机器人辅助膝关节置换系统的研究进展
Research Progress of Robot-Assisted Knee Arthroplasty System
DOI: 10.12677/ACM.2023.134900, PDF,   
作者: 王 璠:山东大学齐鲁医学院,山东 济南;山东省立医院骨关节科,山东 济南;孙 水*:山东省立医院骨关节科,山东 济南;山东第一医科大学附属省立医院骨关节科,山东 济南
关键词: 全膝关节置换术机器人辅助手术假体位置短期预后Total Knee Arthroplasty Robot-Assisted Surgery Position of Prosthesis Short-Term Prognosis
摘要: 重症膝关节炎患者的最终治疗通常会选择全膝关节置换术,随着我国人口老龄化加重,全膝关节置换术手术量将在未来一段时间持续增加。尽管全膝关节置换术已是一项很成熟的手术,但临床医生始终在追求着更准确的假体位置和更高的患者满意度,并从各方面改进手术的准确性与稳定性。机器人辅助手术系统是一种新兴人工智能技术,目前已有多个类型的机器人辅助系统被应用于临床中,研究表明均可有效帮助临床医生改善假体位置的准确性以及术后下肢力线,但目前缺乏关于长期预后指标的研究。目前,机器人辅助膝关节置换术尚处于发展阶段,机器人系统及其相关手术流程仍存在着巨大的改进和提升空间。
Abstract: Total knee arthroplasty is usually the final choice of patients with severe knee arthritis. With the aging of our population, the number of total knee arthroplasty operations will continue to increase in the future. Although total knee arthroplasty is a mature operation, clinicians have always been pursuing more accurate prosthesis position and higher patient satisfaction, and improving the ac-curacy and stability of the operation from all aspects. The robot-assisted surgery system is a new artificial intelligence technology. At present, many types of robot-assisted systems have been ap-plied in clinical surgery. Research shows that they can effectively help clinicians improve the accu-racy of the prosthesis position and the lower limb alignment after surgery, but there are few studies on long-term prognostic indicators. At present, robot-assisted knee arthroplasty is still in the de-velopment stage, and there is still huge room for improvement in the robot system and related sur-gical procedures.
文章引用:王璠, 孙水. 机器人辅助膝关节置换系统的研究进展[J]. 临床医学进展, 2023, 13(4): 6399-6405. https://doi.org/10.12677/ACM.2023.134900

参考文献

[1] Bryan, S., Goldsmith, L.J., Davis, J.C., Hejazi, S., MacDonald, V., McAllister, P., Randall, E., Suryaprakash, N., Wu, A.D. and Sawatzky, R. (2018) Revisiting Patient Satisfaction Following Total Knee Arthroplasty: A Longitudinal Ob-servational Study. BMC Musculoskeletal Disorders, 19, Article No. 423. [Google Scholar] [CrossRef] [PubMed]
[2] Choi, Y.-J. and Ra, H.-J. (2016) Patient Satisfaction after Total Knee Arthroplasty. Knee Surgery & Related Research, 28, 1-15. [Google Scholar] [CrossRef] [PubMed]
[3] Neogi, T. (2013) The Epidemiology and Impact of Pain in Osteoar-thritis. Osteoarthritis and Cartilage, 21, 1145-1153. [Google Scholar] [CrossRef] [PubMed]
[4] Onggo, J.R., Onggo, J.D., De Steiger, R. and Hau, R. (2020) Ro-botic-Assisted Total Knee Arthroplasty Is Comparable to Conventional Total Knee Arthroplasty: A Meta-Analysis and Systematic Review. Archives of Orthopaedic and Trauma Surgery, 140, 1533-1549. [Google Scholar] [CrossRef] [PubMed]
[5] Agarwal, N., To, K., McDonnell, S. and Khan, W. (2020) Clini-cal and Radiological Outcomes in Robotic-Assisted Total Knee Arthroplasty: A Systematic Review and Meta-Analysis. The Journal of Arthroplasty, 35, 3393-3409. [Google Scholar] [CrossRef] [PubMed]
[6] Mullaji, A.B. and Khalifa, A.A. (2022) Is It Prime Time for Robot-ic-Assisted TKAs? A Systematic Review of Current Studies. Journal of Orthopaedics, 34, 31-39. [Google Scholar] [CrossRef] [PubMed]
[7] Liow, M.H., Chin, P.L., Tay, K.J., Chia, S.L., Lo, N.N. and Yeo, S J. (2014) Early Experiences with Robot-Assisted Total Knee Arthroplasty Using the DigiMatch™ ROBODOC® Surgical System. Singapore Medical Journal, 55, 529-534. [Google Scholar] [CrossRef] [PubMed]
