摘要
目的比较个性化截骨导板(personal specific instrumentation,PSI)及计算机辅助导航手术(computer-assisted navigation surgery,CAS)在人工全膝关节置换术(total knee arthroplasty,TKA)中的应用效果。方法广泛查阅近年来PSI与CAS在TKA中应用效果比较研究相关文献,分析两种TKA辅助技术在手术时间、下肢力线、失血量以及膝关节功能等方面的差异。结果与CAS-TKA相比,PSI-TKA简化了手术操作,缩短了手术时间,但对下肢力线的改善可能不及CAS-TKA;此外,两者在围术期失血量、关节功能等方面的差异仍有争议。结论 PSI与CAS在TKA中的应用各有利弊,其应用效果差异还需要更多高质量临床研究进一步证实。
Objective To compare the application effects between personal specific instrumentation(PSI) and computer-assisted navigation surgery(CAS) in total knee arthroplasty(TKA). Methods The literature comparing the application effects of PSI and CAS in TKA in recent years was widely consulted, and the difference between PSI-TKA and CAS-TKA in operation time, lower limb alignment, blood loss, and knee function were compared. Results Compared to CAS-TKA, PSI-TKA simplifies operation procedures and shortens operation time but probably has worse lower limb alignment. It is still controversial in comparison of perioperative blood loss and knee function between two techniques.Conclusion PSI-TKA and CAS-TKA both have advantages and disadvantages, and their differences need to be confirmed by further high-quality clinical trial.
作者
董子漾
李杨
田华
DONG Ziyang;LI Yang;TIAN Hua(Department of Orthopedics,Peking University Third Hospital,Beijing,100191,P.R.China;Engineering Research Center of Bone and Joint Precision Medicine,Ministry of Education,Beijing,100191,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2021年第11期1492-1498,共7页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
个性化截骨导板
计算机辅助导航
人工全膝关节置换术
Personal specific instrumentation
computer-assisted navigation surgery
total knee arthroplasty
