机器人辅助膝关节置换与人工膝关节置换早期疗效对比及差异分析OA
Comparison and Difference Analysis of Early Curative Effect between Robot Assisted and Artificial Knee Arthroplasty
目的:对比机器人辅助膝关节置换与人工膝关节置换早期临床疗效,探讨机器人辅助膝关节置换的优势及存在的问题.方法:回顾2024年9月至2025年2月全膝关节置换手术病例,其中Mako辅助组82例,Cori辅助组69例,人工组86例,根据手术前及术后初期随访资料,通过手术前后疼痛视觉模拟量表(VAS)评分、膝关节活动范围(ROM)、髋-膝-踝角(HKA)、美国特种外科医院膝关节功能评分(HSS评分)等指标对比三组患者临床疗效.结果:三组患者术前基础资料差异无统计学意义(P>0.05),三组患者全膝关节置换术后均取得良好的临床疗效,Mako和Cori机器人辅助的全膝关节置换术后2周临床效果更好,表现为疼痛更轻(VAS评分分别为 Mako辅助组(3.1±0.3)分,Cori辅助组(3.6±0.5)分,人工组(4.3±0.6)分)、活动度更大(膝关节活动范围分别为 Mako辅助组115.2°±6.4°,Cori辅助组109.5°±7.6°,人工组101.7°±8.3°)、下肢力线恢复更理想(髋-膝-踝角分别为 Mako辅助组177.2°±1.8°,Cori辅助组176.5°±2.6°,人工组172.3°±3.4°)、功能更好(HSS评分分别为Mako辅助组(57.2±3.4)分,Cori辅助组(53.6±4.5)分,人工组(49.4±4.3)分),差异有统计学意义(P<0.05).术后3个月时三组患者VAS评分、膝关节活动范围、髋-膝-踝角、膝关节HSS评分同样表现为机器人辅助组较人工组效果更好,差异有统计学意义(P<0.05).结论:机器人辅助全膝关节置换术可做到软组织平衡、截骨量、下肢力线及运动轨迹数字可视化,患者术后在疼痛及关节活动度方面恢复得更快,较人工置换具有精度更高、骨损伤更小、发挥更稳定等优点.
Objective:To compare the early clinical efficacy of robot assisted and artificial knee arthroplasty and to explore the advantages and existing problems of robot assisted knee arthroplasty.Methods:Reviewing the cases of total knee arthroplasty(TKA)surgery from September 2024 to Febru-ary 2025,including 82 cases assisted by Mako,69 cases assis-ted by Cori,and 86 cases assisted by artificial surgery,the clinical efficacy of the three groups was compared based on the initial follow-up data before and after surgery using indicators such as visual analog scale(VAS)scores,range of motion(ROM),hip knee ankle(HKA)angle,and knee joint function score from the American Hospital for Special Surgery(HSS scores).Results:There was no significant difference in the preoperative baseline data among the three groups(P>0.05).All the three groups achieved good clinical efficacy after TKA.The clinical effect of TKA assisted by Mako and Cori robot was better 2 weeks after TKA,with lighter pain(VAS scores were(3.1±0.3)points in Mako group,(3.6±0.5)points in Cori group,(4.3±0.6)points in artificial group),and greater activity(ROM was 115.2°±6.4° in Mako group,109.5°±7.6° in Cori group,101.7°±8.3° in artificial group),and better recovery of lower limb force line(HKA angle was 177.2°±1.8° in Mako group,176.5°±2.6° in Cori group,172.3°±3.4° in artificial group),and the function was better(HSS scores were(57.2±3.4)points in Mako group,(53.6±4.5)points in Cori group,(49.4±4.3)points in artificial group),the difference was statistically significant(P<0.05).At 3 months after operation,the VAS score,ROM,HKA angle and knee HSS score of the three groups also showed that the robotic group achieved better outcomes than the artificial group,and the difference was statistically significant(P<0.05).Conclusion:Robot assisted TKA can achieve the digital visualization of soft tissue balance,osteotomy volume,lower limb force line and motion trajectory.Patients recover faster in pain and joint range of motion after operation.Compared with artificial TKA,it has the advanta-ges of higher accuracy,less bone damage and more stable performance.
卞恒杰;周宇;王睿;王津;李同林;周飞;李鑫;李义凯;孙玉明
南京中医药大学附属南京市中西医结合医院(南京,210014)南京中医药大学附属南京市中西医结合医院(南京,210014)南京中医药大学附属南京市中西医结合医院(南京,210014)上海交通大学附属上海市第六人民医院南京中医药大学附属南京市中西医结合医院(南京,210014)南京中医药大学附属南京市中西医结合医院(南京,210014)南京中医药大学附属南京市中西医结合医院(南京,210014)南方医科大学南方医院南京中医药大学附属医院
医药卫生
人工智能机器人膝关节置换早期疗效
artificial intelligencerobotknee arthroplastyearly and mid-term outcomes
《中国中医骨伤科杂志》 2026 (8)
46-53,8
国家中医药管理局监测统计中心中医药监测统计研究课题(2025JCTJC155)江苏省中医药科技发展计划面上项目(MS2022045)江苏省省级中医重点专科(Ⅱ类)建设项目(苏中医医政[2023]5号)南京市中医药传承创新发展示范试点项目-南京市市级柔性人才引进项目(李义凯岐黄学者工作室)(宁卫财务[2024]49号)南京市卫生科技发展专项(YKK22186,ZKX23058)
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