The Center, Orthopaedic and Neurosurgical Care & Research, Bend, Oregon.
Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois; Department of Orthopedic Surgery & Rehabilitation Medicine, University of Chicago, Chicago, Illinois.
J Surg Orthop Adv. 2024 Summer;33(2):112-116.
We investigated the effect of robotic assistance in a postoperative change in hip offset and the incidence of trochanteric bursitis among total hip arthroplasty (THA) patients. As part of a retrospective study of a consecutive series of patients over a 3-year period, 211 patients (102 traditional; 109 robotic) between 2013 and 2016 who underwent posterior-lateral THA were reviewed. Hip offset was measured on preoperative and postoperative anterior-posterior (AP) pelvis radiographs. The absolute change in total hip offset was higher in patients undergoing non-robotic THA than in patients undergoing robotic THA (5.98 ± 4.47 mm vs 4.33 ± 3.98 mm; p = 0.008). The rate of symptomatic trochanteric bursitis (p = 0.02) and cortisone injection was higher in non-robotic THA patients than in robotic THA patients (p = 0.002). Robotic arm-assisted THA is associated with a decreased postoperative change in hip offset, incidence of symptomatic trochanteric bursitis, and bursal steroid injections. (Journal of Surgical Orthopaedic Advances 32(4):112-116, 2023).
我们研究了机器人辅助对全髋关节置换术（THA）患者术后髋关节外移变化和转子滑囊炎发生率的影响。作为一项为期 3 年的连续患者系列回顾性研究的一部分，我们回顾了 2013 年至 2016 年间接受后路 THA 的 211 名患者（102 名传统组；109 名机器人组）。术前和术后骨盆前后位（AP）X 线片上测量髋关节外移。非机器人 THA 患者的总髋关节外移绝对变化高于机器人 THA 患者（5.98 ± 4.47mm 比 4.33 ± 3.98mm；p = 0.008）。非机器人 THA 患者的症状性转子滑囊炎（p = 0.02）和皮质类固醇注射率高于机器人 THA 患者（p = 0.002）。机器人辅助 THA 与髋关节外移术后变化减少、症状性转子滑囊炎发生率和滑囊皮质类固醇注射减少相关。（《外科矫形进展杂志》32(4):112-116, 2023）。
