Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City, Mie, Japan.
Int J Med Robot. 2022 Dec;18(6):e2455. doi: 10.1002/rcs.2455. Epub 2022 Aug 24.
The purpose of this study was to compare component alignment using two-dimensional (2D) and three-dimensional (3D) measurements following total knee arthroplasty (TKA) with a new robotic system.
A total of 38 patients underwent TKA with the robotic system. Cutting errors were measured. Errors in 2D and 3D component alignments from the planned angle, validated cutting angle, and validated implantation angle were calculated. These errors were compared with 2D and 3D measurements.
Cutting errors were below 0.6°, except for femoral sagittal angle (1.0°). Errors in component alignment from the planned and cutting angles were significantly higher in 3D measurements than that in 2D measurements, in the femoral coronal and sagittal planes and tibial coronal planes. Errors in component alignments from implantation showed no differences between the measurements.
The accuracies of component alignment from the planned and cutting angles were better in 3D measurements.
本研究旨在比较使用新型机器人系统进行全膝关节置换术(TKA)后二维(2D)和三维(3D)测量的组件对线情况。
共有 38 例患者接受了机器人系统辅助的 TKA。测量截骨误差。计算从计划角度、验证截骨角度和验证植入角度的二维和三维组件对线的误差。将这些误差与二维和三维测量结果进行比较。
除股骨矢状角(1.0°)外,截骨误差均低于 0.6°。在股骨冠状面和矢状面以及胫骨冠状面,三维测量的组件对线从计划和截骨角度的误差明显高于二维测量的误差。组件对线从植入角度的误差在两种测量方法之间没有差异。
从计划和截骨角度的组件对线精度在三维测量中更好。