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机器人辅助在全膝关节置换术中对骨质保留有帮助吗?

Does Robotic Assistance Help with Bone Preservation in Total Knee Replacement?

作者信息

Roheet S S Varun, Kannan Arun

机构信息

Apollo Hospitals, Greams Road, Chennai, India.

出版信息

Indian J Orthop. 2024 Jun 5;58(8):1098-1102. doi: 10.1007/s43465-024-01126-2. eCollection 2024 Aug.

Abstract

INTRODUCTION

This research paper investigates whether robotic total knee replacement (TKR) reduces bone resection compared to conventional TKR. While TKR is a successful procedure, revision surgery remains a challenge with up to 8.3% of all knee replacement procedures requiring revisions.

MATERIALS AND METHODS

The study retrospectively analyzed the tibial polyethylene inserts used and bone cuts made in 157 primary TKRs performed by a single surgeon. The results show that 93.3% of robotic TKRs used the base size tibial polyethylene of 9 mm, and the average distal femoral cut was 7.4 mm and the average tibial cut was 6.4 mm, with the minimum being 3 mm.

CONCLUSION

The study suggests that robotic TKR reduces bone resection compared to conventional TKR.

摘要

引言

本研究论文探讨了与传统全膝关节置换术(TKR)相比,机器人辅助全膝关节置换术是否能减少骨切除量。虽然全膝关节置换术是一种成功的手术,但翻修手术仍然是一项挑战,所有膝关节置换手术中高达8.3%需要进行翻修。

材料与方法

该研究回顾性分析了由一名外科医生进行的157例初次全膝关节置换术中使用的胫骨聚乙烯衬垫和所做的骨切口。结果显示,93.3%的机器人辅助全膝关节置换术使用的胫骨聚乙烯基础尺寸为9毫米,股骨远端平均截骨量为7.4毫米,胫骨平均截骨量为6.4毫米,最小截骨量为3毫米。

结论

该研究表明,与传统全膝关节置换术相比,机器人辅助全膝关节置换术可减少骨切除量。

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本文引用的文献

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Loosening of total knee arthroplasty - always aseptic?全膝关节置换术松动——总是无菌性的吗?
J Clin Orthop Trauma. 2020 Mar;11(Suppl 2):S234-S238. doi: 10.1016/j.jcot.2019.05.001. Epub 2019 May 7.
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Robotics in Total Knee Arthroplasty.全膝关节置换术中的机器人技术
J Knee Surg. 2019 Jul;32(7):600-606. doi: 10.1055/s-0039-1681053. Epub 2019 Mar 1.
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Robotic systems in orthopaedic surgery.骨科手术中的机器人系统。
J Bone Joint Surg Br. 2011 Oct;93(10):1296-9. doi: 10.1302/0301-620X.93B10.27418.
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How much tibial resection is required in total knee arthroplasty?全膝关节置换术中需要切除多少胫骨?
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