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关节置换术中现代技术的现状和未来:德国矫形外科学会(DGOU)调查结果。

Status and future of modern technologies in arthroplasty : Results of a survey of the German Society for Orthopedics and Trauma Surgery (DGOU).

机构信息

AGITEC-Arbeitsgemeinschaft für intraoperative Bildgebung und Technologie Integration der DGOU, Berlin, Germany.

Klinik für Orthopädie, St. Vinzenz Krankenhaus Düsseldorf, Schloßstr. 85, 40477, Düsseldorf, Germany.

出版信息

Orthopadie (Heidelb). 2022 Sep;51(9):757-762. doi: 10.1007/s00132-022-04291-0. Epub 2022 Aug 19.

DOI:10.1007/s00132-022-04291-0
PMID:35984465
Abstract

BACKGROUND

The orthopedic community is divided on the question of whether modern technologies in arthroplasty improve outcomes. Therefore, the aim of this initiative of the working group on intraoperative imaging and technology integration (Arbeitsgemeinschaft intraoperative Bildgebung und Technologieintegration, AGiTEC) is to initiate the collection of additional data for the scientific evaluation of modern technologies.

QUESTION

To what extent are modern technologies currently used and which implementations are planned? Do the members of the German Society for Orthopedics and Trauma Surgery (DGOU) consider the acquisition of additional data for scientific assessment necessary?

METHODS

Members of the DGOU were asked via an e‑mail survey about the distribution and projected introduction of modern technologies in arthroplasty. They were also asked whether sufficient data were collected for scientific evaluation and whether acquisition of additional data in studies or arthroplasty registries were considered necessary.

RESULTS

Of the 7923 probands surveyed, 428 completed the questionnaire in full (5.4%). It was found that individual implants and navigation are currently the most frequently used (31% and 29%, respectively). The largest increases in the next 2 years are projected for virtual reality and robotics (+30% and +23%, respectively), 85% of respondents indicated that insufficient data were collected for scientific evaluation, and 89% each requested initiation of multicenter studies and inclusion of technologies in the arthroplasty registry.

CONCLUSION

The results of this study should motivate the scientific community, industry, and those responsible for the arthroplasty registries to collect and analyze data for the scientific assessment of modern technologies.

摘要

背景

矫形外科学界对于现代关节置换技术是否能改善治疗效果存在分歧。因此,工作组“术中影像与技术整合(Arbeitsgemeinschaft intraoperative Bildgebung und Technologieintegration,AGiTEC)”旨在发起额外数据的收集,以对现代技术进行科学评估。

问题

目前现代技术的使用程度如何,计划引入哪些技术?德国矫形外科学会(Deutsche Gesellschaft für Orthopädie und Unfallchirurgie,DGOU)的成员是否认为有必要获取额外数据以进行科学评估?

方法

通过电子邮件调查,向 DGOU 成员询问了在关节置换术中现代技术的分布和计划引入情况。他们还被问到是否为科学评估收集了足够的数据,以及在研究或关节置换登记处获取额外数据是否被认为是必要的。

结果

在调查的 7923 名受访者中,有 428 人完整填写了问卷(5.4%)。结果发现,个别植入物和导航目前使用最频繁(分别为 31%和 29%)。预计未来 2 年内虚拟现实和机器人技术的应用将大幅增加(分别为+30%和+23%),85%的受访者表示,为科学评估收集的数据不足,89%的受访者都要求开展多中心研究,并将技术纳入关节置换登记处。

结论

本研究的结果应激励科学界、行业以及关节置换登记处的相关人员收集和分析数据,以对现代技术进行科学评估。

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