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无图像引导机器人辅助全膝关节置换术的手术准确性和临床结果。

Surgical accuracy and clinical outcomes of image-free robotic-assisted total knee arthroplasty.

机构信息

Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Hong Kong, Hong Kong.

Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Int J Med Robot. 2023 Jun;19(3):e2505. doi: 10.1002/rcs.2505. Epub 2023 Feb 9.

Abstract

BACKGROUND

The development of total knee arthroplasty (TKA) for knee osteoarthritis (OA) has a good reputation for its effectiveness in reducing joint pain and improving range of motion. We aimed to review our early results using the image-free robotic-assisted technology in knee arthroplasty.

METHODS

A total of 71 patients suffering from end-stage OA knee receiving TKA operated by robotic-assisted surgery between the years 2018 and mid-2021 were recruited. Clinical and radiological outcomes were compared with age and sex-matched control group (conventional TKA).

RESULTS

The radiological outcome showed significantly more postoperative lower limb alignment outliers in conventional side than robotic-assisted sides. Postoperative knee scores were similar among both groups. Robotic-assisted TKA required a longer implantation time but a shorter hospital stay.

CONCLUSION

Robotic-assisted TKA achieved a lower rate of mechanical axis Outlier in the coronal and sagittal plane with a shorter hospital stay. Yet both methods achieve a similar functional outcome.

摘要

背景

全膝关节置换术(TKA)治疗膝关节骨关节炎(OA)的发展,在减轻关节疼痛和改善活动范围方面效果显著,有良好的口碑。我们旨在回顾我们在膝关节置换术中使用无图像引导机器人辅助技术的早期结果。

方法

2018 年至 2021 年年中,共招募了 71 例接受机器人辅助手术的终末期 OA 膝关节 TKA 患者。将临床和影像学结果与年龄和性别匹配的对照组(常规 TKA)进行比较。

结果

影像学结果显示,常规组术后下肢对线不良的发生率明显高于机器人辅助组。两组术后膝关节评分相似。机器人辅助 TKA 植入时间较长,但住院时间较短。

结论

机器人辅助 TKA 在冠状面和矢状面的机械轴外移率较低,住院时间较短。然而,两种方法都能获得相似的功能结果。

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