目的:旨在评估机器人辅助后交叉韧带(PCL)重建术治疗 PCL 损伤的临床疗效。方法:选取 2021 年 9 月—2023 年 10 月于哈尔滨市第五医院骨科治疗的 27 例 PCL 损伤患者作为研究对象,按照随机数字表法将其分为试验组(机器人辅助下 PCL 重建术,n=14)和对照组(传统 PCL 重建术,n=13)。比较两组手术时间、切口长度、失血量、住院时间、膝关节功 能及恢复情况、胫骨隧道内口的变化情况。结果:两组患者的手术时间和切口长度相比,差异无统计学意义(P>0.05)。与 对照组相比,试验组术中失血量更少、住院时间更短以及下地时间更早(P<0.05)。此外,术后 3 个月和术后 1 年,试验组 患者的膝关节后向松弛问题较对照组更少,Lysholm 评分和膝关节活动度均优于对照组(P<0.001),试验组较对照组的胫骨 后移程度低,但差异无统计学意义(P>0.05)。术后一年,试验组患者的胫骨隧道内口变化情况优于对照组(P<0.05)。结论: 机器人辅助手术在 PCL 重建术中表现出明显优势,患者获益较大,具有一定的临床推广价值。
Objective: To evaluate the clinical efficacy of robot-assisted posterior cruciate ligament (PCL) reconstruction in the treatment of PCL injury. Methods: 27 patients with PCL injury from September 2021 to October 2023 in Harbin Fifth Hospital were selected and divided into the study group (robot-assisted PCL reconstruction, n=14) and the control group (traditional PCL reconstruction, n=13) using the random number table method. The operative time, incision length, blood loss, length of hospital stay, knee function and recovery, and changes of the internal tibial tunnel were compared between the two groups of patients. Results: There was no significant difference in operative time and incision length between the two groups (P>0.05). Compared with the control group, the study group had less intraoperative blood loss, shorter length of hospital stay and earlier time to get off the bed (P<0.05). In addition, at 3 months and 1 year after surgery, patients in the study group had fewer problems with posterior knee laxity, and better Lysholm scores and knee mobility than those in the control group (P<0.001), and the study group had less posterior tibial displacement than the control group, but the difference was not statistically significant (P>0.05). At 1 year after surgery, the changes of the internal tibial tunnel in the study group were better than those in the control group (P<0.05). Conclusion: Robot-assisted surgery has demonstrated significant advantages in PCL reconstruction, with greater patient benefit, and has certain clinical promotion value.
基金项目:黑龙江省卫生健康委科研课题(20210404070137)
Foundation Item: Heilongjiang Provincial Health Commission Scientific Research Project(20210404070137)
引用格式:鞠超杰,于洪文,郝松楠,等 . 机器人辅助后交叉韧带重建术治疗后交叉韧带损伤的临床疗效研究 [J]. 机器人外科学杂志(中英 文),2025,6(2):205-209,216.
Citation: JU C J, YU H W, HAO S N, et al. Clinical efficacy of robot-assisted posterior cruciate ligament reconstruction in the treatment of posterior cruciate ligament injury[J]. Chinese Journal of Robotic Surgery, 2025, 6(2): 205-209, 216.
通讯作者(Corresponding Author):鞠超杰(JU Chaojie),Email:287789984@qq.com
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