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全膝关节置换的精准性：关于VELYS机器人辅助胫股入路的技术说明

Precision in Total Knee Replacement: A Technical Note on the VELYS Robotic-Assisted Tibial-Femoral Approach.

作者信息

Hutapea Ricky Edwin P, Gani Karina Sylvana, Budimansyah Muhammad, Mitchel Mitchel, Surya Carlina, Kholinne Erica

机构信息

Orthopaedics and Traumatology, Gatam Institute, Eka Hospital, Tangerang, IDN.

General Practice, Gatam Institute, Eka Hospital, Tangerang, IDN.

出版信息

Cureus. 2024 Nov 6;16(11):e73104. doi: 10.7759/cureus.73104. eCollection 2024 Nov.

DOI:10.7759/cureus.73104
PMID:39650940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624015/
Abstract

The VELYS robotic-assisted system (DePuy Synthes, Warsaw, IN, USA) in total knee replacement (TKR) enables precise bone registration and resection, reducing manual errors and minimizing soft tissue injury compared to conventional methods. This method will provide a more accurate implant position with a better postoperative range of motion (ROM). This technical note describes the steps in performing robotic-assisted TKR using the VELYS with a tibial-femoral approach. In more detail, this article will discuss surgical exposure and creating bone checkpoints and landmark acquisitions, tibial-femoral resection, and implant placement. Despite the existing benefits, the long-term advantages still need further investigation.

摘要

VELYS机器人辅助系统（美国印第安纳州华沙市的DePuy Synthes公司）用于全膝关节置换（TKR）时，能够实现精确的骨定位和切除，与传统方法相比，减少了人为误差并将软组织损伤降至最低。这种方法将提供更准确的植入物位置以及更好的术后活动范围（ROM）。本技术说明描述了采用胫股入路使用VELYS进行机器人辅助TKR的步骤。更详细地说，本文将讨论手术暴露、创建骨检查点和获取标志物、胫股切除以及植入物放置。尽管有现有益处，但长期优势仍需进一步研究。

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本文引用的文献

1
Asymmetric gap balancing improves knee kinematic following primary total knee arthroplasty.非对称间隙平衡可改善初次全膝关节置换术后的膝关节运动学。
Arthroplasty. 2024 Apr 25;6(1):29. doi: 10.1186/s42836-024-00243-5.
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Robotic-assisted total knee arthroplasty improves the rotational mismatch between femoral and tibial components, but not the forgotten joint score 12: a single-center retrospective cohort study.机器人辅助全膝关节置换术可改善股骨和胫骨组件之间的旋转不匹配，但不能改善被遗忘关节评分：一项单中心回顾性队列研究。
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Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation.
多中心前瞻性队列研究：与使用手动器械的倾向匹配对照组相比，机器人辅助全膝关节置换术后主动活动范围的即时术后改善情况。
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Robotic technology in total knee arthroplasty.机器人技术在全膝关节置换术中的应用。
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Revision total knee arthroplasty for flexion instability : a concise follow-up of a previous report.翻修膝关节置换术治疗屈曲不稳定：对先前报告的简短随访。
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[Revision TKA due to instability: diagnostics, treatment options and outcomes].[因不稳定行翻修全膝关节置换术：诊断、治疗选择及结果]
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