机器人辅助全膝关节置换术-文献综述

Danieli Marcus Vinicius, Guerreiro João Paulo Fernandes
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引用次数: 0

摘要

尽管人工膝关节置换术(Total Knee Arthroplasty, TKA)的植入物设计、手术技术、康复水平和医疗培训水平不断提高,但仍有大量患者对TKA的最终效果不满意。传统的TKA技术可能导致肢体对准的大量异常值,并与残留症状的高比率有关。引入机器人辅助(RA)手术来改善这些结果。最近的研究表明,该技术与较低的成本,更好的准确性植入和肢体对齐,改善功能和患者满意度有关。RA技术也与较少的失血、较少的骨切除和较小的对软组织的侵犯有关。除此之外,这给外科医生带来了更好的人体工程学,减少了热量浪费。通过这种方式,通过所显示的好处,必须鼓励对机器人手术的粘连。
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Robotically Assisted Total Knee Arthroplasty - Literature Review
Despite the evolution in implant design, surgical technique, rehabilitation and better medical training, a great number of patients are not satisfied with the final result of Total Knee Arthroplasty (TKA). The conventional TKA technique could result in a high number of outliers in limb alignment and are related to a high rate of residual symptoms. Robotically assisted (RA) surgery was introduced to improve these results. Recent studies showed this technique is associated to lower costs, better accuracy in implant placement and limb alignment, improvement in function and patient satisfaction. RA technique is also related to less blood loss, less bone resection and smaller aggression to soft tissues. Besides that, this brings better ergonomics to the surgeon with less caloric waste. In this way, by the benefits showed, the adhesion to the robotic surgery must be encouraged.
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