目的 探讨机器人辅助与传统全膝关节置换术(total knee arthroplasty，TKA)早期疗效及患者满意度的差异。方法 回顾性分析2022年6月～2023年4月93例因膝骨关节炎接受初次单侧TKA资料，其中Mako机器人辅助TKA 46例(机器人组)，传统手工 TKA 47例(传统组)，2组一般资料无统计学差异(P＞0。05)。收集术后随访资料，比较2组手术指标、术后疼痛、膝关节活动度、美国特种外科医院(Hospital for Special Surgery，HSS)评分、人工关节遗忘评分(Forgotten Joint Score，FJS)等差异。结果 机器人组手术时间较传统组长[(105。8±26。7)min vs。(77。0±14。9)min，P＜0。001]。2组术后3天总失血量、髋-膝-踝(hip-knee-ankle，HKA)角偏差值及偏移率(HKA角＞3°)差异无统计学意义(P＞0。05)。机器人组较传统组术后3天、2周、6个月疼痛视觉模拟评分低(P＜0。001、P＜0。001、P=0。021)，术后3天、2周、3个月膝关节活动度好(P＜0。001、P=0。011、P＜0。001)，术后6个月HSS功能评分和FJS评分高(P=0。001，P＜0。001)。结论 与常规TKA相比，机器人辅助TKA早期疼痛轻，活动度好，总体术后满意度高。
Comparison of Short-term Clinical Outcomes and Patient Satisfaction Between Robotic-assisted and Conventional Total Knee Arthroplasty
Objective To compare short-term clinical outcomes and patient satisfaction between robotic-assisted total knee arthroplasty(TKA)and conventional TKA.Methods A retrospective analysis was conducted on data of 93 patients who underwent primary unilateral TKA for knee osteoarthritis from June 2022 to April 2023.Among them,46 patients underwent Mako robot-assisted TKA(robot group)and 47 patients underwent traditional manual TKA(traditional group).There was no statistical difference in general data between the two groups(P＞0.05).Follow-up data were collected to compare the differences in surgical indicators,postoperative pain,range of motion(ROM),Hospital for Special Surgery(HSS)score,and Forgotten Joint Score(FJS)between the two groups.Results The operation time of the robotic group was longer than that of the traditional group[(105.8±26.7)min vs.(77.0±14.9)min,P＜0.001].There were no significant differences in total blood loss,hip-knee-ankle(HKA)angle deviation value and deviation rate(HKA angle＞3°)between the two groups at 3 days after surgery(P＞0.05).The robotic group had lower Visual Analogue Scale(VAS)scores for pain than the traditional group at 3 days,2 weeks,and 6 months after surgery(P＜0.001,P＜0.001,P=0.021),and had better knee joint ROM at 3 days,2 weeks,and 3 months after surgery(P＜0.001,P=0.011,P＜0.001).The HSS score(P=0.001)and FJS score(P＜0.001)of the robotic group were better than those of the traditional group at 6 months after surgery.Conclusion Compared with conventional TKA,robot assisted TKA has milder early pain,better mobility,and higher overall postoperative satisfaction.
Total knee arthroplastyOsteoarthritisRobotic-assisted surgry
万方数据
维普
