机器人辅助关节镜下重建前交叉韧带的疗效  

Efficacy of robot-assisted arthroscopic reconstruction of anterior cruciate ligament

作　　者：梁求真 赵赞栋 张亮 Liang Qiuzhen;Zhao Zandong;Zhang Liang(Lower Extremity Ward of Sports Medicine Center,the Affiliated Honghui Hospital of Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安市红会医院运动医学诊疗中心下肢病区,710054

出　　处：《美中国际创伤杂志》2023年第3期8-12,29,共6页U.S.Chinese International Journal of Traumatology

摘　　要：目的:比较机器人辅助关节镜下重建前交叉韧带(anterior cruciate ligament,ACL)与传统关节镜下重建前交叉韧带的临床疗效。方法:采用回顾性病例对照研究分析2020年1-9月我院收治的37例膝关节ACL撕裂患者的临床资料,其中男24例,女13例;年龄16~45岁[(30.7±9.8岁]。17例给予机器人辅助关节镜前交叉韧带重建(机器人+关节镜组);20例给予关节镜下前交叉韧带重建(单纯关节镜组)。比较两组术前、术后4个月及末次随访时Lachman查体、KT2000、Lysholm评分、国际膝关节文献委员会(IKDC)评分及关节屈伸活动度。结果:患者均获随访12~18个月[(13.1±4.1)个月]。机器人+关节镜组患者手术时间(83.8±11.3)min,明显较单纯关节镜组(50.4±9.1)min长。两组术前Lachman查体、KT2000、Lysholm评分、IKDC评分及关节屈伸活动度差异均无统计学意义(P>0.05)。组间比较发现,术前、术后4个月及末次随访时两组间Lachman试验、KT2000、膝关节评分(Lysholm评分、IKDC评分)及屈伸活动度差异均无统计学意义(P>0.05);术后4个月及末次随访时以上相关指标均较术前显著改善(P<0.05),两组术后4个月与末次随访时以上相关指标差异无统计学意义(P>0.05)。结论:机器人辅助下关节镜下ACL重建可制备具有良好位点及方向的骨道,获得与传统关节镜ACL重建相似的关节稳定性及功能恢复,但机器人的应用会增加手术时间。Objective:To compare the clinical efficacy between robot-assisted arthroscopic reconstruction of anterior cruciate ligament(ACL)and traditional arthroscopic ACL reconstruction.Methods:The clinical data of 37 patients with ACL tears of the knee from January to September 2020 were case-control study retrospectively.Among them,there were 24 males and 13 females,aged from 16 to 45 years[(30.7±9.8)years].A total of 17 patients were treated by robot-assisted ACL reconstruction(robot arthroscopy group)and 20 patients by simple arthroscopic ACL reconstruction(arthroscopy group),Lachman physical examination,KT2000,Lysholm score,IKDC score and joint flexion-extension range were compared between the two groups before operation,4 months after operation and at the last follow-up.Results:All patients were followed up for 12-18 months[(13.1±4.1)months].The operative time of patients in the robot arthroscopic group was(83.8±11.3)min,which was significantly longer than that in the arthroscopic group 0(50.4±9.1)min.There was no significant difference in Lachman examination,KT2000,Lysholm score,IKDC score and joint flexion-extension activity between the two groups before operation,4 months after operation and at the last follow-up(P>0.05).At 4 months afer operation and at the last follow-up,the above indexes were sig-nificantly improved compared with those before operation(P<0.05),and there was no significant difference(P>0.05).Conclusion:Robot-assisted ACL reconstruction under arthroscopy can produce bone canals with good position and orientation,and achieve joint stability and functional recovery similar to traditional ACL reconstruction,but the use of robots will increase the operation time.

关 键 词：机器人辅助手术 前交叉韧带重建 临床疗效 

分 类 号：R68[医药卫生—骨科学]