目的：总结 5 例 Mako 骨科手术机器人辅助人工全膝关节置换术（TKA）的护理配合要点与经验。方法：回顾性分析 2022 年 2 月—2023 年 7 月在北京和睦家医院行 Mako 骨科手术机器人辅助 TKA 的 5 例患者的临床资料及手术护理配合要点， 包括机器人器械物品准备、手术室布局、体位安置及护理配合等。结果：5 例患者均采用 Mako 骨科手术机器人辅助 TKA 治疗。 患者手术创伤小、术中出血量少，术后 24 h 下床活动，未出现护理并发症。结论：手术室护士充分的术前准备，熟练细致 的护理配合，是确保患者手术安全的重要基础，也是 Mako 骨科手术机器人辅助 TKA 顺利完成的关键。

Objective: To summarize the key points and experiences of nursing collaboration in 5 cases of Mako orthopedic robotassisted artificial total knee arthroplasty. Methods: 5 patients who underwent Mako orthopedic robot-assisted artificial total knee arthroplasty from February 2022 to July 2023 in Beijing United Family Hospital were selected. Their clinical data and key points of surgical care collaboration were analyzed, including preparation of robotic instrument, operating room layout, position placement, and nursing collaboration. Results: All the 5 patients were treated with Mako orthopedic robot-assisted artificial total knee arthroplasty with minimal surgical trauma and little intraoperative, bleeding and they were out of bed 24 hours after surgery without nursing complications. Conclusion: Adequate preoperative preparation, skilled and meticulous nursing cooperation of operating room nurses are the important to the surgical safety of patients and the key to the successful completion of Mako orthopedic robot-assisted artificial total knee arthroplasty.

引用格式：孙莹，路继科 . Mako 骨科手术机器人辅助人工全膝关节置换术的配合 [J]. 机器人外科学杂志（中英文），2025，6（2）：235-238. 

Citation: SUN Y, LU J K. Collaboration in Mako orthopedic robot-assisted artificial total knee arthroplasty[J]. Chinese Journal of Robotic  Surgery, 2025, 6(2): 235-238. 

通讯作者（Corresponding Author）：路继科（LU Jike），Email：jike.lu@ufh.com.cn

[1] Antonios J K, Korber S, Sivasundaram L, et al. Trends in computer navigation and robotic assistance for total knee arthroplasty in the United States: an analysis of patient and hospital factors[J]. Arthroplast Today, 2019, 5(1): 88-95. 

[2] 何丽 , 曾玉 , 喻晓芬 , 等 . 机器人手术护理配合中国专家共识 (2024 版 )[J]. 机器人外科学杂志 ( 中英文 ), 2024, 5(2): 288-298. 

[3] Rosser J C, Lynch P J, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century[J]. Arch Surg, 2007, 142(2): 181-186. 

[4] Lynch J, Aughwane P, Hammond T M. Video games and surgical ability: a literature review[J]. J Surg Educ, 2010, 67(3): 184-189. 

[5] 孙莹 .多元文化护理模式在 419例骨科外籍手术患者围术期的应用[J].当代护士 ( 中旬刊 ), 2022, 29(3): 72-74. 

[6] 成剑文 , 莫春丽 , 罗宇文 , 等 . 术前心理沟通疏导对人工膝关节置换 术患者应激反应、心理状态及术后疼痛的影响 [J]. 现代生物医学进 展 , 2020, 20(11): 2089-2093. 

[7] 许萍萍 . 人工膝关节表面置换术患者术中发生低体温的相关影响因 素分析 [J]. 中国医学创新 , 2024, 21(9): 159-162. 

[8] Batailler C, Fernandez A, Swan J, et al. MAKO CT-based robotic armassisted system is a reliable procedure for total knee arthroplasty: a systematic review[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29(11): 3585-3598. 

[9] Zambianchi F, Bazzan G, Marcovigi A, et al. Joint line is restored in robotic-arm-assisted total knee arthroplasty performed with a tibia-based functional alignment[J]. Arch Orthop Trauma Surg, 2021, 141(12): 2175- 2184. 

[10] Hampp E L, Sodhi N, Scholl L, et al. Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach: A blinded assessment[J]. Bone Joint Res, 2019, 8(10): 495-501. 

[11] 蒋涛 , 张传开 , 郝亮 , 等 . MAKO 机器人与导航辅助膝关节置换 : 下肢力线及假体位置准确性比较 [J/OL]. 中国组织工程研究 , 2025, 29(33): 7150-7157. 

