Available Robotic Platforms in Partial and Total Knee Arthroplasty

Koenig, Jonathan H.; Hepinstall, Matthew S.

doi:10.1053/j.oto.2015.03.002

Cited by 7 publications

(13 citation statements)

References 84 publications

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“…The ROBODOC surgical system (Curexo Technology Corporation, Fremont, CA, USA) is a fully autonomous robotic system initially designed for total hip arthroplasty (THA) in the 1980s [9,27], and introduced to be used on patients in 1992 [26,28]. It is the first robot that was clinically used in orthopedic surgery [2].…”

Section: Robodoc → Tsolution Onementioning

confidence: 99%

Robotic Systems and Navigation Techniques in Orthopedics: A Historical Review

Li,

Badre,

Alambeigi

et al. 2023

Applied Sciences

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Since the da Vinci surgical system was approved by the Food and Drug Administration (FDA) in 2000, the development and deployment of various robot-assisted minimally invasive surgery (MIS) systems have been largely expedited and boomed. With the rapid advancement of robotic techniques in recent decades, robot-assisted systems have been widely used in various surgeries including orthopedics. These robot-related techniques are transforming the conventional ways to conduct surgical procedures. Robot-assisted orthopedic surgeries have become more and more popular due to their potential benefits of increased accuracy and precision in surgical outcomes, enhanced reproducibility, reduced technical variability, decreased pain, and faster recovery time. In this paper, robotic systems and navigation techniques in typical orthopedic surgeries are reviewed, especially for arthroplasty. From the perspective of robotics and engineering, the systems and techniques are divided into two main categories, i.e., robotic systems (RSs), and computer-aided navigation systems (CANSs). The former is further divided into autonomous RS, hands-on RS, and teleoperated RS. For the latter, three key elements in CANS are introduced, including 3D modeling, registration, and navigation. Lastly, the potential advantages and disadvantages of the RS and CANS are summarized and discussed. Future perspectives on robotics in orthopedics, as well as the challenges, are presented.

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Section: Robodoc → Tsolution Onementioning

confidence: 99%

Robotic Systems and Navigation Techniques in Orthopedics: A Historical Review

Li,

Badre,

Alambeigi

et al. 2023

Applied Sciences

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“…In navigation systems, OTSs mainly have the purpose of guiding the surgeon. To further enable improvement of the surgical accuracy, active and semi‐active robotic systems were introduced in the orthopaedic field to perform and / or guide the surgical tool manipulations in a more accurate and controlled way 9 . To exploit the potential of these orthopaedic robotic systems with integrated OTS, an accuracy in the OTS is a fundamental requisite.…”

Section: Introductionmentioning

confidence: 99%

An improved method for assessing the technical accuracy of optical tracking systems for orthopaedic surgical navigation

Herregodts

Verhaeghe

Coninck

et al. 2021

Robotics Computer Surgery

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Background Optical tracking systems (OTSs) are essential components of many modern computer assisted orthopaedic surgery (CAOS) systems but patient movement is often neglected in the evaluation of the accuracy. The aim of this study was to develop a representative test to assess the accuracy of OTSs including patient movement and demonstrate the effect of pointer design and OTS choice. Method A mobile phantom with dynamic reference base (DRB) attached was designed and constructed. The point registration trueness and precision were evaluated for measurements with both a static and moving phantom. Results The trueness of the total target registration error (TTRE) was 1.4 to 2.7 times worse with a moving phantom compared to a static phantom. Conclusion The accuracy of OTSs for CAOS applications should be evaluated by measurements with a moving phantom as the evaluation of the TTRE with a static frame significantly underestimates the measurement error.

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“…It has been shown to enable more accurate and precise bone preparation and component placement compared with manual UKA. 6,7,[10][11][12][13][14] Improved positioning and alignment have translated to clinically meaningful improvements in postoperative pain, functional outcomes, and implant durability for UKA, [14][15][16] with 98.8% survivorship at 2.5 years post-surgery and 92% of patients reporting they were "very satisfied" or "satisfied" with their knee function. 14 Haptic robotic-arm-assisted technology became clinically available for TKA in 2016.…”

mentioning

confidence: 99%

Adoption of Robotic-Arm-Assisted Total Knee Arthroplasty Is Associated with Decreased Use of Articular Constraint and Manipulation under Anesthesia Compared to a Manual Approach

et al. 2021

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Haptic robotic-arm-assisted total knee arthroplasty (RATKA) seeks to leverage three-dimensional planning, intraoperative assessment of ligament laxity, and guided bone preparation to establish and achieve patient-specific targets for implant position. We sought to compare (1) operative details, (2) knee alignment, (3) recovery of knee function, and (4) complications during adoption of this technique to our experience with manual TKA. We compared 120 RATKAs performed between December 2016 and July 2018 to 120 consecutive manual TKAs performed between May 2015 and January 2017. Operative details, lengths of stay (LOS), and discharge dispositions were collected. Tibiofemoral angles, Knee Society Scores (KSS), and ranges of motion were assessed until 3 months postoperatively. Manipulations under anesthesia, complications, and reoperations were tabulated. Mean operative times were 22 minutes longer in RATKA (p < 0.001) for this early cohort, but decreased by 27 minutes (p < 0.001) from the first 25 RATKA cases to the last 25 RATKA cases. Less articular constraint was used to achieve stability in RATKA (93 vs. 55% cruciate-retaining, p < 0.001; 3 vs. 35% posterior stabilized (PS), p < 0.001; and 4 vs. 10% varus-valgus constrained, p_ = _0.127). RATKA had lower LOS (2.7 vs. 3.4 days, p < 0.001). Discharge dispositions, tibiofemoral angles, KSS, and knee flexion angles did not differ, but manipulations were less common in RATKAs (4 vs. 17%, p = 0.013). We observed less use of constraint, shorter LOS, and fewer manipulations under anesthesia in RATKA, with no increase in complications. Operative times were longer, particularly early in the learning curve, but improved with experience. All measured patient-centered outcomes were equivalent or favored the newer technique, suggesting that RATKA with patient-specific alignment targets does not compromise initial quality. Observed differences may relate to improved ligament balance or diminished need for ligament release.

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Available Robotic Platforms in Partial and Total Knee Arthroplasty

Cited by 7 publications

References 84 publications

Robotic Systems and Navigation Techniques in Orthopedics: A Historical Review

Robotic Systems and Navigation Techniques in Orthopedics: A Historical Review

An improved method for assessing the technical accuracy of optical tracking systems for orthopaedic surgical navigation

Adoption of Robotic-Arm-Assisted Total Knee Arthroplasty Is Associated with Decreased Use of Articular Constraint and Manipulation under Anesthesia Compared to a Manual Approach

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