South County Orthopaedics, Wakefield, Rhode Island.
LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland.
Surg Technol Int. 2023 Dec 15;43:223-241. doi: 10.52198/23.STI.43.OS1719.
The use of robotic-assisted total hip arthroplasty and three-dimensional computed tomography scan-based templating has become increasingly popular over the last 10 years. However, proper planning and execution are vital to producing optimal patient outcomes. In order to achieve these outcomes, the robotic-assisted system requires training, familiarity, and experience. The goal of this article is to provide clear and condensed examples of preoperative planning, as well as adjustments that one can make to avoid impingement. The surgical technique for robotic-assisted total hip arthroplasty is also briefly discussed. Examples will be given using the latest computed tomography (CT) scan-based robotic platform for osteoarthritic hips, with specific examples of various cases of impingement that might be encountered by the surgeon and how to ultimately avoid this problem when performing the arthroplasty. This article, through case histories, will discuss the various principles and adjustments that can be made to place components in the ideal location based on individual anatomy.
在过去的 10 年中，机器人辅助全髋关节置换术和基于三维计算机断层扫描的模板技术的应用越来越普及。然而，为了获得最佳的患者效果，正确的规划和执行至关重要。为了实现这些结果，机器人辅助系统需要经过培训、熟悉和经验。本文的目的是提供术前规划的清晰和简洁的例子，以及可以进行调整以避免撞击的方法。还简要讨论了机器人辅助全髋关节置换术的手术技术。将使用最新的基于计算机断层扫描（CT）的机器人平台来举例说明骨关节炎髋关节的情况，并举例说明外科医生可能遇到的各种撞击病例，以及在进行关节置换时如何最终避免这个问题。本文通过病例讨论，将讨论根据个体解剖结构将组件放置在理想位置的各种原则和调整。
