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机器人辅助翻修全膝关节置换术：一种新型手术技术。

Robotic-assisted revision total knee arthroplasty: a novel surgical technique.

作者信息

Ngim Hui-Ling Joanne, Van Bavel Dirk, De Steiger Richard, Tang Andrew W W

机构信息

Epworth Healthcare, Melbourne, 3121, Victoria, Australia.

出版信息

Arthroplasty. 2023 Jan 23;5(1):5. doi: 10.1186/s42836-022-00160-5.

DOI:10.1186/s42836-022-00160-5
PMID:36691107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9872350/
Abstract

BACKGROUND

Revision total knee arthroplasty is a challenging procedure. The robotic-assisted system has been shown to enhance the accuracy of preoperative planning and improve reproducibility in primary arthroplasty surgeries. The aim of this paper was to describe the surgical technique for robotic-assisted revision total knee arthroplasty and the potential benefits of this technique.

METHOD

This single-centre retrospective study included a total of 19 patients recruited from April 1, 2021 to April 30, 2022. Inclusion criteria were patients who had Mako™ robotic-assisted revision total knee arthroplasty done within the study period with a more than 6 months follow-up. Statistical analysis was done using Microsoft Excel 16.0.

RESULTS

All 19 patients were followed up for 6 to 18 months. All patients in this study had uneventful recoveries without needing any re-revision surgery when reviewed to date.

CONCLUSION

With the development of dedicated revision total knee software, robot-assisted revision TKA can be a promising technique that may improve surgical outcomes by increasing the accuracy of implant placement, and soft tissue protection and achieving a better well-balanced knee.

摘要

背景

全膝关节置换翻修手术是一项具有挑战性的手术。机器人辅助系统已被证明可提高初次关节置换手术中术前规划的准确性并改善可重复性。本文的目的是描述机器人辅助全膝关节置换翻修手术的手术技术以及该技术的潜在益处。

方法

这项单中心回顾性研究共纳入了2021年4月1日至2022年4月30日期间招募的19例患者。纳入标准为在研究期间接受Mako™机器人辅助全膝关节置换翻修手术且随访超过6个月的患者。使用Microsoft Excel 16.0进行统计分析。

结果

所有19例患者均随访了6至18个月。截至目前复查时，本研究中的所有患者均恢复顺利，无需任何再次翻修手术。

结论

随着专用全膝关节置换翻修软件的发展，机器人辅助全膝关节置换翻修术可能是一种有前景的技术，通过提高植入物放置的准确性、保护软组织并实现更好的膝关节平衡，可能改善手术效果。

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