全髋关节置换术个性化手术安全区的研究进展  

Progress in the research of patient-specific safe zone of total hip arthroplasty

作　　者：唐浩 马祝一 郭邵逸 王思远 张浩天 王广志[3] 周一新 TANG Hao;MA Zhuyi;GUO Shaoyi;WANG Siyuan;ZHANG Haotian;WANG Guangzhi;ZHOU Yixin(Department of Orthopaedic Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China;National Center for Orthopaedics,Beijing 100035,China;School of Medcine,Tsinghua University,Beijing 100084,China)

机构地区：[1]首都医科大学附属北京积水潭医院矫形骨科,北京100035 [2]国家骨科医学中心,北京100035 [3]清华大学医学院,北京100084

出　　处：《中华骨与关节外科杂志》2025年第1期43-50,共8页Chinese Journal of Bone and Joint Surgery

基　　金：国家自然科学基金面上项目(82472538);北京市卫生健康委员会医师科学家项目(BJPSTP-2024-25);北京市卫生健康委员会-改革与发展专项-优才计划(BJRITO-RDP-2023);北京自然科学基金-海淀原始创新联合基金项目(L212008);北京市医院管理中心青年人才培养“青苗”计划(QML20210401)。

摘　　要：全髋关节置换术(THA)是治疗终末期髋关节疾病的最佳术式。随着机器人辅助手术的快速发展,精准控制THA的假体角度成为可能。近年来,对于手术安全区的规划产生许多争议,个性化假体角度优化一直是学界努力的方向,其中脊柱-骨盆相互作用关系是进行髋关节功能重建的关键因素。本文从传统手术安全区失效的机制、脊柱-骨盆运动的评估方法、正常与病理状态下的脊柱-骨盆参数、建立个性化假体角度的分型和算法、术后骨盆姿态的预测等方面,对THA个性化手术安全区的研究进展作一综述。Total hip arthroplasty(THA)is the optimal surgical procedure for treating end-stage hip joint diseases.With the rapid development of robot-assisted surgery,precise control of the prosthesis angles in THA has become possible.In recent years,there have been many controversies regarding the planning of surgical safe zones.However,the optimization of personalized prosthesis angles remains the ultimate goal of academic efforts,with the interaction between the spine and pelvis being a key factor in reconstructing a functional hip joint.This review summarized the research progress on special surgical safe zones in THA,covering the mechanisms of failure of traditional safe zone,assessment methods for spine-pelvis movement,the impact of normal and abnormal states,the classifications and algorithms for establishing personalized prosthesis angles,and the prediction of postoperative pelvic posture.

关 键 词：全髋关节置换术 患者个性化安全区 脊柱-骨盆参数 

分 类 号：R684[医药卫生—骨科学]