中国中医骨伤科杂志2026，Vol.34Issue(8)：46-53,8.DOI:10.20085/j.cnki.issn1005-0205.260807
机器人辅助膝关节置换与人工膝关节置换早期疗效对比及差异分析
Comparison and Difference Analysis of Early Curative Effect between Robot Assisted and Artificial Knee Arthroplasty
摘要
Abstract
Objective:To compare the early clinical efficacy of robot assisted and artificial knee arthroplasty and to explore the advantages and existing problems of robot assisted knee arthroplasty.Methods:Reviewing the cases of total knee arthroplasty(TKA)surgery from September 2024 to Febru-ary 2025,including 82 cases assisted by Mako,69 cases assis-ted by Cori,and 86 cases assisted by artificial surgery,the clinical efficacy of the three groups was compared based on the initial follow-up data before and after surgery using indicators such as visual analog scale(VAS)scores,range of motion(ROM),hip knee ankle(HKA)angle,and knee joint function score from the American Hospital for Special Surgery(HSS scores).Results:There was no significant difference in the preoperative baseline data among the three groups(P>0.05).All the three groups achieved good clinical efficacy after TKA.The clinical effect of TKA assisted by Mako and Cori robot was better 2 weeks after TKA,with lighter pain(VAS scores were(3.1±0.3)points in Mako group,(3.6±0.5)points in Cori group,(4.3±0.6)points in artificial group),and greater activity(ROM was 115.2°±6.4° in Mako group,109.5°±7.6° in Cori group,101.7°±8.3° in artificial group),and better recovery of lower limb force line(HKA angle was 177.2°±1.8° in Mako group,176.5°±2.6° in Cori group,172.3°±3.4° in artificial group),and the function was better(HSS scores were(57.2±3.4)points in Mako group,(53.6±4.5)points in Cori group,(49.4±4.3)points in artificial group),the difference was statistically significant(P<0.05).At 3 months after operation,the VAS score,ROM,HKA angle and knee HSS score of the three groups also showed that the robotic group achieved better outcomes than the artificial group,and the difference was statistically significant(P<0.05).Conclusion:Robot assisted TKA can achieve the digital visualization of soft tissue balance,osteotomy volume,lower limb force line and motion trajectory.Patients recover faster in pain and joint range of motion after operation.Compared with artificial TKA,it has the advanta-ges of higher accuracy,less bone damage and more stable performance.关键词
人工智能/机器人/膝关节置换/早期疗效Key words
artificial intelligence/robot/knee arthroplasty/early and mid-term outcomes分类
医药卫生引用本文复制引用
卞恒杰,周宇,王睿,王津,李同林,周飞,李鑫,李义凯,孙玉明..机器人辅助膝关节置换与人工膝关节置换早期疗效对比及差异分析[J].中国中医骨伤科杂志,2026,34(8):46-53,8.基金项目
国家中医药管理局监测统计中心中医药监测统计研究课题(2025JCTJC155)江苏省中医药科技发展计划面上项目(MS2022045)江苏省省级中医重点专科(Ⅱ类)建设项目(苏中医医政[2023]5号)南京市中医药传承创新发展示范试点项目-南京市市级柔性人才引进项目(李义凯岐黄学者工作室)(宁卫财务[2024]49号)南京市卫生科技发展专项(YKK22186,ZKX23058) （2025JCTJC155）