[8] Park, S.E. and Lee, C.T. (2007) Comparison of Robotic-Assisted and Conventional Manual Implantation of a Primary Total Knee Arthro-plasty. The Journal of Arthroplasty, 22, 1054-1059. [Google Scholar] [CrossRef] [PubMed]
[9] Kim, Y.-H., Yoon, S.-H. and Park, J.-W. (2020) Does Robotic-Assisted TKA Result in Better Outcome Scores or Long-Term Sur-vivorship than Conventional TKA? A Randomized, Controlled Trial. Clinical Orthopaedics and Related Research, 478, 266-275. [Google Scholar] [CrossRef
[10] Yang, H.Y., Seon, J.K., Shin, Y.J., Lim, H.A. and Song, E.K. (2017) Robotic Total Knee Arthroplasty with a Cruciate-Retaining Implant: A 10-Year Follow-up Study. Clinics in Orthopedic surgery, 9, 169-176. [Google Scholar] [CrossRef] [PubMed]
[11] Cho, K.-J., Seon, J.-K., Jang, W.-Y., Park, C.-G. and Song, E.-K. (2019) Robotic versus Conventional Primary Total Knee Arthroplasty: Clinical and Radiological Long-Term Results with a Minimum Follow-up of Ten Years. International Orthopaedics, 43, 1345-1354. [Google Scholar] [CrossRef] [PubMed]
[12] Liow, M.H.L., Goh, G.S., Wong, M.K., Chin, P.L., Tay, D.K. and Yeo, S.J. (2017) Robotic-Assisted Total Knee Arthroplasty May Lead to Improvement in Quality-of-Life Measures: A 2-Year Follow-up of a Prospective Randomized Trial. Knee Surgery, Sports Traumatology, Arthroscopy, 25, 2942-2951. [Google Scholar] [CrossRef] [PubMed]
[13] Sires, J.D., Craik, J.D. and Wilson, C.J. (2021) Ac-curacy of Bone Resection in MAKO Total Knee Robotic-Assisted Surgery. The Journal of Knee Surgery, 34, 745-748. [Google Scholar] [CrossRef] [PubMed]
[14] Sires, J.D. and Wilson, C.J. (2021) CT Validation of Intraoperative Implant Position and Knee Alignment as Determined by the MAKO Total Knee Arthroplasty System. The Journal of Knee Surgery, 34, 1133-1137. [Google Scholar] [CrossRef] [PubMed]
[15] Kayani, B., Tahmassebi, J., Ayuob, A., Konan, S., Oussedik, S. and Haddad, F.S. (2021) A Prospective Randomized Controlled Trial Comparing the Systemic Inflammatory Response in Conventional Jig-Based Total Knee Arthroplasty Versus Robotic-Arm Assisted Total Knee Arthroplasty. The Bone & Joint Journal, 103-B, 113-122. [Google Scholar] [CrossRef
[16] Wan, X., Su, Q., Wang, D., Yuan, M., Lai, Y., Xu, H. and Zhou, Z. (2021) Robotic Arm-Assisted Total Knee Arthroplasty Improves Preoperative Planning and In-traoperative Decision-Making. Journal of Orthopaedic Surgery and Research, 16, Article No. 670. [Google Scholar] [CrossRef] [PubMed]
[17] Marchand, R.C., Khlopas, A., Sodhi, N., Condrey, C., Piuzzi, N.S., Patel, R., Delanois, R.E. and Mont, M.A. (2018) Difficult Cases in Robotic Arm-Assisted Total Knee Arthroplasty: A Case Series. The Journal of Knee Surgery, 31, 27-37. [Google Scholar] [CrossRef] [PubMed]
[18] Sultan, A.A., Samuel, L.T., Khlopas, A., Sodhi, N., Bhowmik-Stoker, M., Chen, A., Orozco, F., Kolisek, F., Mahoney, O., Smith, L., Malkani, A., Molloy, R.M. and Mont, M.A. (2019) Robotic-Arm Assisted Total Knee Arthroplasty More Accurately Restored the Posterior Condylar Offset Ratio and the Insall-Salvati Index Compared to the Manual Technique; A Co-hort-Matched Study. Surgical Technology International, 34, 409-413.
