The West China Hospital program for the perioperative management of domestic robot-assisted total knee arthroplasty_West China Medical Journal

Authors：

LIAO Xia ¹ ,  ZHOU Zongke ² ,  NING Ning ¹ , CHEN Jiali ¹ , SHI Xiaojun ² , ZENG Weinan ² , LI Ye ¹ , WANG Liqun ¹ , QU Junhong ¹

1. Department of Orthopedics, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHOU Zongke, Email: zongke@126.com; NING Ning, Email: gkningning@126.com

Keywords：

Domestic robot; Total knee arthroplasty; West China Hospital program

DOI：

10.7507/1002-0179.202108236

Video：

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In recent years, reports of domestic robot-assisted total knee arthroplasty have gradually increased. In response to problems that may arise during the perioperative period, West China Hospital of Sichuan University has adopted measures such as the establishment of multidisciplinary team, adequate preoperative evaluation, precise intraoperative operations, and whole process optimization management (incision management, pain management, functional exercise and follow-up management). Combined with the actual clinical situation, a domestic robot-assisted total knee arthroplasty management program during the perioperative period was explored and formulated to promote the recovery of patients. This article introduces the above-mentioned program, and aims to provide a reference for the management optimization of domestic robot-assisted total knee arthroplasty during the perioperative period.

Citation： LIAO Xia, ZHOU Zongke, NING Ning, CHEN Jiali, SHI Xiaojun, ZENG Weinan, LI Ye, WANG Liqun, QU Junhong. The West China Hospital program for the perioperative management of domestic robot-assisted total knee arthroplasty. West China Medical Journal, 2021, 36(10): 1414-1418. doi: 10.7507/1002-0179.202108236 Copy

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20.	苏曼曼, 周阳, 曾必云, 等. 加速康复外科理念在全膝关节置换患者疼痛管理中的应用. 华西医学, 2017(9): 1328-1332.
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22.	王立群, 陈佳丽, 宁宁, 等. 颈椎病围手术期加速康复签约式随访管理的华西方案. 华西医学, 2020, 35(10): 1230-1234.
23.	廖霞, 宁宁, 周宗科, 等. 新型冠状病毒肺炎疫情下髋/膝关节置换术互联网+延续管理模式的构建及应用效果分析. 骨科, 2020, 11(3): 238-243.

1. Price AJ, Alvand A, Troelsen A, et al. Knee replacement. Lancet, 2018, 392(10158): 1672-1682.
2. 杨硕, 冯硕, 徐崇俊, 等. 全膝关节置换后下肢力线及假体力线与疗效和假体松动率的关系. 中国组织工程研究, 2019, 23(24): 3780-3785.
3. Van Onsem S, Van Der Straeten C, Arnout N, et al. A new prediction model for patient satisfaction after total knee arthroplasty. J Arthroplasty, 2016, 31(12): 2660-2667.e1.
4. 袁铭成, 石小军, 苏强, 等. 国产机器人辅助人工全膝关节置换术近期疗效的前瞻性随机对照研究. 中国修复重建外科杂志, 2021, 35(10): 1251-1258.
5. 姚舜禹, 周凯, 斯海波, 等. 膝骨关节炎行机械臂辅助单髁置换术与传统单髁置换术的比较研究. 中华骨与关节外科杂志, 2020, 13(6): 478-482.
6. 李艾俐, 周越, 延廷芳, 等. 手术导航仪: ZL201930068351. X. 2019-11-01.
7. 李艾俐, 周越, 延廷芳, 等. 手术机械臂: ZL201930067140.4. 2019-11-01.
8. 李艾俐, 周越, 延廷芳, 等. 主控端台车: ZL201930067138.7. 2019-08-06.
9. 柴伟, 谢杰, 张晓岗, 等. 国产全膝关节置换术辅助机器人系统动物实验研究. 中国修复重建外科杂志, 2020, 34(11): 1376-1381.
10. Min Z, Wang J, Meng MQ. Joint rigid registration of multiple generalized point sets with hybrid mixture models. IEEE T Autom Sci Eng, 2019, 17(1): 334-347.
11. Min Z, Ren H, Meng MQ. Estimation of surgical tool-tip tracking error distribution in coordinate reference frame involving pivot calibration uncertainty. Healthc Technol Lett, 2017, 4(5): 193-198.
12. Liu L, Siebenrock K, Nolte LP, et al. Computer-assisted planning, simulation, and navigation system for periacetabular osteotomy. Adv Exp Med Biol, 2018, 1093: 143-155.
13. 张阳, 杨景, 闻志. 机器人辅助手术系统术前规划研究进展. 医疗卫生装备, 2020, 41(9): 94-100.
14. 周宗科, 翁习生, 曲铁兵, 等. 中国髋、膝关节置换术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2016, 9(1): 1-9.
15. Johansen N, Kondrup J, Plum LM, et al. Effect of nutritional support on clinical outcome in patients at nutritional risk. Clin Nutr, 2004, 23(4): 539-550.
16. 裴福兴, 翁习生. 现代关节置换术加速康复与围手术期管理. 北京:人民卫生出版社, 2017: 79.
17. Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
18. Kayani B, Konan S, Huq SS, et al. Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning. Knee Surg Sports Traumatol Arthrosc, 2019, 27(4): 1132-1141.
19. 胡海涛, 纪晓军, 韩庆宝, 等. 创伤骨折手术切口愈合不良的危险因素分析. 中国骨与关节损伤杂志, 2019, 34(3): 332-333.
20. 苏曼曼, 周阳, 曾必云, 等. 加速康复外科理念在全膝关节置换患者疼痛管理中的应用. 华西医学, 2017(9): 1328-1332.
21. 李颖, 田义华, 李欣宇, 等. Mako机器人辅助全髋关节置换术后患者早期下床活动情况的研究. 华西医学, 2020, 35(10): 43-48.
22. 王立群, 陈佳丽, 宁宁, 等. 颈椎病围手术期加速康复签约式随访管理的华西方案. 华西医学, 2020, 35(10): 1230-1234.
23. 廖霞, 宁宁, 周宗科, 等. 新型冠状病毒肺炎疫情下髋/膝关节置换术互联网+延续管理模式的构建及应用效果分析. 骨科, 2020, 11(3): 238-243.

West China Medical Journal

The West China Hospital program for the perioperative management of domestic robot-assisted total knee arthroplasty

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