PDF(Pubmed)
Abstract：
Total knee arthroplasty (TKA) is a gold standard surgical procedure to improve pain and restore function in patients affected by moderate-to-severe severe gonarthrosis refractory to conservative treatments. Indeed, millions of these procedures are conducted yearly worldwide, with their number expected to increase in an ageing and more demanding population. Despite the progress that has been made in optimizing surgical techniques, prosthetic designs, and durability, up to 20% of patients are dissatisfied by the procedure or still report knee pain. From this perspective, the introduction of robotic TKA (R-TKA) in the late 1990s represented a valuable instrument in performing more accurate bone cuts and improving clinical outcomes. On the other hand, prolonged operative time, increased complications, and high costs of the devices slow down the diffusion of R-TKA. The advent of newer technological devices, including those using navigation systems, has made robotic surgery in the operatory room more common since the last decade. At present, many different robots are available, representing promising solutions to avoid persistent knee pain after TKA. We hereby describe their functionality, analyze potential benefits, and hint at future perspectives in this promising field.
摘要：
全膝关节置换术（TKA）是一种金标准的手术方法，可改善受保守治疗难治性中度至重度重度膝关节病影响的患者的疼痛并恢复功能。的确,全世界每年进行数百万次这样的手术，随着老龄化和要求更高的人口，他们的数量预计会增加。尽管在优化手术技术方面取得了进展，假肢设计,和耐用性，多达20％的患者对手术不满意或仍报告膝盖疼痛。从这个角度来看,机器人TKA(R-TKA)在20世纪90年代末的引入,为更精确的骨切割和改善临床结果提供了一种有价值的仪器.另一方面,手术时间延长,增加并发症,和设备的高成本减缓了R-TKA的扩散。新技术设备的出现，包括那些使用导航系统的人，自过去十年以来，手术室中的机器人手术变得更加普遍。目前,有许多不同的机器人，代表有希望的解决方案，以避免TKA后持续的膝关节疼痛。我们在此描述它们的功能，分析潜在的好处，并暗示了这个有前途的领域的未来前景。
