Abstract：
We investigated the effect of robotic assistance in a postoperative change in hip offset and the incidence of trochanteric bursitis among total hip arthroplasty (THA) patients. As part of a retrospective study of a consecutive series of patients over a 3-year period, 211 patients (102 traditional; 109 robotic) between 2013 and 2016 who underwent posterior-lateral THA were reviewed. Hip offset was measured on preoperative and postoperative anterior-posterior (AP) pelvis radiographs. The absolute change in total hip offset was higher in patients undergoing non-robotic THA than in patients undergoing robotic THA (5.98 ± 4.47 mm vs 4.33 ± 3.98 mm; p = 0.008). The rate of symptomatic trochanteric bursitis (p = 0.02) and cortisone injection was higher in non-robotic THA patients than in robotic THA patients (p = 0.002). Robotic arm-assisted THA is associated with a decreased postoperative change in hip offset, incidence of symptomatic trochanteric bursitis, and bursal steroid injections. (Journal of Surgical Orthopaedic Advances 32(4):112-116, 2023).
摘要：
我们调查了机器人辅助在全髋关节置换术（THA）患者术后髋关节偏移变化和转子滑囊炎发生率中的作用。作为连续3年患者系列回顾性研究的一部分，回顾了2013年至2016年间接受后外侧THA的211例患者（102例传统；109例机器人）。在术前和术后前后（AP）骨盆X光片上测量髋关节偏移。接受非机器人THA的患者总髋关节偏移的绝对变化高于接受机器人THA的患者（5.98±4.47mmvs4.33±3.98mm；p=0.008）。非机器人THA患者的症状性股骨转子滑囊炎（p=0.02）和可的松注射率高于机器人THA患者（p=0.002）。机器人手臂辅助的THA与术后髋关节偏移的变化减少有关，症状性股骨转子滑囊炎的发生率，和法氏囊类固醇注射。(外科骨科杂志进展32(4)：112-116,2023)。
