• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

翻修伴有严重髋臼缺陷的全髋关节置换术：机器人辅助技术的初步探索和尝试。

Revision Total Hip Arthroplasty with Severe Acetabular Defect: A Preliminary Exploration and Attempt of Robotic-Assisted Technology.

机构信息

Medical school of Chinese PLA, Beijing, China.

Senior Department of Orthopedics, The Forth Medical Center of Chinese PLA General Hospital, Beijing, China.

出版信息

Orthop Surg. 2022 Aug;14(8):1912-1917. doi: 10.1111/os.13368. Epub 2022 Jul 6.

DOI:10.1111/os.13368
PMID:35794826
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9363716/
Abstract

BACKGROUND

Robotic-assisted technology may be useful in hip revision cases with acetabular defects. However, data on the use of robotic-assisted technology for such complex diseases is lacking.

CASE PRESENTATION

This case study described the adoption of MAKO robotic-assisted treatment of revision total hip arthroplasty (THA) combined with severe acetabular defect (Paprosky type IIIB). Robotic-assisted technology accurately achieved preoperative planning; the acetabular component and augment were placed in the original position and angle as planned. Robotic-assisted acetabular reaming was successful in a single pass, preserving the remaining acetabular bone mass very well with no procedure-related complications. The Harris Hip Score (HHS) at 6 months postoperatively was 84 and the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index was 24.

CONCLUSION

Robotic-assisted technology can help in the accurate reconstruction of acetabular defect in complex hip revision surgery.

摘要

背景

机器人辅助技术在髋臼缺损的髋关节翻修病例中可能有用。然而，对于此类复杂疾病使用机器人辅助技术的数据尚缺乏。

病例介绍

本病例研究描述了采用 MAKO 机器人辅助治疗翻修全髋关节置换术（THA）合并严重髋臼缺损（Paprosky ⅢB 型）。机器人辅助技术准确地实现了术前规划；髋臼组件和加强物按照计划放置在原始位置和角度。机器人辅助髋臼扩孔一次成功，很好地保留了剩余的髋臼骨量，没有与手术相关的并发症。术后 6 个月的 Harris 髋关节评分（HHS）为 84，西安大略和麦克马斯特大学（WOMAC）骨关节炎指数为 24。

结论

机器人辅助技术可有助于在复杂髋关节翻修手术中准确重建髋臼缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/2d68d4fa293a/OS-14-1912-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/f0026758f352/OS-14-1912-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/f68f29410994/OS-14-1912-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/aba99ca1376c/OS-14-1912-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/2d68d4fa293a/OS-14-1912-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/f0026758f352/OS-14-1912-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/f68f29410994/OS-14-1912-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/aba99ca1376c/OS-14-1912-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9363716/2d68d4fa293a/OS-14-1912-g001.jpg

