任何辅助全膝关节置换术（TKA）的技术，如果没有正确的三维对线和平衡目标，都将失败。 - Suppr

Any technology assisting total knee arthroplasty (TKA) will fail without the correct 3D alignment and balancing target.

作者信息

Hirschmann Michael T, von Eisenhart-Rothe Rüdiger, Graichen Heiko

机构信息

Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, CH-4101, Bottmingen, Switzerland.

Department of Clinical Research, Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, University of Basel, CH-4001, Basel, Switzerland.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2023 Mar;31(3):733-735. doi: 10.1007/s00167-023-07345-8. Epub 2023 Feb 17.

DOI:10.1007/s00167-023-07345-8

PMID:36800007

Abstract

摘要

相似文献

Any technology assisting total knee arthroplasty (TKA) will fail without the correct 3D alignment and balancing target.任何辅助全膝关节置换术（TKA）的技术，如果没有正确的三维对线和平衡目标，都将失败。

Knee Surg Sports Traumatol Arthrosc. 2023 Mar;31(3):733-735. doi: 10.1007/s00167-023-07345-8. Epub 2023 Feb 17.

No correlation between coronal alignment of total knee arthroplasty and clinical outcomes: a prospective clinical study using 3D-CT.全膝关节置换冠状面对线与临床结果无相关性：一项使用 3D-CT 的前瞻性临床研究。

Knee Surg Sports Traumatol Arthrosc. 2017 Dec;25(12):3892-3900. doi: 10.1007/s00167-016-4400-y. Epub 2016 Dec 22.

Current state of computer navigation and robotics in unicompartmental and total knee arthroplasty: a systematic review with meta-analysis.单髁和全膝关节置换术中计算机导航与机器人技术的现状：一项荟萃分析的系统评价

Knee Surg Sports Traumatol Arthrosc. 2016 Nov;24(11):3482-3495. doi: 10.1007/s00167-016-4305-9. Epub 2016 Sep 6.

A prospective double-blinded randomised control trial comparing robotic arm-assisted functionally aligned total knee arthroplasty versus robotic arm-assisted mechanically aligned total knee arthroplasty.前瞻性双臂辅助功能对线全膝关节置换术与双臂辅助机械对线全膝关节置换术的随机对照研究。

Trials. 2020 Feb 18;21(1):194. doi: 10.1186/s13063-020-4123-8.

Current evidence base for kinematic alignment.运动学对线的当前证据基础。

Orthopade. 2020 Jul;49(7):584-592. doi: 10.1007/s00132-020-03932-6.

Robot-assisted total knee arthroplasty is associated with a learning curve for surgical time but not for component alignment, limb alignment and gap balancing.机器人辅助全膝关节置换术与手术时间的学习曲线相关，但与组件对线、肢体对线和间隙平衡无关。

Knee Surg Sports Traumatol Arthrosc. 2022 Feb;30(2):593-602. doi: 10.1007/s00167-020-06341-6. Epub 2020 Nov 3.

Neutral alignment leads to higher knee society scores after total knee arthroplasty in preoperatively non-varus patients: a prospective clinical study using 3D-CT.中立对线可使术前无膝内翻的全膝关节置换术后患者获得更高的膝关节学会评分：一项使用三维 CT 的前瞻性临床研究。

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1602-1609. doi: 10.1007/s00167-017-4744-y. Epub 2017 Oct 12.

Functional knee phenotypes: a call for a more personalised and individualised approach to total knee arthroplasty?功能性膝关节表型：是否需要一种更个性化的全膝关节置换方法？

Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):2873-2874. doi: 10.1007/s00167-018-4973-8. Epub 2018 May 10.

Total Knee Arthroplasty in the Valgus Knee: Can New Operative Technologies Affect Surgical Technique and Outcomes?全膝关节置换术治疗膝关节内翻：新型手术技术会影响手术技术和疗效吗？

Surg Technol Int. 2021 Jul 26;39:389-393. doi: 10.52198/21.STI.39.OS1462.

Changes in hindfoot alignment after total knee arthroplasty in knee osteoarthritic patients with varus deformity.膝内翻畸形的膝骨关节炎患者全膝关节置换术后后足对线的变化

Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3596-3604. doi: 10.1007/s00167-016-4278-8. Epub 2016 Aug 16.

引用本文的文献

Unworn cartilage in total knee arthroplasty strongly deviates from 2 mm: MRI, robotic-assisted and ruler assessment.全膝关节置换术中未磨损软骨严重偏离2毫米：磁共振成像、机器人辅助及直尺评估

Knee Surg Sports Traumatol Arthrosc. 2025 Apr 1. doi: 10.1002/ksa.12671.

Relationship Between Coronal Plane Alignment of the Knee Phenotypes and Distal Femoral Rotation.膝关节表型的冠状面排列与股骨远端旋转之间的关系。

J Clin Med. 2025 Mar 1;14(5):1679. doi: 10.3390/jcm14051679.

High variability exists in 3D leg alignment analysis, but underlying principles that might lead to agreement on a universal framework could be identified: A systematic review.三维腿部对线分析存在高度变异性，但可能会确定一些潜在原则，从而促成在通用框架上达成共识：一项系统评价

Knee Surg Sports Traumatol Arthrosc. 2025 Jun;33(6):2063-2077. doi: 10.1002/ksa.12512. Epub 2024 Oct 26.

