A Brief History of Robotics in Surgery

Lonner, Jess H.; Fraser, Jim

doi:10.1007/978-3-030-16593-2_1

Cited by 5 publications

(3 citation statements)

References 60 publications

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“…Despite the high prevalence of musculoskeletal complaints among surgeons performing joint replacement surgery, there is a paucity of research on the risk factors for work-related musculoskeletal injuries and how to optimize intra-operative ergonomics in order to mitigate them. Like the robotic systems that were first developed to help surgeons tackle ergonomically challenging laparoscopic tasks [ 1 ], it is possible that contemporary robotic technology could reduce ergonomic strain and physiologic stress during TKA [ 77 , 78 ]. In a recent cadaveric study, surgeons who performed conventional TKA spent 15% more time in a nonneutral cervical spine position compared to those who performed robotic-assisted TKA cases [ 77 ].…”

Section: Less Post-operative Pain and Lower Opioid Consumptionmentioning

confidence: 99%

“…The cost of robotics in TKA is perhaps the greatest barrier to more widespread adoption [ 1 ]. As the prevalence of robotic-assisted surgery is expected to increase in the near future [ 8 ], understanding the cost-effectiveness of robotic assistance in arthroplasty is crucial.…”

Section: Reduced Peri-operative Costsmentioning

confidence: 99%

“…Unlike other surgical specialties, the use of robotic technology in total knee arthroplasty (TKA) is a relatively recent phenomenon [ 1 ]. For the most part, the contemporary field of robotics in orthopaedic surgery took root in unicompartmental knee arthroplasty (UKA) between 2007 and 2009 [ 2 – 6 ], but broader adoption has only occurred in the last five to seven years, as technologies have expanded to include TKA.…”

Section: Introductionmentioning

confidence: 99%

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Moving beyond radiographic alignment: applying the Wald Principles in the adoption of robotic total knee arthroplasty

Lonner

Goh

2022

International Orthopaedics (SICOT)

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The use of robotics in total knee arthroplasty (TKA) is growing at an exponential rate. Despite the improved accuracy and reproducibility of robotic-assisted TKA, consistent clinical benefits have yet to be determined, with most studies showing comparable functional outcomes and survivorship between robotic and conventional techniques. Given the success and durability of conventional TKA, measurable improvements in these outcomes with robotic assistance may be difficult to prove. Efforts to optimize component alignment within two degrees of neutral may be an attainable but misguided goal. Applying the “Wald Principles” of rationalization, it is possible that robotic technology may still prove beneficial, even when equivalent clinical outcomes as conventional methods, if we look beyond the obvious surrogate measures of success. Robotic systems may help to reduce inventory, streamline surgical trays, enhance workflows and surgical efficiency, optimize soft tissue balancing, improve surgeon ergonomics, and integrate artificial intelligence and machine learning algorithms into a broader digital ecosystem. This article explores these less obvious alternative benefits of robotic surgery in the field of TKA.

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Section: Less Post-operative Pain and Lower Opioid Consumptionmentioning

confidence: 99%

Section: Reduced Peri-operative Costsmentioning

confidence: 99%