相似文献

1
Revision Total Hip Arthroplasty with Severe Acetabular Defect: A Preliminary Exploration and Attempt of Robotic-Assisted Technology.翻修伴有严重髋臼缺陷的全髋关节置换术：机器人辅助技术的初步探索和尝试。
Orthop Surg. 2022 Aug;14(8):1912-1917. doi: 10.1111/os.13368. Epub 2022 Jul 6.
2
Does acetabular robotic-assisted total hip arthroplasty with femoral navigation improve clinical outcomes at 1-year post-operative? A case-matched propensity score study comparing 98 robotic-assisted versus 98 manual implantation hip arthroplasties.采用股骨导航的髋臼机器人辅助全髋关节置换术在术后1年时能否改善临床疗效？一项病例匹配倾向评分研究，比较98例机器人辅助与98例人工植入髋关节置换术。
Orthop Traumatol Surg Res. 2023 Feb;109(1):103477. doi: 10.1016/j.otsr.2022.103477. Epub 2022 Nov 11.
3
[Outcomes of Revisions of the Acetabular Component of THA with Paprosky Type 3a and 3b Defects Using Tantalum Trabecular Metal Implants 2-10 Years Postoperatively].[使用钽小梁金属植入物对全髋关节置换术髋臼组件进行翻修的疗效：Paprosky 3a和3b型缺损术后2至10年随访结果]
Acta Chir Orthop Traumatol Cech. 2020;87(6):387-395.
4
Three-dimensional technology assisted trabecular metal cup and augments positioning in revision total hip arthroplasty with complex acetabular defects.三维技术辅助的小梁金属杯和增材在复杂髋臼缺损的翻修全髋关节置换术中的定位。
J Orthop Surg Res. 2019 Dec 11;14(1):431. doi: 10.1186/s13018-019-1478-1.
5
Extended Fixation for Paprosky Type III Acetabular Defects in Revision Total Hip Arthroplasty with a Minimum Follow-Up of 2 Years.翻修全髋关节置换术中 Paprosky Ⅲ型髋臼缺损的延长固定：至少 2 年的随访结果。
Orthop Surg. 2023 Jan;15(1):205-213. doi: 10.1111/os.13577. Epub 2022 Nov 23.
6
[Learning curve and short-term clinical outcomes of Mako robotic-assisted direct anterior approach total hip arthroplasty].[Mako机器人辅助直接前路全髋关节置换术的学习曲线及短期临床疗效]
Zhonghua Yi Xue Za Zhi. 2022 Jan 4;102(1):49-55. doi: 10.3760/cma.j.cn112137-20210806-01754.
7
Robotic-assisted versus manual total hip arthroplasty in obese patients: a retrospective case-control study.机器人辅助与手动全髋关节置换术在肥胖患者中的比较：一项回顾性病例对照研究。
J Orthop Surg Res. 2022 Jul 30;17(1):368. doi: 10.1186/s13018-022-03263-6.
8
The augment-and-modular-cage revision system for reconstruction of severe acetabular defects-two-year clinical and radiographic results.增强型模块化笼重建系统治疗严重髋臼缺损：两年临床和影像学结果。
Int Orthop. 2019 Oct;43(10):2269-2278. doi: 10.1007/s00264-018-4271-6. Epub 2018 Dec 11.
9
The mid-long term results of reconstructional cage and morselized allografts combined application for the Paprosky type III acetabular bone defects in revision hip arthroplasty.翻修髋关节置换术中重建性骨笼和颗粒同种异体移植物联合应用治疗 Paprosky Ⅲ型髋臼骨缺损的中远期疗效。
BMC Musculoskelet Disord. 2019 Nov 7;20(1):517. doi: 10.1186/s12891-019-2915-3.
10
Acetabular defect reconstruction in revision hip arthroplasty with a modular revision system and biological defect augmentation.采用模块化翻修系统及生物性缺损增强技术进行髋关节翻修术中髋臼缺损的重建。
Int Orthop. 2015 Apr;39(4):623-30. doi: 10.1007/s00264-014-2533-5. Epub 2014 Oct 4.

引用本文的文献

1
The future of robotic surgery in joint arthroplasty : Current platforms, emerging technologies and outlook for 2035.关节置换术中机器人手术的未来：当前平台、新兴技术及2035年展望
Orthopadie (Heidelb). 2025 Aug 21. doi: 10.1007/s00132-025-04695-8.
2
Robotic-assisted hip and knee revision arthroplasty: A scoping review.机器人辅助髋关节和膝关节翻修置换术：一项范围综述。
J Exp Orthop. 2025 May 26;12(2):e70285. doi: 10.1002/jeo2.70285. eCollection 2025 Apr.
3
The Use of the Robotic Arm-Assisted System (MAKO) for Hip Revision Surgery.机器人手臂辅助系统（MAKO）在髋关节翻修手术中的应用。

