微創機器人膝關節置換手術

There is no reason to sacrifice your lifestyle when it comes to your knee pain. We use our knees every day when we sit, stand, or play with our children. Sometimes, our knees wear out due to injury, illness, or the normal aging process. When your knees become worn, your everyday movements can be painful and difficult.

With robotic knee replacement, I believe we are able to have our patients have their implants placed more accurately, with less soft-tissue injury and faster recovery.

You do not have to live with your aching knees. A knee replacement can help you maintain your quality of life. If your life is limited because of knee pain, you may be a candidate for knee replacement surgery.

了解我們如何在膝關節置換手術后以機器人輔助以外的其他方式推進我們的恢復方案。

When you have failed non-operative treatment for arthritis, you should consider a knee replacement. Non-operative treatment includes injections, anti-inflammatory medications, or exercise.
The goal of a knee replacement surgery is to alleviate your pain and improve function. The best time to think about surgery is when you are having difficulty with the following scenarios:

• Your daily living activities: household chores and grocery shopping
• Leisure activities: golf, gardening, long walks, bike riding
• Loss of ability to work due to pain
• Avoidance of seeing friends or family

Any patient who is a candidate for a total knee replacement is a candidate for a robotic knee replacement.

When you have failed non-operative treatment for arthritis, you should consider a knee replacement. Non-operative treatment includes injections, anti-inflammatory medications, or exercise.
The goal of a knee replacement surgery is to alleviate your pain and improve function. The best time to think about surgery is when you are having difficulty with the following scenarios:

• Your daily living activities: household chores and grocery shopping
• Leisure activities: golf, gardening, long walks, bike riding
• Loss of ability to work due to pain
• Avoidance of seeing friends or family. A total knee replacement is a surgery that removes the damaged parts of your knee, which is replaced with an artificial joint. Your new knee is composed of metal and plastic. During the surgery, the metal is solidly fixed to the end of your thigh bone and your shin bone. Your knee replacement is made of a highly-engineered plastic, called polyethylene, that is inserted between the two pieces of metal. The kneecap is also replaced with a small plastic button. I may also consider you a candidate for a partial knee replacement, and will discuss this during your visit.

與傳統的膝關節置換術相比，Morton 博士進行的微創手術通常涉及更小的切口。
下圖是一位患者的照片，該患者最近在手術后 5 個月接受了右微創機器人全膝關節置換術，與幾年前夏威夷另一家提供者進行的手術留下的疤痕相比。
隨著時間的流逝，手術疤痕的顏色會逐漸褪色。
與競爭對手的切口相比，手術切口的長度大約是競爭對手切口的一半。
切口越小，疼痛越小，恢復越快。

Hip and Knee replacement surgeries are incredibly successful operations. In fact, the Lancet named total hip replacements “the operation of the century.”

However, hip replacements are known to have problems with dislocations and limb length discrepancies. In patients with hip dysplasia or other deformities in their hips often have distorted anatomy. While anterior hip replacements have improved some of these problems, there is still room for improvement.

Knee replacements are considered an incredibly successful surgery. However, 20% of patients are still dissatisfied with their surgery. In studies of total knees performed on patients in Hawaii by excellent orthopedic surgeons using mechanical jigs, only 86% of these implants are placed in the appropriate position.

Keep reading to learn how robotics improves our surgical techniques.

在手術之前，一些機器人系統需要使用先進的成像技術，例如長腿站立膠片或 CT 掃描。
這種成像允許：

• 手術前準確確定植入物的尺寸
  • 以前減少對尺寸的猜測
  • 更短的運行週期
• 術前對患者畸形的術前測量

Rosa 膝關節置換術使用帶有特殊校准標記的 X 射線，可以準確確定術前對齊和尺寸。
在獲得這些 X 光片后，甚至在進行手術之前，都會為每位患者制定個人化的術前計劃。

導航銷允許正確使用機器人。

這與正常膝關節或髖關節置換術期間的執行方式大致相同。
通常進行的軟組織釋放 – 不必進行。

Morton 博士將追蹤出膝關節置換術上的骨骼標誌，獲取實時資訊以繪製出您的膝關節解剖結構。

在機器人關節過程中獲得的軟組織間隙平衡資訊提供了在膝關節置換過程中通常不會評估的資訊。
該評估會提醒外科醫生注意您的特定軟組織解剖結構，並有助於指導針對患者定製的髖關節或膝關節植入術。

然後，在實際植入之前，將在計算機螢幕上計劃您的手術。

然後，機器人通過切割導軌引導切割。
該機器人提供了人眼無法比擬的更高精度。
這些切割在進行后被確認是準確的。

一旦進行骨頭切割，Morton 醫生會將您的新髖關節或膝蓋放置在正確的位置。

手術結束后，您將使用新的膝關節。
大多數患者 在手術當天 在物理治療師的説明下開始行走。
您的物理治療師將向您展示如何在您恢復期間使用助行器再次行走。
隨著你的肌肉癒合，你會有一些疼痛。
在最初的幾周內，您的疼痛和運動會有所改善。
隨著時間的流逝，您將恢復力量。
膝關節置換術后的疼痛通常會在接下來的幾周到幾個月內消退。
我們將在手術後為您提供止痛藥並進行監測，確保您感到舒適。

手術后六周，大多數久坐不動的患者可以重返工作崗位。
通常，患者在 3 個月大時就能舒適地行走。
完全恢復通常在一年內發生，但膝關節置換術后可能需要長達 2 年的時間才能改善所有疼痛。
許多接受機器人手術的患者恢復速度比這個時程表快，但它是您康復的有用指南。

膝關節置換術旨在讓您享受許多活動，例如散步、跳舞、打高爾夫球、園藝和騎自行車。
膝關節置換術在提高生活質量、減輕疼痛和提供獨立性方面有著出色的記錄。

當您決定進行全膝關節置換術時，您必須瞭解植入物可以做的局限性。
大多數接受全膝關節置換術的人的膝關節疼痛顯著減輕，日常活動的能力顯著提高。
但是，在正常活動中，您會慢慢在膝關節置換術中佩戴塑膠片。
過度活動或重量可能會加速磨損。
塑膠件的損壞會導致膝關節置換術鬆動或變得疼痛。
我同意 美國骨科醫師學會 和美國 髖關節和膝關節外科醫生協會 的意見，建議我的患者避免跑步、慢跑、跳躍或其他進行膝關節置換術的高衝擊力活動。