Robotics in Total Knee Arthroplasty
Robotics in Total Knee Arthroplasty
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DOI：
10.1055/s-0039-1681053
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发表时间：
2019-07-01
影响因子：
1.7
通讯作者：
Hozack, William J.
中科院分区：
文献类型：
--
作者：
Bautista, Maria;Manrique, Jorge;Hozack, William J.
全膝关节置换术（TKA）是一种非常成功的手术，可改善患者的生活质量和功能。然而，高达20%的TKA患者对其临床结果仍不满意。作为提高患者满意度的一种手段，机器人TKA已获得越来越多的关注和普及。机器人辅助TKA的前景是，它为外科医生提供了一种工具，可以根据术前计划准确执行截骨，并为外科医生提供有助于恢复膝关节运动学和软组织平衡的术中反馈。现在有几种系统，每种都有自己的优点和缺点。使用机器人技术将改善植入物存活率、功能和患者报告结果的证据正在慢慢积累，但迄今为止尚未得到明确证明。最近的文献确实表明，在TKA期间使用机器人与手术时间或并发症增加无关。本综述的目的是对TKA机器人技术的相关证据进行客观评估。
Total knee arthroplasty (TKA) is a highly successful operation that improves patients' quality of life and functionality. Yet, up to 20% of TKA patients remain unsatisfied with their clinical result. Robotic TKA has gained increased attention and popularity as a means of improving patient satisfaction. The promise of robotic-assisted TKA is that it provides a surgeon with a tool that accurately executes bone cuts according to presurgical planning, as well as provides the surgeon with intraoperative feedback helpful for restoring knee kinematics and soft tissue balance. Several systems are now available, each with their own advantages and disadvantages. Evidence that the use of robotics will lead to improved implant survival, function, and patient-reported outcomes is slowly being accumulated, but this has not been clearly proven to date. Recent literature does show that the use of robotics during TKA is not associated with increased surgical time or complications. The goal of this review is to provide an objective assessment of the evidence surrounding robotic technology for TKA.