis Andreas, Epinette Jean-Alain, Thaler Martin, Zagra Luigi, Khanduja Vikas, Haddad Fares S

机构信息

Department of Trauma and Orthopaedic Surgery, University College London Hospitals, London NW1 2BU, UK.

Center for Research and Documentation in Arthroplasty, Lille, France.

出版信息

SICOT J. 2021;7:26. doi: 10.1051/sicotj/2021025. Epub 2021 Apr 12.

DOI:10.1051/sicotj/2021025
PMID:33843582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8040589/
Abstract

Total hip arthroplasty (THA) has been quoted as one of the most successful and cost-effective procedures in Orthopaedics. The last decade has seen an exponential rise in the number of THAs performed globally and a sharp increase in the percentage of young patients hoping to improve their quality of life and return to physically demanding activities. Hence, it is imperative to review the various applications of technology in total hip arthroplasty for improving outcomes. The development of state-of-the-art robotic technology has enabled more reproducible and accurate acetabular positioning, while long-term data are needed to assess its cost-effectiveness. This opinion piece aims to outline and present the advances and innovations in total hip arthroplasty, from virtual reality and three-dimensional printing to patient-specific instrumentation and dual mobility bearings. This illustrates and reflects the debate that will be at the centre of hip surgery for the next decade.

摘要

全髋关节置换术(THA)被认为是骨科领域最成功且最具成本效益的手术之一。在过去十年中,全球范围内进行的全髋关节置换术数量呈指数级增长,希望改善生活质量并恢复高强度体力活动的年轻患者比例也大幅增加。因此,审视技术在全髋关节置换术中的各种应用以改善手术效果势在必行。先进机器人技术的发展使得髋臼定位更加可重复且精确,不过仍需要长期数据来评估其成本效益。这篇观点文章旨在概述并介绍全髋关节置换术的进展与创新,从虚拟现实和三维打印到定制化器械以及双动轴承。这阐明并反映了未来十年髋关节手术核心的争论焦点。

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Advances and innovations in total hip arthroplasty.全髋关节置换术的进展与创新
SICOT J. 2021;7:26. doi: 10.1051/sicotj/2021025. Epub 2021 Apr 12.
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本文引用的文献

1
Femoral Revision Total Hip Arthroplasty Performed through the Interval of the Direct Anterior Approach.经直接前路间隙行股骨翻修全髋关节置换术。
J Clin Med. 2021 Jan 18;10(2):337. doi: 10.3390/jcm10020337.
2
A prospective randomized controlled trial comparing the systemic inflammatory response in conventional jig-based total knee arthroplasty versus robotic-arm assisted total knee arthroplasty.一项比较常规夹具辅助全膝关节置换术与机器人辅助全膝关节置换术患者全身炎症反应的前瞻性随机对照研究。
Bone Joint J. 2021 Jan;103-B(1):113-122. doi: 10.1302/0301-620X.103B1.BJJ-2020-0602.R2.
3
Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents: A Randomized Clinical Trial.沉浸式虚拟现实对高级外科住院医师骨科手术技能和知识获取的影响:一项随机临床试验。
JAMA Netw Open. 2020 Dec 1;3(12):e2031217. doi: 10.1001/jamanetworkopen.2020.31217.
4
Return to Sports After Total Hip Arthroplasty: A Survey Among Members of the European Hip Society.全髋关节置换术后重返运动:欧洲髋关节协会会员调查。
J Arthroplasty. 2021 May;36(5):1645-1654. doi: 10.1016/j.arth.2020.11.009. Epub 2020 Nov 11.
5
Current concepts in robotic total hip arthroplasty.机器人全髋关节置换术的当前概念
SICOT J. 2020;6:45. doi: 10.1051/sicotj/2020041. Epub 2020 Nov 27.
6
Global diversity in bearings in primary THA.初次全髋关节置换术中假体的全球多样性。
EFORT Open Rev. 2020 Oct 26;5(10):763-775. doi: 10.1302/2058-5241.5.200002. eCollection 2020 Oct.
7
Robotic arm-assisted bi-unicompartmental knee arthroplasty maintains natural knee joint anatomy compared with total knee arthroplasty: a prospective randomized controlled trial.机器人辅助双间室膝关节置换术与全膝关节置换术相比,能更好地维持膝关节的解剖结构:一项前瞻性随机对照试验。
Bone Joint J. 2020 Nov;102-B(11):1511-1518. doi: 10.1302/0301-620X.102B11.BJJ-2020-1166.R1.
8
Comparison of the clinical effects of computer-assisted and traditional techniques in bilateral total knee arthroplasty: A meta-analysis of randomized controlled trials.计算机辅助与传统技术在双侧全膝关节置换术中的临床效果比较:随机对照试验的荟萃分析。
PLoS One. 2020 Sep 25;15(9):e0239341. doi: 10.1371/journal.pone.0239341. eCollection 2020.
9
A cost-effectiveness assessment of dual-mobility bearings in revision hip arthroplasty.双动式关节在髋关节翻修术中的成本效果评估。
Bone Joint J. 2020 Sep;102-B(9):1128-1135. doi: 10.1302/0301-620X.102B9.BJJ-2019-1742.R1.
10
Three-dimensional printing in orthopaedic surgery: a scoping review.骨科手术中的三维打印:一项范围综述。
EFORT Open Rev. 2020 Aug 1;5(7):430-441. doi: 10.1302/2058-5241.5.190024. eCollection 2020 Jul.