中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (36): 5861-5867.doi: 10.3969/j.issn.2095-4344.1978

• 骨与关节综述 bone and joint review • 上一篇    下一篇

全膝关节置换中股骨假体的旋转定位

曾  沣1,李书振1,2   

  1. 1广西中医药大学附属瑞康医院骨科,广西壮族自治区南宁市  530001;2广西壮族自治区人民医院骨科,广西壮族自治区南宁市  530021
  • 出版日期:2019-12-28 发布日期:2019-12-28
  • 通讯作者: 李书振,硕士,副主任医师,广西中医药大学附属瑞康医院骨科,广西壮族自治区南宁市 530001;广西壮族自治区人民医院骨科,广西壮族自治区南宁市 530021
  • 作者简介:曾沣,男,1991年生,江西省赣州市人,汉族,广西中医药大学在读硕士,医师,主要从事关节与运动医学方面的研究。
  • 基金资助:

    广西壮族自治区自筹经费科研课题(Z20180878),项目负责人:李书振

Rotational positioning of femoral prosthesis in total knee arthroplasty

Zeng Feng1, Li Shuzhen1, 2
  

  1. 1Department of Orthopedic Surgery, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China; 2Department of Orthopedic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China
  • Online:2019-12-28 Published:2019-12-28
  • Contact: Li Shuzhen, Master, Associate chief physician, Department of Orthopedic Surgery, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China; Department of Orthopedic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi Zhuang Autonomous Region, China
  • About author:Zeng Feng, Master candidate, Physician, Department of Orthopedic Surgery, Affiliated Ruikang Hospital of Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China
  • Supported by:

    the Self-Funded Research Projects in Guangxi Zhuang Autonomous Region, No. Z20180878 (to LSZ)

摘要:

文章快速阅读:
 
 
 
文题释义:
全膝关节置换中股骨假体的旋转定位:是指通过不同旋转定位方法进行股骨远端截骨后正确放置股骨假体以重建下肢正常力线。
机器人辅助全膝关节置换:指通过将患者置换前CT图像导入机器人工作站,确定假体型号大小,在计算机辅助导航监测下用机械臂进行截骨,提升手术精准度。
 
摘要
背景:全膝关节置换中通过正确的截骨方式放置股骨假体对于手术的成功至关重要。
目的:通过查阅相关文献进行总结归纳,对全膝关节置换中股骨假体旋转定位的相关研究进行综述。
方法:应用计算机检索中国期刊全文数据库CNKI、万方数据库和PubMed数据库,检索关键词分别为“膝关节;置换;股骨假体;旋转力线;测量截骨;间隙平衡;计算机辅助导航;3D打印;机器人技术”和“Knee;Arthroplasty;Femoral prosthesis;Rotational alignment;Measuring resection;Gap balance;Computer aided navigation;3D Printing;Robotics”,检索文献时限为1976年1月至2019年1月,检索语言分别设定为中文和英文,检索文献类型包括临床研究、基础研究、综述、经验交流等。
结果与结论:全膝关节置换中股骨假体的旋转定位可通过测量截骨法和间隙平衡法进行截骨,而计算机辅助导航技术、3D打印技术和机器人辅助技术由于多种因素在临床未能够得到广泛应用,目前仍是以传统截骨方法为主,但随着科技的发展和微创理念的引进,相信不远的将来计算机辅助导航技术、3D打印技术和机器人技术将会广泛应用于临床,加快全膝关节置换的发展和提升患者置换后临床疗效。


ORCID: 0000-0001-7057-4788(李书振)

关键词: 膝关节, 置换, 股骨假体, 旋转力线, 测量截骨, 间隙平衡, 计算机辅助导航, 3D打印, 机器人技术

Abstract:

BACKGROUND: Femoral prosthesis placement with correct osteotomy in total knee arthroplasty is crucial to the success of the operation.
OBJECTIVE: To review the research progress of femur plus other in total knee arthroplasty by referring to relevant papers for summary.
METHODS: We retrieved the relevant literatures from CNKI, WanFang and PubMed databases. The keywords were “knee; arthroplasty; femoral prosthesis; rotational alignment; measuring resection; gap balance; computer aided navigation; 3D printing; robotics” in Chinese and English, respectively. Retrieval time was from January 1976 to January 2019. The types of articles included clinical research, basic research, review, and experience exchange.
RESULTS AND CONCLUSION: The rotation of the femoral prosthesis positioning in total knee arthroplasty can be measured by method of bone cutting and gap balance method, but computer aided navigation technology, 3D printing technology and robotics due to a variety of factors in clinic cannot be used widely. It is still based on traditional bone cutting method until now. With the development of science and technology and the introduction of concept of minimally invasive, it is believed that in the near future, computer aided navigation technology, 3D printing technology and robot technology will be widely used in clinic, thereby speeding up the development of total knee arthroplasty, and improving clinical efficacy after arthroplasty.

Key words: knee, arthroplasty, femoral prosthesis, rotational alignment, measuring bone cutting, gap balance, computer aided navigation, 3D printing, robotics

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