[12] Kayani B, Konan S, Pietrzak J R, et al. Iatrogenic bone and soft tissue trauma in robotic-arm assisted total knee arthroplasty compared with conventional jig-based total knee arthroplasty: a prospective cohort study and validation of a new classification system[J]. J Arthroplasty, 2018, 33(8): 2496-2501. 

[13] Held M B, Grosso M J, Gazgalis A, et al. Improved compartment balancing using a robot-assisted total knee arthroplasty[J]. Arthroplast Today, 2021, 30(7): 130-134. 

[14] Tandogan R N, Kort N P, Ercin E, et al. Computer-assisted surgery and patient-specific instrumentation improve the accuracy of tibial baseplate rotation in total knee arthroplasty compared to conventional instrumentation: a systematic review and meta-analysis[J]. Knee Surg Sports Traumatol Arthrosc. 2022, 30(8): 2654-2665. 

[15] Deckey D G, Rosenow C S, Verhey J T, et al. Robotic-assisted total knee arthroplasty improves accuracy and precision compared to conventional techniques[J]. Bone Joint J, 2021, 103-B(6 Supple A): 74-80. 

[16] 刘思佳 , 赵磊 , 李格格 . 机器人辅助全膝关节置换术对股骨旋转对线 及早期疗效的研究进展 [J]. 机器人外科学杂志 ( 中英文 ), 2023, 4(6): 593-596. 

[17] Vaidya N, Jaysingani T N, Panjwani T, et al. Assessment of accuracy of an imageless hand-held robotic-assisted system in component positioning in total knee replacement: a prospective study[J]. J Robot Surg, 2022, 16(2): 361-367. 

[18] LEI K, LIU L, CHEN X, et al. Navigation and robotics improved alignment compared with PSI and conventional instrument, while clinical outcomes were similar in TKA: a network Meta-analysis[J]. Knee Surg Sports Traumatol Arthrosc, 2022, 30(2): 721-733. 

[19] Cool C L, Jacofsky D J, Seeger K A, et al. A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty[J]. J Comp Eff Res, 2019, 8(5): 327-336. 

[20] 李真真 , 顾文超 , 徐艺 , 等 . MAKO 辅助全膝关节置换术对膝单间室 骨关节炎术后疼痛、肢体肿胀及关节功能的影响 [J]. 中国临床医生 杂志 , 2024, 52(4): 437-441. 

[21] 鲁军伟 , 韩亮 , 韩帅 , 等 . 机器人辅助全膝关节置换术治疗膝骨关节 炎临床效果研究 [J]. 机器人外科学杂志 ( 中英文 ), 2024, 5(5): 783-788. 

[22] 张颖 , 韩慧 , 刘烨 , 等 . MAKO 机器人辅助下全膝关节置换的手术室 标准护理流程探讨 [J]. 中日友好医院学报 , 2022, 36(5): 295-297. 

[23] 沈小芬 , 石泽亚 , 周毅峰 , 等 . 达芬奇机器人手术护士基于清单管理 的培训 [J]. 护理学杂志 , 2022, 37(8): 34-36. 

[24] 张芹芹 , 宋丽 , 薛庆 , 等 . 思维导图在机器人手术室护士培训中的应 用与效果评价 [J]. 机器人外科学杂志 ( 中英文 ), 2024, 5(4): 687-691. 

[25] 赵杨春 . 手术室护理干预对全膝关节置换患者术后感染的预防效果 研究 [J]. 山西医药杂志 , 2021, 50(4): 663-665. 

[26] 张志磊 , 宋晋刚 , 尹振宇 , 等 . 2003 年 -2023 年机器人辅助骨科手术 的研究热点与趋势 [J/OL]. 华西医学 , 2024, 39(12): 1917-1921. 

[27] 卜延民 , 赵慧雯 , 郑得志 , 等 . 关节置换术机器人手术系统的现状及 发展趋势 [J]. 中国矫形外科杂志 , 2024, 32(19): 1780-1785. 

[28] 邵宏翊 , 吴立东 , 曹光磊 , 等 . 国产机器人辅助全膝关节置换术的 精准性 : 一项多中心随机对照临床研究 [J]. 中华骨与关节外科杂志 , 2023, 16(4): 310-316. 

[29] 李亦丞 , 张晓岗 , 曹力 , 等 . 国产机器人辅助与传统人工全膝关节置 换术疗效比较 : 一项多中心随机对照研究 [J]. 中国修复重建外科杂 志 , 2023, 37(11): 1326-1334. 

[30] 中华医学会骨科学分会关节外科学组 . 机器人辅助关节置换术操作 规范 ( 草案 )[J]. 中华骨与关节外科杂志 , 2024, 17(9): 769-780.