机器人辅助单髁膝关节置换术的历史与未来
付君
陈继营
1.解放军总医院骨科, 北京,1008532.解放军总医院骨科, 北京,100853
摘要：Robotic-assisted orthopedic surgery has been introduced to improve the accuracy of preoperative planning, operative bone cuts, component implantation position, and soft tissue balance in unicompartmental knee arthroplasty ( UKA ), with the expectation of improvement in implant durability and survivorship. Currently, roughly one-fifth of UKAs in the US are being performed with robotic assistance, and it is anticipated that there will be a substantial growth in market penetration of robotics over the next decade. First-generation robotic technology improved substantially implant position accuracy compared to conventional methods; however, high capital costs, uncertainty regarding the value of advanced technologies, and the need for preoperative computed tomography ( CT ) scans are barriers to its broader adoption. Newer image-free robotic-assisted orthopedic surgery optimizes both implant position accuracy and soft tissue balance, without the need for preoperative CT scans. Its portability makes it suitable for the application in an ambulatory surgery center, where approximately 40％ of these systems are currently being utilized. There are a few reports about clinical outcomes and long-term follow-up results, however, it remains unknown whether more accurate component position brings better clinical effects or better long-term survival rate of the implants. This article will review the robotic experience for UKA, including history, rationale, system descriptions, outcomes and future innovations.
关键词：关节成形术置换膝人工膝关节机器人辅助手术
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)
资助基金：解放军总医院转化医学重点项目(2016TM-004)
论文发表日期：2017-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 644-648 )
英文信息