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膝关节关节整形手术中的机器人功能对齐可以最大限度地减少对脚对齐的影响:MPTA和LDFA保护作用

Rudy Sangaletti¹, Alice Montagna^1,2, Giulio Calandra³

¹Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unità di Traumatologia dello Sport, U.O.C Ortopedia e Traumatologia Fondazione Poliambulanza, Brescia, Italy.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

|February 5, 2025

概括

在膝关节关节整形手术中,功能对齐 (FA) 与机械对齐 (MA) 相比,更好地保持脚对齐. 这种特定于患者的方法将脚的生物力学压力降到最低,这表明手术后关节健康得到改善.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程
放射学分析放射学分析

背景情况:

膝关节关节整形对齐影响邻近的关节生物力学,特别是脚.
功能对齐 (FA) 为膝关节平衡提供了一种针对患者的具体方法.
保持本地对齐对于关节的稳定性和功能至关重要.

研究的目的:

评估膝关节关节整形术中的功能对齐 (FA) 策略是否能保护脚免受过度的生物力学压力.
为了比较FA和机械对齐 (MA) 后膝关节整形术之间的脚参数变化.
为了评估中枢近角 (MPTA) 和侧面远角 (LDFA) 调整对脚对齐的影响.

主要方法:

对300名接受机器人辅助膝关节关节整形手术的患者进行了回顾性队列分析.
在手术前和手术后6个月,对脚参数进行放射测量:脚顶部倾斜 (TPI),脚顶部倾斜 (TI) 和脚顶部倾斜 (TT).
统计分析以比较FA和MA组之间的调整变化,重点关注MPTA和LDFA值.

主要成果:

与MA组相比,FA组的脚参数 (TPI,TI,TT) 的变化明显较小.
在FA组的平均变化:KTPA为1.8°,TPI为2.4°,TI为2.1°,TT为1.7°.
在MA组中,偏差较大:KTPA为3.9°,TPI为5.2°,TI为4.8°,TT为3.6°.
MPTA和LDFA的变化>2°与脚对齐的恶化相关;FA保持了膝盖冠状平面对齐 (CPAK) 的分类.

结论:

功能性对齐与脚对齐参数的变化减少有关,保持本地关节定位.
在膝关节关节整形术后,FA证明了对脚的潜在生物力学益处.
建议进行进一步的纵向研究,以确定FA作为维持CPAK对齐和脚健康的标准.

关键词:

在CPAK分类中,CPAK的分类.脚生物力学脚生物力学功能对齐功能对齐功能对齐膝关节关节整形手术膝关节关节整形手术机器人辅助手术是一种机器人辅助的手术.

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