全膝关节置换术中IKPAS导航定位系统结合内侧副韧带协同后稳定型假体产生的内轴运动对近期疗效的影响  

Analysis of the recent therapeutic effect by generate internal axial motion of the IKPAS navigation and positioning system combined with the medial collateral ligament and posterior stabilizing prosthesis in total knee replacement surgery

作　　者：高原 潘沨 张骏 杨超 李仕成 韩朝政 吴坚 Gao Yuan;Pan Feng;Zhang Jun;Yang Chao;Li Shicheng;Han Chaozheng;Wu Jian(Department of Joint Surgery,Guizhou Hospital of Beijing Jishuitan Hospital,Guiyang 550014,China)

机构地区：[1]北京积水潭医院贵州医院关节外科,贵阳550014 [2]首都医科大学附属北京积水潭医院矫形骨科,100035

出　　处：《骨科临床与研究杂志》2025年第2期76-81,共6页Journal Of Clinical Orthopedics And Research

基　　金：贵州省卫生健康委科学技术基金(gzwkj2025-360)。

摘　　要：目的探讨在全膝关节置换术(TKA)中采用IKPAS导航定位系统结合内侧副韧带协同后稳定型假体产生的内轴运动对疗效的影响。方法2024年3月至2024年12月于北京积水潭医院贵州医院骨科收治的膝关节骨关节炎患者60例病例资料。根据使用手术方法分为研究组和对照组,其中研究组是采用导航下内轴运动技术行单侧TKA的30例患者,对照组是采用导航下传统机械力学对线(MA)技术行单侧TKA的30例患者。比较两组患者在手术时间、首次下地行走时间、膝关节临床评分(KJCS)、膝关节功能评分(KJFS)、膝关节伸-屈活动度和遗忘关节评分(FJS)等方面的差异。结果60例患者均获随访,时间为1~9(7±1.5)个月。两组患者手术切口均一期愈合,未发生严重并发症。研究组患者的首次下地行走时间和住院时间短于对照组(P<0.05);两组手术时间差异无统计学意义(P>0.05)。研究组患者的膝关节KJCS、KJFS、膝关节伸-屈活动度和FJS在术后1、3、6个月随访时均高于对照组(均P<0.05)。结论以内侧副韧带协同后稳定型假体产生内轴运动的手术方式可以提升膝关节置换术后的临床效果,实现流程化手术到个体化手术的进步。Objective Exploring the application effect by generate internal axial motion of IKPAS navigation positioning system combined with medial collateral ligament and posterior stabilizing prosthesis in total knee arthroplasty(TKA).Methods An analysis was conducted on 60 patients with knee osteoarthritis admitted to Department of Orthopaedics,Guizhou Hospital of Beijing Jishuitan Hospital from March 2024 to December 2024.According to the surgical methods,the patients were divided into a sdudy group and a control group.Among them,30 patients in the study group underwent unilateral TKA using guided internal axis movement technique,and 30 patients in the control group underwent unilateral TKA using guided traditional mechanical alignment(MA)technique.The differences between two groups of patients in terms of surgical time,first ground walk,knee joint clinical score(KS-C),knee joint function score(KS-F),knee joint extension flexion range of motion,and forgetfulness joint score(FJS)were compared.Results All the patients were followed up for 1-9(7±1.5)months.Both groups of patients had their surgical incisions healed in one stage and no serious complications occurred.The study group was shorter than the control group in the first ground walking time and hospitalization time(P<0.05).There was no statistically significant difference between the two groups in terms of surgical time(P>0.05).At 1 month,3 months,and 6 months follow-up after surgery,the clinical score(KS-C),knee function score(KS-F),knee extension flexion range of motion,and forgetfulness joint score(FJS)of the study group patients were higher than those of the control group(P<0.05).Conclusion The approach of the medial collateral ligament in conjunction with a posterior stabilizing prosthesis to generate axial movement can improve the clinical outcomes of knee replacement surgery,and achieve progression from procedural surgery to individualized surgery.

关 键 词：关节成型术 置换 膝 内侧副韧带 膝 内轴运动 IKPAS导航 

分 类 号：R684[医药卫生—骨科学]