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机器人辅助全膝关节置换术:创新、精准与关节重建的未来

Robotic-Assisted Total Knee Arthroplasty: Innovations, Precision, and the Future of Joint Reconstruction.

作者信息

Aneja Kunal, Rudraraju Ravi Teja, Shyam Ashok

机构信息

Department of Orthopaedics and Joint Replacement, Max Super Speciality Hospital, New Delhi, India.

Naveda Healthcare Centre, New Delhi, India.

出版信息

J Orthop Case Rep. 2024 Dec;14(12):4-7. doi: 10.13107/jocr.2024.v14.i12.4996.

Abstract

Robotic technology in total knee arthroplasty (TKA) has initiated a paradigm shift in orthopedic surgery, characterized by enhanced precision, patient-specific alignment, and improved outcomes across diverse patient demographics. This editorial explores the rapid advancement from traditional jig-based methods to robotic-assisted TKA, highlighting how systems like the MISSO Robotic System-developed in India-integrate real-time feedback, advanced imaging, and sub-millimeter accuracy to optimize implant placement. These advancements result in better functional outcomes, reduced revision rates, and faster recovery, especially in complex cases. For surgeons, robotic systems offer a reliable way to reproduce optimal surgical outcomes consistently, even in anatomically challenging scenarios. For patients, robotic-assisted TKA provides faster rehabilitation, reduced post-operative pain, and a higher likelihood of long-term implant durability. Hospitals benefit through long-term cost savings, a lower burden of revision surgeries, and the potential for increased patient inflow due to advanced technological offerings. The editorial also discusses the unique positioning of the MISSO Robotic System as a cost-effective solution for South Asian patients, catering to region-specific anatomical challenges such as varied bone densities and joint degeneration patterns. Additionally, by lowering healthcare costs and increasing accessibility, the MISSO system addresses critical needs in high-demand settings. As robotic systems evolve and regulatory frameworks adapt, these technologies are expected to redefine the standard of care in joint replacement surgeries, making high-precision, patient-tailored procedures increasingly available and furthering the commitment to optimal patient outcomes in orthopedic surgery.

摘要

全膝关节置换术(TKA)中的机器人技术引发了骨科手术的范式转变,其特点是精度提高、个性化对线以及在不同患者群体中改善了手术效果。这篇社论探讨了从传统的基于夹具的方法到机器人辅助TKA的快速发展,强调了印度研发的MISSO机器人系统等系统如何集成实时反馈、先进成像和亚毫米级精度以优化植入物放置。这些进步带来了更好的功能结果、降低了翻修率并加快了恢复速度,尤其是在复杂病例中。对于外科医生来说,机器人系统提供了一种可靠的方法,即使在解剖结构具有挑战性的情况下也能始终如一地重现最佳手术效果。对于患者而言,机器人辅助TKA可实现更快的康复、减轻术后疼痛,并提高植入物长期耐用性的可能性。医院通过长期节省成本、降低翻修手术负担以及由于先进技术提供而增加患者流入量而受益。社论还讨论了MISSO机器人系统作为南亚患者具有成本效益的解决方案的独特定位,以应对特定区域的解剖挑战,如不同的骨密度和关节退变模式。此外,通过降低医疗成本和提高可及性,MISSO系统满足了高需求环境中的关键需求。随着机器人系统的发展和监管框架的调整,这些技术有望重新定义关节置换手术的护理标准,使高精度、针对患者定制的手术越来越普及,并进一步致力于在骨科手术中实现最佳患者结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eddf/11632476/7a1988669c05/JOCR-14-4-g001.jpg

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