Bull Hosp Jt Dis (2013). 2023 Dec;81(4):232-239.
Computer assisted surgical (CAS) navigation and robotic-assisted total hip arthroplasty (THA) have the potential to improve the reproducibility of accurate component positioning and facilitate complex cases, including revision and preoperative deformity. Numerous studies, including multiple comparing technology with conventional THA control groups, suggest that CAS navigation may improve component accuracy in cases of deformity such as hip dysplasia and significant leg length discrepancy. Revision THA data is also encouraging but limited. The functional benefits compared to conventional techniques remain unclear. The evidence for robot-assisted THA in complex cases is more limited but also demonstrates utility. For complex cases, studies comparing results with conventional THA are not yet available. The limitations of these systems, including cost, operative time, learning curves, and possible complications, require further study. The available data for CAS navigation and robotic-assisted THA indicates that they may play a role in complex deformity and revision cases. Further high-quality randomized studies should be undertaken.
计算机辅助外科 (CAS) 导航和机器人辅助全髋关节置换术 (THA) 有可能提高准确组件定位的可重复性，并有助于处理复杂病例，包括翻修和术前畸形。许多研究，包括与传统 THA 对照组进行比较的多项研究，表明 CAS 导航可能会改善髋关节发育不良和明显肢体长度差异等畸形病例中的组件准确性。翻修 THA 的数据也令人鼓舞，但有限。与传统技术相比，其功能益处仍不清楚。机器人辅助 THA 在复杂病例中的证据更为有限，但也证明了其有用性。对于复杂病例，尚无与传统 THA 进行结果比较的研究。这些系统的局限性，包括成本、手术时间、学习曲线和可能的并发症，需要进一步研究。CAS 导航和机器人辅助 THA 的现有数据表明，它们可能在复杂畸形和翻修病例中发挥作用。应进行更多高质量的随机研究。
