机器人外科学杂志（中英文）2025，Vol.6Issue(2)：187-198,12.DOI:10.12180/j.issn.2096-7721.2025.02.001
个性化冠状位对线全膝关节置换术临床疗效的Meta分析
Clinical efficacy of personalized coronal alignment in total knee arthroplasty:a Meta-analysis
李铭 1丁冉 2钟子康 3张琛 1岳峥嵘 4汤建成 4王卫国2
作者信息
- 1. 北京大学中日友好临床医学院 北京 100029
- 2. 中日友好医院骨科 北京 100029
- 3. 中国医学科学院北京协和医学院 北京 100730
- 4. 北京中医药大学研究生院 北京 100029
- 折叠
摘要
Abstract
Objective:To evaluate the clinical outcomes of personalized coronal alignment in total knee arthroplasty(TKA)for the treatment of knee osteoarthritis.Methods:Wanfang Database,VIP Database,CNKI,China Biology Medicine disc,PubMed,The Cochrane Library,Web of Science,and Embase were searched for comparing the randomized controlled trials(RCT)between personalized alignment and classical mechanical alignment(MA)in total knee arthroplasty for the treatment of knee osteoarthritis.The personalized alignment techniques included kinematic alignment(KA),restricted kinematic alignment(rKA),adjusted mechanical alignment(aMA),and functional alignment(FA),with a timeframe from the creation of databases to February 2024.Meta-analysis was performed using Microsoft Excel 2021 and RevMan 5.3 software.Results:A total of 11 eligible RCTs were included.The Oxford knee scores at 3 months after surgery,the American Knee Society Score(KSS)knee scores at 6 months after surgery,and the KSS functional scores at 2 years after surgery were significantly better in the KA group than those in the MA group,and the difference in the rate of prosthesis revision at 5 years or more after surgery was not statistically significant between the two groups.The total KSS scores at 1 year after surgery was significantly better in the rKA group than those in the MA group.The development of FA was closely related to robot-assisted technology,and the visual analog scale(VAS)scores at 3 d after surgery was significantly lower in the FA group than those in the MA group.No RCT studies comparing aMA with MA was retrieved.Conclusion:Compared with the classical mechanical alignment technique,the personalized alignment technique demonstrated better functional outcomes in early postoperative follow-up and showed no higher rate of prosthesis revision in long-term follow-up.Robot-assisted technology facilitates the use of personalized alignment in TKA,but its clinical effectiveness needs to be further verified.关键词
全膝关节置换术/下肢力线/个性化对线/随机对照试验/机器人辅助手术Key words
Total Knee Arthroplasty/Line of Gravity of Lower Limb/Personalized Alignment/Randomized Controlled Trial/Robot-assisted Surgery分类
临床医学引用本文复制引用
李铭,丁冉,钟子康,张琛,岳峥嵘,汤建成,王卫国..个性化冠状位对线全膝关节置换术临床疗效的Meta分析[J].机器人外科学杂志（中英文）,2025,6(2):187-198,12.
