Research progress of functional alignment robot assisted knee replacement.
10.12200/j.issn.1003-0034.2023.11.019
- Author:
Yong-Ze YANG
1
;
Qing-Hao CHENG
1
;
An-Ren ZHANG
1
;
Yi QIU
1
;
Hong-Zhang GUO
1
Author Information
1. Orthopedic Ward Four, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, knee;
Functional alignment;
Robotic surgical procedures
- MeSH:
Humans;
Arthroplasty, Replacement, Knee/methods*;
Robotics;
Knee Joint/surgery*;
Osteoarthritis, Knee/surgery*;
Knee;
Knee Prosthesis;
Biomechanical Phenomena
- From:
China Journal of Orthopaedics and Traumatology
2023;36(11):1106-1110
- CountryChina
- Language:Chinese
-
Abstract:
The correct alignment of the knee joint is considered to be one of the most influential factors in determining the long-term prognosis after total knee arthroplasty(TKA). In order to achieve the correct alignment goal, many different alignment concepts and surgical techniques have been established. For example, mechanical alignment(MA), kinematic alignment(KA) and functional alignment(FA) have their own characteristics. MA focuses on achieving neutral alignment of the limbs, parallel and equal bone gaps during stretching and flexion. KA aims to restore the patient 's natural joint line, make the joint level and angle normal and improve the physiological soft tissue balance, and strive to reproduce the normal knee function;among them, functional alignment(FA) developed with robot-assisted surgery technology is a relatively new alignment concept. It not only considers the alignment of the body, but also aims to achieve flexion and extension balance, while respecting the native soft tissue capsule. It not only restores the plane and slope of the in situ joint line accurately during the operation, but also takes into account the balance of soft tissue, which is a better alignment method. Therefore, it is of great significance to correctly construct the lower limb force line of patients, which is helpful to restore knee joint function, relieve pain symptoms and prolong the service life of prosthesi. However, compared with traditional TKA, the operation time of robot-assisted FA-TKA is prolonged, which means that the probability of postoperative infection will be greater. At present, most studies of FA technology report short-term results, and the long-term efficacy of patients is not clear. Therefore, long-term research results are needed to support the application of this technology. Therefore, the author makes a review on the research status of functional alignment.
