Computer-Navigated and Robotic-Assisted Total Knee Arthroplasty: Increasing in Popularity Without Increasing Complications

Wang, Jennifer C.; Piple, Amit S.; Hill, William J.; Chen, Matthew; Gettleman, Brandon S.; Richardson, Mary; Heckmann, Nathanael; Christ, Alexander B.

doi:10.1016/j.arth.2022.06.014

Cited by 20 publications

(7 citation statements)

References 36 publications

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“…Onggo et al 21 In the present study, the length of hospital stay was statically significantly shorter in robotic-assisted TKA when compared with conventional TKA. Khlopas et al 30 33 suggested that the complication rate including periprosthetic joint infection in robotic TKA is comparable to convention TKA. There is no evidence that additional use of hardware in robotic TKA increased risk of infection.…”

Section: Discussionmentioning

confidence: 99%

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Surgical accuracy and clinical outcomes of image‐free robotic‐assisted total knee arthroplasty

Lau

Chau

Lau

et al. 2023

Robotics Computer Surgery

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Background The development of total knee arthroplasty (TKA) for knee osteoarthritis (OA) has a good reputation for its effectiveness in reducing joint pain and improving range of motion. We aimed to review our early results using the image‐free robotic‐assisted technology in knee arthroplasty. Methods A total of 71 patients suffering from end‐stage OA knee receiving TKA operated by robotic‐assisted surgery between the years 2018 and mid‐2021 were recruited. Clinical and radiological outcomes were compared with age and sex‐matched control group (conventional TKA). Results The radiological outcome showed significantly more postoperative lower limb alignment outliers in conventional side than robotic‐assisted sides. Postoperative knee scores were similar among both groups. Robotic‐assisted TKA required a longer implantation time but a shorter hospital stay. Conclusion Robotic‐assisted TKA achieved a lower rate of mechanical axis Outlier in the coronal and sagittal plane with a shorter hospital stay. Yet both methods achieve a similar functional outcome.

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Section: Discussionmentioning

confidence: 99%

“…At 1 year follow up, there was no recurrence of infection, patient suffered from residual stiffness. Wang et al 33 . suggested that the complication rate including periprosthetic joint infection in robotic TKA is comparable to convention TKA.…”

Section: Discussionmentioning

confidence: 99%

Surgical accuracy and clinical outcomes of image‐free robotic‐assisted total knee arthroplasty

Lau

Chau

Lau

et al. 2023

Robotics Computer Surgery

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“…Reports suggest that the use of robotic assistance in TKA can signi cantly reduce postoperative opioid use, improve limb alignment, and minimize surgical complications. These bene ts have led to a rapid increase in the number of RA-TKA procedures being performed globally [13] .…”

Section: Discussionmentioning

confidence: 99%

Learning curve analysis of robotic-assisted total knee arthroplasty with the HURWA surgical system

Zhang,

Bai,

Wang

et al. 2023

Preprint

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Purpose The aim of this study was to analyze the learning curve of total operative time, bone-cutting accuracy, and limb alignment in robot-assisted total knee arthroplasty (TKA) using the innovative image-based knee surgery robot known as HURWA. Additionally, a comparison was conducted with conventional TKA to ascertain the benefits of robotic-assisted TKA.Methods In this retrospective study, we analyzed a series of patients (n = 90) who underwent robotic-assisted total knee arthroplasty using the HURWA robot between December 2021 and October 2022. The procedures were performed by one of three orthopedic surgeons with varying levels of experience. As a control group, we selected the last 30 conventional TKA cases performed by each of these three surgeons. To determine the learning curve, we recorded the operative time, bone-cutting error, and pre- and postsurgery radiographs.Results The study found no significant differences in total operative time, bone-cutting accuracy, or limb alignment between the three surgeons. Of the three surgeons, surgeon 1, who had the most experience in joint arthroplasty, reached the learning curve in case 8, with the shortest bone-cutting time and robot time. Surgeon 2 reached the learning curve in case 16, while surgeon 3 reached the learning curve in case 9. There was no observable learning curve effect for bone-cutting accuracy and limb alignment. However, the percentage of cases where limb alignment differed from preoperative planning by 3° or less was higher in robotic-assisted TKA (77.97%) compared to conventional TKA (47.19%).Conclusion The study determined that the learning curve for robotic-assisted TKA using the HURWA knee surgery robot ranged from 8 to 20 cases. No observable learning curve effect was detected for bone-cutting accuracy or limb alignment. Experienced surgeons using the HURWA robot for bone- cutting took less time and reached the learning curve earlier. The HURWA robot achieved better limb alignment without depending on the experience of conventional TKA.The Translational Potential of this Article: The study of the learning curve of the surgical robot will give an indication of the ease of learning of the surgical robot and thus provide strong evidence for the extension and diffusion of the surgical robot to primary hospitals.

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“…Dabei ist die Nutzung von Roboterassistenzsystemen in diesen Jahren um 600 % gestiegen. Dennoch wurde ein Trend zu geringeren 90-Tages-Komplikationen, einer kürzeren Verweildauer und einem geringeren Opioidgebrauch in diesem Kollektiv gesehen [40].…”

Section: Wie Steht Es Im Vergleich Dazu Mit Robotergestützten Eingrif...unclassified

Navigation und Robotik in der Totalendoprothetik des Kniegelenks – Evidenz?

Lützner,

Calliess

2024

Orthopädie und Unfallchirurgie up2date

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Computer-Navigated and Robotic-Assisted Total Knee Arthroplasty: Increasing in Popularity Without Increasing Complications

Cited by 20 publications

References 36 publications

Surgical accuracy and clinical outcomes of image‐free robotic‐assisted total knee arthroplasty

Surgical accuracy and clinical outcomes of image‐free robotic‐assisted total knee arthroplasty

Learning curve analysis of robotic-assisted total knee arthroplasty with the HURWA surgical system

Navigation und Robotik in der Totalendoprothetik des Kniegelenks – Evidenz?

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