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.

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.

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。