AI may enable robots to make a clinical impact in total knee arthroplasty, where navigation has not!人工智能可能使机器人在全膝关节置换术中产生临床影响，而导航技术却未能做到这一点！

J Exp Orthop. 2024 Oct 19;11(4):e70061. doi: 10.1002/jeo2.70061. eCollection 2024 Oct.

Conventionally instrumented inverse kinematic alignment for total knee arthroplasty: How is it done?全膝关节置换术中传统器械辅助的逆向运动学对线：如何进行？

J Exp Orthop. 2024 Jun 12;11(3):e12055. doi: 10.1002/jeo2.12055. eCollection 2024 Jul.

Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society.为何个性化手术是髋关节和膝关节置换术的未来：来自个性化关节置换协会的声明

EFORT Open Rev. 2023 Dec 1;8(12):874-882. doi: 10.1530/EOR-22-0096.

Robotic-assisted mechanically aligned total knee arthroplasty does not lead to better clinical and radiological outcomes when compared to conventional TKA: a systematic review and meta-analysis of randomized controlled trials.与传统全膝关节置换术相比，机器人辅助机械对线全膝关节置换术并不能带来更好的临床和影像学结果：一项随机对照试验的系统评价和荟萃分析。

Knee Surg Sports Traumatol Arthrosc. 2023 Nov;31(11):4680-4691. doi: 10.1007/s00167-023-07458-0. Epub 2023 Jun 3.

Overview of the different personalized total knee arthroplasty with robotic assistance, how choosing?不同的机器人辅助个性化全膝关节置换术概述，如何选择？

Front Surg. 2023 Mar 3;10:1120908. doi: 10.3389/fsurg.2023.1120908. eCollection 2023.

本文引用的文献

The impact of different alignment strategies on bone cuts for neutral knee phenotypes in total knee arthroplasty.不同对线策略对全膝关节置换术中中性膝表型骨切的影响。

Knee Surg Sports Traumatol Arthrosc. 2023 Apr;31(4):1267-1275. doi: 10.1007/s00167-022-07209-7. Epub 2022 Nov 3.

Artificial intelligence and robotics in TKA surgery: promising options for improved outcomes?全膝关节置换手术中的人工智能与机器人技术：改善手术效果的可行选择？

Knee Surg Sports Traumatol Arthrosc. 2022 Aug;30(8):2535-2537. doi: 10.1007/s00167-022-07035-x. Epub 2022 Jun 20.

Ethnical Differences in Knee Phenotypes Indicate the Need for a More Individualized Approach in Knee Arthroplasty: A Comparison of 80 Asian Knees with 308 Caucasian Knees.膝关节表型的种族差异表明膝关节置换术需要更个性化的方法：80例亚洲膝关节与308例白种人膝关节的比较。

J Pers Med. 2022 Jan 17;12(1):121. doi: 10.3390/jpm12010121.

Machine learning in knee arthroplasty: specific data are key-a systematic review.机器学习在膝关节置换术中的应用：特定数据是关键——系统评价。

Knee Surg Sports Traumatol Arthrosc. 2022 Feb;30(2):376-388. doi: 10.1007/s00167-021-06848-6. Epub 2022 Jan 10.

Osteoarthritic and non-osteoarthritic patients show comparable coronal knee joint line orientations in a cross-sectional study based on 3D reconstructed CT images.在一项基于三维重建 CT 图像的横断面研究中，骨关节炎和非骨关节炎患者的冠状膝关节线方向具有可比性。

Knee Surg Sports Traumatol Arthrosc. 2022 Feb;30(2):407-418. doi: 10.1007/s00167-021-06740-3. Epub 2021 Sep 26.

A single type of varus knee does not exist: morphotyping and gap analysis in varus OA.单一类型的膝内翻并不存在：膝内翻 OA 的形态分型与间隙分析。

Knee Surg Sports Traumatol Arthrosc. 2022 Aug;30(8):2600-2608. doi: 10.1007/s00167-021-06688-4. Epub 2021 Aug 19.

Proven accuracy for a new dynamic gap measurement in navigated TKA.新型动态间隙测量在导航 TKA 中的准确性得到验证。

Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1189-1195. doi: 10.1007/s00167-018-4989-0. Epub 2018 May 22.

A systematic review and meta-analysis of patient-specific instrumentation for improving alignment of the components in total knee replacement.系统评价和荟萃分析：患者特异性器械在全膝关节置换中改善组件对线中的应用。

Bone Joint J. 2014 Aug;96-B(8):1052-61. doi: 10.1302/0301-620X.96B8.33747.

Transtibial ACL reconstruction technique fails to position drill tunnels anatomically in vivo 3D CT study.经体内 3D CT 研究显示，经胫骨的前交叉韧带重建技术在解剖学上无法定位钻头隧道。

Knee Surg Sports Traumatol Arthrosc. 2012 Nov;20(11):2200-7. doi: 10.1007/s00167-011-1851-z. Epub 2011 Dec 31.

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Any technology assisting total knee arthroplasty (TKA) will fail without the correct 3D alignment and balancing target.

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