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手术技术:机器人辅助1.5期翻修全膝关节置换治疗人工关节周围感染

Surgical Technique: Robotic-Assisted 1.5-Stage Exchange Total Knee Arthroplasty for Periprosthetic Joint Infection.

作者信息

Danoff Jonathan R, Heimroth Jamie, Willinger Max, Trout Sally, Sodhi Nipun

机构信息

Department of Orthopaedic Surgery, North Shore University Hospital, Northwell Health, New York, NY, USA.

出版信息

Arthroplast Today. 2023 May 15;21:101126. doi: 10.1016/j.artd.2023.101126. eCollection 2023 Jun.

Abstract

A 1.5-stage exchange total knee arthroplasty for periprosthetic joint infection has been described; however, achieving a balanced and well-aligned construct can sometimes be difficult given the bony defects often encountered in these cases. The use of robotic navigation technologies allows for accurate and precise implant placement. This technique report details the utilization of robotic navigation in a 1.5-stage exchange total knee arthroplasty for periprosthetic joint infection and describes the outcome of 6 patients. This technique guide highlights how robotic technology can account for many commonly encountered bone voids, joint line identification, and component orientation, while achieving a balanced and well-aligned knee.

摘要

已经描述了用于治疗假体周围关节感染的1.5期翻修全膝关节置换术;然而,鉴于这些病例中经常遇到的骨缺损,有时很难实现平衡且排列良好的结构。机器人导航技术的使用允许准确和精确地植入假体。本技术报告详细介绍了机器人导航在1.5期翻修全膝关节置换术治疗假体周围关节感染中的应用,并描述了6例患者的治疗结果。本技术指南强调了机器人技术如何能够解决许多常见的骨缺损、关节线识别和假体组件定向问题,同时实现膝关节的平衡和良好排列。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/787c/10205596/f2e676213f6f/gr1.jpg

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