机器人辅助全膝关节整形术与术后深静脉血栓形成的风险增加无关
Junya Itou1, Umito Kuwashima1, Masafumi Itoh1
1Department of Orthopaedic Surgery, Tokyo Women's Medical University, 8-1 Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.
Journal of experimental orthopaedics
|June 29, 2023
概括
与手动TKA相比,机器人辅助全膝关节整形术 (RATKA) 不会增加深静脉血栓症 (DVT) 的风险. 这项研究发现,这两种手术方法之间的DVT发生率没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 医疗技术 医疗技术 医学技术
- 血管健康 血管健康
背景情况:
- 机器人辅助全膝关节整形术 (RATKA) 可能会延长操作时间.
- 人们担心,RATKA.之后,术后深静脉血栓症 (DVT) 可能会增加.
- 这项研究调查了RATKA与传统手动TKA (mTKA) 之间的DVT发生率.
研究的目的:
- 为了比较机器人辅助全膝关节整形术 (RATKA) 后深静脉血栓塞 (DVT) 的发生率与传统手动TKA (mTKA) 后的发生率.
- 确定机器人辅助TKA是否与术后DVT的风险增加有关.
主要方法:
- 一个回顾系列的141个主要的TKA使用旅程II系统与CORI机器人.
- 包括60个RATKA和81个mTKA.
- 在术后第7天进行多普勒超声波,以检测所有患者的DVT.
主要成果:
- 与mTKA (78.0分钟) 相比,RATKA (99.5分钟) 的运行时间明显长.
- 无症状的DVT的总发病率为43.9% (62/141膝盖).
- 在RATKA (50.0%) 和mTKA (39.5%) 之间没有观察到严重的DVT发病率差异.
结论:
- 深静脉血栓症 (DVT) 的发生率在机器人辅助TKA (RATKA) 和手动TKA (mTKA) 之间没有显著差异.
- 在TKA中机器人辅助与术后DVT的风险增加无关.
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