[19] Hampp, E.L., Chughtai, M., Scholl, L.Y., Sodhi, N., Bhowmik-Stoker, M., Jacofsky, D.J. and Mont, M.A. (2019) Robotic-Arm Assisted Total Knee Arthroplasty Demonstrated Greater Accuracy and Precision to Plan Compared with Manual Techniques. The Journal of Knee Surgery, 32, 239-250. [Google Scholar] [CrossRef] [PubMed]
[20] Marchand, R.C., Sodhi, N., Khlopas, A., Sultan, A.A., Harwin, S.F., Malkani, A.L. and Mont, M.A. (2017) Patient Satisfaction Outcomes after Robotic Arm-Assisted Total Knee Arthroplasty: A Short-Term Evaluation. The Journal of Knee Surgery, 30, 849-853. [Google Scholar] [CrossRef] [PubMed]
[21] Khlopas, A., Sodhi, N., Hozack, W.J., Chen, A.F., Mahoney, O.M., Kinsey, T., Orozco, F. and Mont, M.A. (2020) Patient-Reported Functional and Satisfaction Outcomes after Robot-ic-Arm-Assisted Total Knee Arthroplasty: Early Results of a Prospective Multicenter Investigation. The Journal of Knee Surgery, 33, 685-690. [Google Scholar] [CrossRef] [PubMed]
[22] Casper, M., Mitra, R., Khare, R., Jaramaz, B., Hamlin, B., McGinley, B., Mayman, D., Headrick, J., Urish, K., Gittins, M., Incavo, S. and Neginhal, V. (2018) Accuracy Assessment of a Novel Image-Free Handheld Robot for Total Knee Arthroplasty in a Cadaveric Study. Computer Assisted Surgery, 23, 14-20. [Google Scholar] [CrossRef] [PubMed]
[23] Thiengwittayaporn, S., Uthaitas, P., Senwiruch, C., Hongku, N. and Tunyasuwanakul, R. (2021) Imageless Robotic-Assisted Total Knee Arthroplasty Accurately Restores the Radio-logical Alignment with a Short Learning Curve: A Randomized Controlled Trial. International Orthopaedics, 45, 2851-2858. [Google Scholar] [CrossRef] [PubMed]
[24] Held, M.B., Gazgalis, A., Neuwirth, A.L., Shah, R.P., Cooper, H.J. and Geller, J.A. (2022) Imageless Robotic-Assisted Total Knee Arthroplasty Leads to Similar 24-Month WOMAC Scores as Compared to Conventional Total Knee Arthroplasty: A Retrospective Cohort Study. Knee Surgery, Sports Traumatology, Arthroscopy, 30, 2631-2638. [Google Scholar] [CrossRef] [PubMed]
[25] Savov, P., Tuecking, L.-R., Windhagen, H., Ehmig, J. and Ettinger, M. (2021) Imageless Robotic Handpiece-Assisted Total Knee Arthroplasty: A Learning Curve Analysis of Sur-gical Time and Alignment Accuracy. Archives of Orthopaedic and Trauma Surgery, 141, 2119-2128. [Google Scholar] [CrossRef] [PubMed]
[26] Parratte, S., Price, A.J., Jeys, L.M., Jackson, W.F. and Clarke, H.D. (2019) Accuracy of a New Robotically Assisted Technique for Total Knee Arthroplasty: A Cadaveric Study. The Journal of Arthroplasty, 34, 2799-2803. [Google Scholar] [CrossRef] [PubMed]
[27] Seidenstein, A., Birmingham, M., Foran, J. and Ogden, S. (2021) Better Accuracy and Reproducibility of a New Robotically-Assisted System for Total Knee Arthroplasty Compared to Conventional Instrumentation: A Cadaveric Study. Knee Surgery, Sports Traumatology, Arthroscopy, 29, 859-866. [Google Scholar] [CrossRef] [PubMed]
[28] Shin, C., Crovetti, C., Huo, E. and Lionberger, D. (2022) Un-satisfactory Accuracy of Recent Robotic Assisting System ROSA for Total Knee Arthroplasty. Journal of Experimental Orthopaedics, 9, Article No. 82. [Google Scholar] [CrossRef] [PubMed]
[29] Mancino, F., Rossi, S.M.P., Sangaletti, R., Lucenti, L., Terrag-noli, F. and Benazzo, F. (2023) A New Robotically Assisted Technique Can Improve Outcomes of Total Knee Arthro-plasty Comparing to an Imageless Navigation System. Archives of Orthopaedic and Trauma Surgery, 143, 2701-2711. [Google Scholar] [CrossRef] [PubMed]
[30] Li, Z., Chen, X., Wang, X., Zhang, B., Wang, W., Fan, Y., Yan, J., Zhang, X., Zhao, Y., Lin, Y., Liu, J. and Lin, J. (2022) HURWA Robotic-Assisted Total Knee Arthroplasty Improves Component Positioning and Alignment—A Prospective Randomized and Multicenter Study. Journal of Orthopaedic Translation, 33, 31-40. [Google Scholar] [CrossRef] [PubMed]
[31] Xia, R., Zhai, Z., Zhang, J., Yu, D., Wang, L., Mao, Y., Zhu, Z., Wu, H., Dai, K., Yan, M. and Li, H. (2021) Verification and Clinical Translation of a Newly Designed “Skywalker” Robot for Total Knee Arthroplasty: A Prospective Clinical Study. Journal of Orthopaedic Translation, 29, 143-151. [Google Scholar] [CrossRef] [PubMed]