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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.

DOI:10.1186/s12891-025-08460-y
PMID:40050806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11884115/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/f98c2a7e4183/12891_2025_8460_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/97d85642bf53/12891_2025_8460_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/88d1e01f565f/12891_2025_8460_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/698ecd7df387/12891_2025_8460_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/fff3667787c2/12891_2025_8460_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/f98c2a7e4183/12891_2025_8460_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/97d85642bf53/12891_2025_8460_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/88d1e01f565f/12891_2025_8460_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/698ecd7df387/12891_2025_8460_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/fff3667787c2/12891_2025_8460_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81b/11884115/f98c2a7e4183/12891_2025_8460_Fig5_HTML.jpg

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本文引用的文献

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Int Orthop. 2023 Dec;47(12):3063-3075. doi: 10.1007/s00264-023-05949-w. Epub 2023 Sep 9.
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Intraoperative blood loss and haemoglobin drop in patients with developmental dysplasia of the hip in Jordan undergoing total hip arthroplasty.约旦接受全髋关节置换术的发育性髋关节发育不良患者的术中失血量和血红蛋白下降情况。
Int Orthop. 2023 Dec;47(12):2933-2940. doi: 10.1007/s00264-023-05869-9. Epub 2023 Jun 21.
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Closed reduction and plaster immobilization: an alternative solution for patients with developmental dysplasia of the hip who failed Pavlik harness treatment.
闭合复位和石膏固定:帕夫利克吊带治疗失败的发育性髋关节发育不良患者的另一种解决方案。
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Robotics in Total Hip Arthroplasty: Current Concepts.全髋关节置换术中的机器人技术:当前概念
J Clin Med. 2022 Nov 10;11(22):6674. doi: 10.3390/jcm11226674.
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Developmental Dysplasia of the Hip: A Review.发育性髋关节发育不良:综述。
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Clinical and surgical outcomes of robot-assisted versus conventional total hip arthroplasty: a systematic overview of meta-analyses.机器人辅助与传统全髋关节置换术的临床及手术结果:一项荟萃分析的系统综述
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Optimal combined anteversion range for obtaining a wider range of motion without prosthetic impingement after total hip arthroplasty: a three-dimensional analysis study.全髋关节置换术后获得更大活动范围而无假体撞击的最佳组合前倾角范围:一项三维分析研究。
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Short-term results of total hip arthroplasty using a tapered cone stem for patients with previous femoral osteotomy.使用锥形柄全髋关节置换术治疗既往有股骨截骨患者的短期结果
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Pelvic osteotomies in hip dysplasia: why, when and how?发育性髋关节发育不良中的骨盆截骨术:为何、何时以及如何进行?
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