全流程机器人辅助下髋关节发育不良全髋关节置换术的应用与探索
Application and exploration of total hip arthroplasty for developmental dysplasia of the hip assisted by full-process robotics.
作者信息
Shi Hongxin, Yu Rao, Pu Luqiao, Qi Baochuang, Meng Cheng, Ren Junxiao, Xu YongQing, Li Chuan
机构信息
Clinical Medical College of Dali University, Yunnan, Dali, 671000, China.
Graduate School of Kunming Medical University, Kunming, 650500, China.
出版信息
BMC Musculoskelet Disord. 2025 Mar 6;26(1):225. doi: 10.1186/s12891-025-08460-y.
OBJECTIVE
This study aimed to explore whether total hip arthroplasty (THA) aided by full-process robotics was effective in patients undergoing developmental dysplasia of the hip (DDH).
METHODS
Totally 112 patients were enrolled and classified into robotic-assisted group (n = 56) and the conventional group (n = 56). In addition, retrospective analysis was used for comparing the difference in therapeutic efficacy.
RESULTS
A total of 112 patients received THA, and were followed up for (12.78 ± 0.76) months on average, with no occurrence of associated complications. For patients in robot-assisted group, their abduction and anteversion angles of acetabular cup placement were in the safe zone, while those in 8 patients of the conventional group were outside the safe zone. Compared to the conventional group, the robot-assisted group had higher postoperative Harris Hip Score and FJS, whereas lower VAS score.
CONCLUSION
Robot-assisted THA is advantageous in terms of both intraoperative precision and postoperative effect on the treatment of patients with DDH.
目的
本研究旨在探讨全流程机器人辅助下的全髋关节置换术（THA）对发育性髋关节发育不良（DDH）患者是否有效。
方法
共纳入112例患者，分为机器人辅助组（n = 56）和传统组（n = 56）。此外，采用回顾性分析比较治疗效果的差异。
结果
112例患者均接受了THA，平均随访（12.78 ± 0.76）个月，未发生相关并发症。机器人辅助组患者髋臼杯置入的外展和前倾角处于安全区内，而传统组有8例患者超出安全区。与传统组相比，机器人辅助组术后Harris髋关节评分和FJS更高，而VAS评分更低。
结论
机器人辅助THA在治疗DDH患者时，在术中精度和术后效果方面均具有优势。
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