本文引用的文献

1
Long-term results of combined porous tantalum augments and titanium-coated cups for Paprosky type III bone defects in acetabular revision.组合多孔钽增强与钛涂层杯治疗髋臼翻修中 Paprosky Ⅲ型骨缺损的长期结果。
Int Orthop. 2021 Jul;45(7):1699-1706. doi: 10.1007/s00264-021-05075-5. Epub 2021 May 21.
2
Robotics in total hip arthroplasty: a review of the evolution, application and evidence base.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
EFORT Open Rev. 2020 Dec 4;5(12):866-873. doi: 10.1302/2058-5241.5.200037. eCollection 2020 Dec.
3
Errors in femoral anteversion, femoral offset, and vertical offset following robot-assisted total hip arthroplasty.
Arch Bone Jt Surg. 2024;12(8):608-611. doi: 10.22038/ABJS.2024.77543.3582.
4
A systematic review on the cost-effectiveness of the computer-assisted orthopedic system.计算机辅助骨科系统成本效益的系统评价。
Health Care Sci. 2022 Nov 2;1(3):173-185. doi: 10.1002/hcs2.23. eCollection 2022 Dec.
5
Robot-assisted orthopedic surgeries around shoulder joint: where we are?肩关节周围的机器人辅助骨科手术：我们目前的进展如何？
Biomed Eng Lett. 2023 Oct 17;13(4):553-559. doi: 10.1007/s13534-023-00324-5. eCollection 2023 Nov.
6
Revision Total Hip Arthroplasty Utilizing an Acetabular Reinforcement Ring with a Metal Augment: A Minimum Eight-Year Follow-Up Study.髋臼加强环结合金属补片的全髋关节翻修术：一项至少 8 年的随访研究。
Medicina (Kaunas). 2023 May 27;59(6):1036. doi: 10.3390/medicina59061036.
7
Robotic-assisted revision total joint arthroplasty: a state-of-the-art scoping review.机器人辅助翻修全关节置换术：一项最新的范围综述
EFORT Open Rev. 2023 Jan 27;8(1):18-25. doi: 10.1530/EOR-22-0105.
机器人辅助全髋关节置换术后股骨前倾角、股骨偏心距和垂直偏心距的误差。
Int J Med Robot. 2020 Aug;16(4):e2104. doi: 10.1002/rcs.2104. Epub 2020 Apr 1.
4
Current topics in robotic-assisted total hip arthroplasty: a review.机器人辅助全髋关节置换术的当前主题：综述
Hip Int. 2020 Mar;30(2):118-124. doi: 10.1177/1120700019893636. Epub 2019 Dec 23.
5
Efficacy of Computed Tomography-Based Navigation for Cup Placement in Revision Total Hip Arthroplasty.基于 CT 的导航在翻修全髋关节置换术中髋臼杯放置中的疗效。
Clin Orthop Surg. 2019 Mar;11(1):43-51. doi: 10.4055/cios.2019.11.1.43. Epub 2019 Feb 18.
6
[Classification and reconstruction of acetabular defects in revision total hip arthroplasty].[翻修全髋关节置换术中髋臼缺损的分类与重建]
Zhongguo Gu Shang. 2018 Sep 25;31(9):874-879. doi: 10.3969/j.issn.1003-0034.2018.09.019.
7
Robot-assisted total hip arthroplasty: Clinical outcomes and complication rate.机器人辅助全髋关节置换术：临床结果与并发症发生率
Int J Med Robot. 2018 Aug;14(4):e1912. doi: 10.1002/rcs.1912. Epub 2018 May 15.
8
Acetabular bone defects in THA revision: Reconstruction using morsellised virus-inactivated bone allograft and reinforcement ring. Seven-year outcomes in 95 patients.髋关节翻修术中的髋臼骨缺损：使用微粒化病毒灭活骨同种异体移植物和加强环进行重建。95 例患者的 7 年结果。
Orthop Traumatol Surg Res. 2017 Jun;103(4):543-548. doi: 10.1016/j.otsr.2017.03.008. Epub 2017 Mar 30.
9
Revision Total Hip Arthroplasty Using Imageless Navigation With the Concept of Combined Anteversion.采用联合前倾概念的无图像导航进行全髋关节置换翻修术
J Arthroplasty. 2017 May;32(5):1576-1580. doi: 10.1016/j.arth.2016.12.030. Epub 2016 Dec 27.
10
Adoption of Robotic vs Fluoroscopic Guidance in Total Hip Arthroplasty: Is Acetabular Positioning Improved in the Learning Curve?全髋关节置换术中机器人引导与透视引导的应用：在学习曲线中髋臼位置是否得到改善？
J Arthroplasty. 2017 Jan;32(1):125-130. doi: 10.1016/j.arth.2016.06.039. Epub 2016 Jun 29.