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在 CORI 机器人-TKA 和传统-TKA:单个外科医生系列之间,早期运动范围没有差异

Edward L Major¹, Harrison T Stone¹, James R Goetz¹

¹College of Medicine, University of Kentucky, Lexington, KY, USA.

Arthroplasty today

|August 18, 2025

概括

与传统的TKA (c-TKA) 相比,机器人辅助全膝关节整形术 (r-TKA) 在早期运动范围 (ROM) 或麻醉下操纵率上没有显著差异. 这些发现表明,机器人辅助在膝关节置换术后的早期功能恢复中并没有立即带来优势.

科学领域:

整形外科手术整形外科手术
机器人在医学中的机器人
关节整形术的结果

背景情况:

随着机器人辅助全膝关节整形术 (r-TKA) 的日益普及,需要对其功能益处进行评估.
有限的数据存在于早期的功能结果,特别是运动范围 (ROM),后r-TKA.
对r-TKA和常规TKA (c-TKA) 的比较对于理解机器人辅助的影响至关重要.

研究的目的:

为了比较6周的机器人辅助全膝关节整形手术 (r-TKA) 和常规全膝关节整形手术 (c-TKA) 患者之间的运动范围 (ROM) 结果.
为了确定机器人辅助是否在早期的术后 ROM 中提供了优势.
分析和比较两个手术方法之间的术后硬性在麻醉下 (MUA) 的操纵率.

主要方法:

对1124名初级全膝关节整形术 (TKA) 患者 (2019-2023) 的回顾性分析.
患者被分为机器人辅助的TKA (r-TKA) 和传统的TKA (c-TKA) 队列.
在手术前和手术后的2周和6周测量了膝盖曲和延伸ROM;记录了MUA率. 统计分析使用线性混合模型.

主要成果:

在r-TKA和c-TKA组之间,在手术前或6周后的膝盖延伸ROM中没有发现显著差异 (P=.661).
同样,在手术前或6周后的膝盖曲ROM中,在r-TKA和c-TKA队列之间没有观察到显著差异 (P=.185).
机器人辅助和传统TKA组 (3.0%对2.5%,P=.359) 之间,术后硬的麻醉下操纵 (MUA) 率是可比的.

结论:

机器人辅助TKA (r-TKA) 显示了与传统TKA (c-TKA) 的可比的早期术后运动范围 (ROM) 和麻醉下的操纵 (MUA) 率.
机器人辅助似乎不会在全膝关节整形术后的早期功能恢复或硬方面提供立即优势.
建议进行进一步的研究,以调查长期ROM结果及其与患者报告结果的相关性,以指导临床实践.

关键词:

在麻醉下进行操纵.运动范围的范围.机器人辅助的机器人辅助整体膝关节关节整形手术

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