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智能膝关节植入物:当前技术与未来可能性概述

"Smart Knee Implants: An Overview of Current Technologies and Future Possibilities".

作者信息

Kelmers Edgars, Szuba Agata, King Samuel W, Palan Jeya, Freear Steven, Pandit Hemant G, van Duren Bernard H

机构信息

Institute of Medical and Biological Engineering (iMBE), University of Leeds, Leeds, LS2 9JT UK.

Medical Technologies Innovation and Knowledge Centre, Institute of Medical and Biological Engineering, University of Leeds, Leeds, LS2 9JT UK.

出版信息

Indian J Orthop. 2022 Dec 28;57(5):635-642. doi: 10.1007/s43465-022-00810-5. eCollection 2023 May.

DOI:10.1007/s43465-022-00810-5
PMID:37128565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10147863/
Abstract

BACKGROUND

This article focuses on clinical implementation of smart knee implants for total knee replacement and the future development of smart implant technology. With the number of total knee replacements undertaken growing worldwide, smart implants incorporating embedded sensor technology offer opportunity to improve post-operative recovery, reducing implant failure rates, and increasing overall patient satisfaction.

METHODS

A literature review on smart implants, historical prototypes, current clinically available smart implants, and the future potential for conventional implant instrumentation with embedded sensors and electronics was undertaken.

RESULTS

The overview of current and future technology describes use cases for various diagnostic and therapeutic treatment solutions.

CONCLUSION

Smart knee implants are at an early development stage, with the first generation of smart implants being available to patients and with more novel technologies under development.

摘要

背景

本文重点关注智能膝关节植入物在全膝关节置换中的临床应用以及智能植入技术的未来发展。随着全球全膝关节置换手术数量的不断增加,集成嵌入式传感器技术的智能植入物为改善术后恢复、降低植入物故障率以及提高患者总体满意度提供了机会。

方法

对智能植入物、历史原型、当前临床可用的智能植入物以及带有嵌入式传感器和电子设备的传统植入器械的未来潜力进行了文献综述。

结果

对当前和未来技术的概述描述了各种诊断和治疗解决方案的用例。

结论

智能膝关节植入物尚处于早期开发阶段,第一代智能植入物已可供患者使用,并且还有更多新技术正在研发中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7798/10147863/c2cf2bbfd96b/43465_2022_810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7798/10147863/c2cf2bbfd96b/43465_2022_810_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7798/10147863/c2cf2bbfd96b/43465_2022_810_Fig1_HTML.jpg

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Primary Total Knee Arthroplasty in Patients Aged 45 Years or Younger: 162 Total Knee Arthroplasties With a Mean Follow-up Duration of 7 Years.45岁及以下患者的初次全膝关节置换术:162例全膝关节置换术,平均随访时间为7年。
Arthroplast Today. 2022 Nov 2;18:163-167. doi: 10.1016/j.artd.2022.09.018. eCollection 2022 Dec.
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Simple Smart Implants: Simultaneous Monitoring of Loosening and Temperature in Orthopaedics With an Embedded Ultrasound Transducer.简易智能植入物:通过嵌入式超声换能器在骨科中同时监测松动和温度。
IEEE Trans Biomed Circuits Syst. 2021 Feb;15(1):102-110. doi: 10.1109/TBCAS.2021.3052970. Epub 2021 Mar 30.
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Arch Bone Jt Surg. 2024;12(7):531-534. doi: 10.22038/ABJS.2024.77560.3583.
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SMART (self- monitoring analysis and reporting technology) and sensor based technology applications in trauma and orthopaedic surgery.SMART(自我监测分析与报告技术)及基于传感器的技术在创伤与骨科手术中的应用。
J Orthop. 2023 Sep 18;44:113-118. doi: 10.1016/j.jor.2023.09.006. eCollection 2023 Oct.
5
Intraoperative sensor technology quantifies inter-prosthesis pressure for predicting lower limb alignment after Oxford unicompartmental knee arthroplasty.术中传感器技术可量化假体间压力,以预测牛津单髁膝关节置换术后的下肢对线情况。
Front Bioeng Biotechnol. 2023 Aug 9;11:1210713. doi: 10.3389/fbioe.2023.1210713. eCollection 2023.
Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030.
美国 2030 年翻修髋和膝关节置换术的预测和流行病学。
J Arthroplasty. 2020 Jun;35(6S):S79-S85. doi: 10.1016/j.arth.2020.02.030. Epub 2020 Feb 19.
4
A Smart Knee Implant Using Triboelectric Energy Harvesters.一种使用摩擦电能量收集器的智能膝关节植入物。
Smart Mater Struct. 2019 Feb;28(2). doi: 10.1088/1361-665X/aaf3f1. Epub 2019 Jan 25.
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