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本文引用的文献

1
Minimal Clinically Important Difference in Robotic-Assisted Total Knee Arthroplasty Versus Standard Manual Total Knee Arthroplasty.机器人辅助全膝关节置换术与标准手动全膝关节置换术的最小临床重要差异。
J Arthroplasty. 2021 Jul;36(7S):S233-S241. doi: 10.1016/j.arth.2021.02.038. Epub 2021 Feb 18.
2
Can robot-assisted total knee arthroplasty be a cost-effective procedure? A Markov decision analysis.机器人辅助全膝关节置换术是否具有成本效益？一种马尔可夫决策分析。
Knee. 2021 Mar;29:345-352. doi: 10.1016/j.knee.2021.02.004. Epub 2021 Mar 6.
3
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.
4
A retrospective study comparing a single surgeon's experience on manual versus robot-assisted total hip arthroplasty after the learning curve of the latter procedure - A cohort study.一项回顾性研究比较了一位外科医生在经历机器人辅助全髋关节置换术学习曲线后的手动与机器人辅助全髋关节置换术经验 - 一项队列研究。
Int J Surg. 2020 May;77:174-180. doi: 10.1016/j.ijsu.2020.03.067. Epub 2020 Apr 4.
5
Clinical and Radiological Outcomes in Robotic-Assisted Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.机器人辅助全膝关节置换术的临床和放射学结果：系统评价和荟萃分析。
J Arthroplasty. 2020 Nov;35(11):3393-3409.e2. doi: 10.1016/j.arth.2020.03.005. Epub 2020 Mar 11.
6
The three-year survivorship of robotically assisted versus non-robotically assisted unicompartmental knee arthroplasty.机器人辅助与非机器人辅助单髁膝关节置换术的三年生存率。
Bone Joint J. 2020 Mar;102-B(3):319-328. doi: 10.1302/0301-620X.102B3.BJJ-2019-0713.R1.
7
The learning curve of robotic-arm assisted acetabular cup positioning during total hip arthroplasty.机器人辅助髋臼杯定位在全髋关节置换术中的学习曲线。
Hip Int. 2021 May;31(3):311-319. doi: 10.1177/1120700019889334. Epub 2019 Dec 15.
8
Computer assisted orthopaedic surgery: Past, present and future.计算机辅助骨科手术：过去、现在和未来。
Med Eng Phys. 2019 Oct;72:55-65. doi: 10.1016/j.medengphy.2019.08.005.
9
Does Robotic-assisted TKA Result in Better Outcome Scores or Long-Term Survivorship Than Conventional TKA? A Randomized, Controlled Trial.机器人辅助全膝关节置换术与传统全膝关节置换术相比，在结局评分或长期生存率方面是否更优？一项随机对照试验。
Clin Orthop Relat Res. 2020 Feb;478(2):266-275. doi: 10.1097/CORR.0000000000000916.
10
Improved mediolateral load distribution without adverse laxity pattern in robot-assisted knee arthroplasty compared to a standard manual measured resection technique.与标准的手动测量截骨技术相比，机器人辅助膝关节置换术可改善内外侧负荷分布，且无不良松弛模式。
Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2835-2845. doi: 10.1007/s00167-019-05631-y. Epub 2019 Jul 27.

[机器人辅助关节置换术——当下与未来的新兴技术]

[Robot-assisted joint arthroplasty-An emerging technology of the present and the future].

作者信息

Fu Jun, Ni Ming, Chen Jiying

机构信息

Senior Department of Orthopedics, the Fourth Medical Centre of Chinese PLA General Hospital, Beijing, 100048, P.R.China.

National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Beijing, 100853, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Oct 15;35(10):1217-1220. doi: 10.7507/1002-1892.202106086.

DOI:10.7507/1002-1892.202106086
PMID:34651471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8505951/
Abstract

OBJECTIVE

To review and evaluate the research progress of the robot-assisted joint arthroplasty.

METHODS

The domestic and foreign related research literature on robot-assisted joint arthroplasty was extensively consulted. The advantages, disadvantages, effectiveness, and future prospects were mainly reviewed and summarized.

RESULTS

The widely recognized advantages of robot-assisted joint arthroplasty are digital and intelligent preoperative planning, accurate intraoperative prosthesis implantation, and quantitative soft tissue balance, as well as good postoperative imaging prosthesis position and alignment. However, the advantages of effectiveness are still controversial. The main disadvantages of robot-assisted joint arthroplasty are the high price of the robot system, the prolonged operation time, and the increased radioactive damage of the imaging-dependent system.

CONCLUSION

Compared to traditional arthroplasty, robot-assisted joint arthroplasty can improve the accuracy of the prosthesis position and assist in the quantitative assessment of soft tissue tension, and the repeatability rate is high. In the future, further research is needed to evaluate the clinical function and survival rate of the prosthesis, as well as to optimize the robot system.

摘要

目的

回顾和评估机器人辅助关节置换术的研究进展。

方法

广泛查阅国内外关于机器人辅助关节置换术的相关研究文献。主要对其优缺点、有效性及未来前景进行回顾和总结。

结果

机器人辅助关节置换术被广泛认可的优点包括数字化和智能化的术前规划、术中假体植入准确、软组织平衡定量以及术后影像学显示假体位置和对线良好。然而，其有效性优势仍存在争议。机器人辅助关节置换术的主要缺点是机器人系统价格高昂、手术时间延长以及依赖成像系统导致放射性损伤增加。

结论

与传统关节置换术相比，机器人辅助关节置换术可提高假体位置的准确性，辅助软组织张力的定量评估，且重复率高。未来，需要进一步研究以评估假体的临床功能和生存率，并优化机器人系统。