全膝关节置换术中机器人技术的现状
The current state of robotics in total knee arthroplasty.
作者信息
St Mart Jean-Pierre, Goh En Lin
机构信息
Department of Trauma and Orthopaedics, King's College Hospital, London, UK.
Oxford University Clinical Academic Graduate School, Medical Sciences Division, University of Oxford, Oxford, UK.
出版信息
EFORT Open Rev. 2021 Apr 1;6(4):270-279. doi: 10.1302/2058-5241.6.200052. eCollection 2021 Apr.
Abstract
Robotic total knee arthroplasty (TKA) has demonstrated improved component positioning and a reduction of alignment outliers with regard to pre-operative planning.Early robotic TKA technologies were mainly active systems associated with significant technical and surgical complications.Current robotic TKA systems are predominantly semi-active with additional haptic feedback which minimizes iatrogenic soft tissue injury compared to conventional arthroplasty and older systems.Semi-active systems demonstrate advantages in terms of early functional recovery and hospital discharge compared to conventional arthroplasty.Limitations with current robotic technology include high upfront costs, learning curves and lack of long-term outcomes.The short-term gains and greater technical reliability associated with current systems may justify the ongoing investment in robotic technology.Further long-term data are required to fully ascertain the cost-effectiveness of newer robotic systems. Cite this article: 2021;6:270-279. DOI: 10.1302/2058-5241.6.200052.
摘要
机器人全膝关节置换术（TKA）已证明在组件定位方面有所改善，并且在术前规划方面减少了对线异常情况。早期的机器人TKA技术主要是主动系统，伴有重大的技术和手术并发症。当前的机器人TKA系统主要是半主动系统，并具有额外的触觉反馈，与传统关节置换术和旧系统相比，可最大程度减少医源性软组织损伤。与传统关节置换术相比，半主动系统在早期功能恢复和出院方面具有优势。当前机器人技术的局限性包括前期成本高、学习曲线以及缺乏长期结果。当前系统相关的短期收益和更高的技术可靠性可能证明对机器人技术的持续投资是合理的。需要更多长期数据来全面确定新型机器人系统的成本效益。引用本文：2021；6：270 - 279。DOI：10.1302/2058 - 5241.6.200052。
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