Dretakis Konstantinos, Raptis Konstantinos, Koutserimpas Christos
Department of Orthopaedics, "Hygeia" General Hospital of Athens, Athens, Greece.
Department of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens, Athens, Greece.
Arch Bone Jt Surg. 2024;12(8):608-611. doi: 10.22038/ABJS.2024.77543.3582.
The robotic arm-assisted system (MAKO) has pioneered a transformative approach to hip joint restoration, excelling in reinstating innate hip joint anatomy and biomechanics. This case represents the initial application of the system in revision surgery following a cut-out complication. A 69-year-old female, previously independent and mobile, presented with left hip pain. X-rays revealed a cut-out complication of the proximal nail, necessitating revision to total hip arthroplasty due to the patient's prior activity level and implant prominence. Utilizing the robotic system, preoperative planning accurately identified limb length discrepancy and guided implant sizing. The system facilitated precise acetabular reaming and optimal component placement. The patient regained functional independence. This report also underscores the system's potential for accurate acetabulum component placement and restoration of hip joint anatomy and biomechanics in revision cases. Future advancements in this technology may expand its role in complex reconstructions and revisions, further enhancing patient outcomes in hip arthroplasty.
机器人手臂辅助系统（MAKO）开创了一种变革性的髋关节修复方法，在恢复髋关节的固有解剖结构和生物力学方面表现出色。本病例代表了该系统在因内固定穿出并发症而进行的翻修手术中的首次应用。一名69岁的女性，此前生活自理且行动自如，出现左髋部疼痛。X线检查显示近端髓内钉穿出并发症，鉴于患者先前的活动水平和植入物突出情况，需要翻修为全髋关节置换术。利用机器人系统，术前规划准确识别了肢体长度差异并指导植入物尺寸选择。该系统有助于精确的髋臼扩孔和优化假体放置。患者恢复了功能独立性。本报告还强调了该系统在翻修病例中准确放置髋臼假体以及恢复髋关节解剖结构和生物力学的潜力。这项技术未来的进展可能会扩大其在复杂重建和翻修中的作用，进一步改善髋关节置换术患者的预后。
