[1]张轶普 耿霄 王鑫光 董子漾 郑宇航 田华.机器人辅助全膝关节置换术与单髁关节置换术的研究进展[J].中华老年骨科与康复电子杂志,2026,(02):114-122.[doi:10.3877/cma.j.issn.2096-0263.2026.02.008]
　Zhang Yipu,Geng Xiao,Wang Xinguang,et al.Research progress on Robotic-assisted Total Knee Arthroplasty and Robotic-assisted Unicompartmental Knee Arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2026,(02):114-122.[doi:10.3877/cma.j.issn.2096-0263.2026.02.008]
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机器人辅助全膝关节置换术与单髁关节置换术的研究进展()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2026年02期
页码:
114-122
栏目:
出版日期:
2026-04-05

文章信息/Info

Title:
Research progress on Robotic-assisted Total Knee Arthroplasty and Robotic-assisted Unicompartmental Knee Arthroplasty
作者:
张轶普1; 2 耿霄1; 2 王鑫光1; 2 董子漾1; 2 郑宇航1; 2 田华1; 2
100191 北京大学第三医院骨科1；100191 北京，骨与关节精准医学教育部工程中心2
Author(s):
Zhang Yipu1; 2;  Geng Xiao1; 2;  Wang Xinguang1; 2;  Dong Ziyang1; 2;  Zheng Yuhang1; 2;  Tian Hua1; 2.
1Department of Orthopaedics, Peking University Third Hospital, Beijing 100191; 2Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing 100191, China
关键词:
膝骨关节炎;  机器人辅助全膝关节置换术;  机器人辅助单髁关节置换术;  精准医疗;  假体定位
Keywords:
Knee osteoarthritis;  Robotic-assisted total knee arthroplasty;  Robotic-assisted unicompartmental knee arthroplasty;  Precision medicine;  Prosthesis positioning
DOI:
10.3877/cma.j.issn.2096-0263.2026.02.008
文献标志码:
A
摘要:
膝骨关节炎（KOA）是老年人群致残的常见原因之一。随着全球人口老龄化的加剧，KOA患病率持续攀升，这对膝关节置换手术的精准性及临床疗效都提出了更高、更明确的要求。传统全膝关节置换术（TKA）和单髁关节置换术（UKA）是治疗终末期KOA的有效手段，但是二者都存在假体定位偏差、软组织平衡不佳及手术结果高度依赖术者经验等局限性。机器人辅助技术的出现为解决这些问题带来了新的技术途径，机器人辅助全膝关节置换术（RATKA）及机器人辅助单髁关节置换术（RAUKA）以术前精准规划、术中实时导航、机械臂辅助操作等多种方式，实现了手术精度、可重复性及标准化水平的大幅提升。因此，本文系统综述RATKA与RAUKA的技术原理、临床研究进展及疗效评价，并比较两者的核心差异，在此基础上分析当前技术应用面临的挑战，并展望人工智能和个体化假体等前沿技术的融合趋势。
Abstract:
Knee osteoarthritis (KOA) is one of the leading causes of disability in the elderly population. With the global rise in aging populations, the prevalence of KOA continues to climb, placing higher and more specific demands on the precision and clinical efficacy of knee replacement surgery. Traditional total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) are both effective treatments for end-stage KOA. However, both procedures share limitations such as prosthesis positioning errors, suboptimal soft tissue balance, and highly operator-dependent outcomes. The advent of robotic-assisted technology offers a revolutionary new approach to addressing these challenges. Robotic-assisted total knee arthroplasty (RATKA) and robotic-assisted unicompartmental knee arthroplasty (RAUKA) significantly enhance surgical precision, reproducibility, and standardization through preoperative planning, intraoperative real-time navigation, and robotic arm-assisted manipulation. This paper systematically reviews the technical foundations, research progress, clinical efficacy, and core differences between RATKA and RAUKA. It analyzes challenges encountered in current applications and explores integration trends with cutting-edge technologies like artificial intelligence and personalized prostheses, providing reference for clinical practice and future research.

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备注/Memo

备注/Memo:
基金项目：北京市自然科学基金昌平重点研究专题（L234012）；北京市自然科学基金昌平创新联合基金重点项目（L254010）；北京市科学技术委员会医药创新品种及平台培育项目（2241100009024023）；北京大学第三医院队列建设项目B类（BYSYDL2023007）
更新日期/Last Update: 2026-05-19