Abstract:Recent advancements in computer-assisted surgery have led to a renewed interest in robotic-assisted hip arthroplasty. This technology assists with component position which is especially useful in prior trauma or dysplasia cases. We present a case of a surgical hip fusion conversion to total hip arthroplasty with the use of robotic-assisted technology. Enhanced preoperative planning with the ability to manipulate implant position before execution can be invaluable during complex procedures. Further research is … Show more
“…Overall, 180 records were excluded for duplicates, 197 records were identified as irrelevant by screening titles and abstracts, and the remaining 16 records were assessed for eligibility by reviewing full-text articles. After applying the inclusion criteria, ten studies were included in the present scoping review ( 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ). Figure 1 PRISMA flow diagram showing the process of literature screening, study selection, and reasons for exclusion.…”
Section: Resultsmentioning
confidence: 99%
“…Considering that there has been some pioneering work in applying the robotic system in revision TJA (22,23,24,25,26,27,28,29,30,31), and robotic-assisted technology may have more extended applications in the future, we performed a scoping review of the literature and narrative synthesis to present the current state-of-the-art.…”
Section: Introductionmentioning
confidence: 99%
“…Thus, along with the technological advancement and familiarity with the procedure, surgeons believe robotic-assisted technology could have done so much more; hence, they tried to harness the abilities of robotic-assisted technology for the revision of TJA. Considering that there has been some pioneering work in applying the robotic system in revision TJA ( 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ), and robotic-assisted technology may have more extended applications in the future, we performed a scoping review of the literature and narrative synthesis to present the current state-of-the-art.…”
Background: During the past decades, robotic-assisted technology has experienced an incredible advancement in the field of total joint arthroplasty (TJA), which demonstrated promise in improving the accuracy and precision of implantation and alignment in both primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, revision TJA remains a technically challenging procedure with issues of large-scale bone defects and damage to nearby anatomical structures. Thus, surgeons are trying to harness the abilities of robotic-assisted technology for revision TJA surgery.
Methods: PubMed, Embase, Cochrane Library, and Google Scholar were comprehensively searched to identify relevant publications that reported the application of robotic-assisted technology in revision TJA.
Results: Overall, ten studies reported the use of the robotic system in revision TJA, including active (ROBODOC) and semi-active (MAKO and NAVIO) systems. One clinical case reported conversion from hip fusion to THA, and three studies reported revision from primary THA to revision THA. Moreover, four studies reported that robotic-assisted technology is helpful in revising unicompartmental knee arthroplasty (UKA) to TKA, and two case reports converted primary TKA to revision TKA. In this study, we present the latest evolvements, applications, and technical obstacles of robotic-assisted technology in the revision of TJA and the current state-of-the-art.
Conclusion: Current available evidence suggests that robotic-assisted technology may help surgeons to reproducibly perform preoperative plans and accurately achieve operative targets during revision TJA. However, concerns remain regarding preoperative metal artifacts, registration techniques, closed software platforms, further bone loss after implant removal, and whether robotic-assisted surgery will improve implant positioning and long-term survivorship.
“…Overall, 180 records were excluded for duplicates, 197 records were identified as irrelevant by screening titles and abstracts, and the remaining 16 records were assessed for eligibility by reviewing full-text articles. After applying the inclusion criteria, ten studies were included in the present scoping review ( 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ). Figure 1 PRISMA flow diagram showing the process of literature screening, study selection, and reasons for exclusion.…”
Section: Resultsmentioning
confidence: 99%
“…Considering that there has been some pioneering work in applying the robotic system in revision TJA (22,23,24,25,26,27,28,29,30,31), and robotic-assisted technology may have more extended applications in the future, we performed a scoping review of the literature and narrative synthesis to present the current state-of-the-art.…”
Section: Introductionmentioning
confidence: 99%
“…Thus, along with the technological advancement and familiarity with the procedure, surgeons believe robotic-assisted technology could have done so much more; hence, they tried to harness the abilities of robotic-assisted technology for the revision of TJA. Considering that there has been some pioneering work in applying the robotic system in revision TJA ( 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ), and robotic-assisted technology may have more extended applications in the future, we performed a scoping review of the literature and narrative synthesis to present the current state-of-the-art.…”
Background: During the past decades, robotic-assisted technology has experienced an incredible advancement in the field of total joint arthroplasty (TJA), which demonstrated promise in improving the accuracy and precision of implantation and alignment in both primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, revision TJA remains a technically challenging procedure with issues of large-scale bone defects and damage to nearby anatomical structures. Thus, surgeons are trying to harness the abilities of robotic-assisted technology for revision TJA surgery.
Methods: PubMed, Embase, Cochrane Library, and Google Scholar were comprehensively searched to identify relevant publications that reported the application of robotic-assisted technology in revision TJA.
Results: Overall, ten studies reported the use of the robotic system in revision TJA, including active (ROBODOC) and semi-active (MAKO and NAVIO) systems. One clinical case reported conversion from hip fusion to THA, and three studies reported revision from primary THA to revision THA. Moreover, four studies reported that robotic-assisted technology is helpful in revising unicompartmental knee arthroplasty (UKA) to TKA, and two case reports converted primary TKA to revision TKA. In this study, we present the latest evolvements, applications, and technical obstacles of robotic-assisted technology in the revision of TJA and the current state-of-the-art.
Conclusion: Current available evidence suggests that robotic-assisted technology may help surgeons to reproducibly perform preoperative plans and accurately achieve operative targets during revision TJA. However, concerns remain regarding preoperative metal artifacts, registration techniques, closed software platforms, further bone loss after implant removal, and whether robotic-assisted surgery will improve implant positioning and long-term survivorship.
“…In total hips, the computer-based software allows the surgeon to individualize the cup inclination/version, thereby decreasing dislocation rates [ 25 ]. Previous studies have shown that the robotic-arm assistance can be used for the conversion of UKA to TKA as well as previous hip fusion to THA [ 12 , 13 ]. To our knowledge, this is the first report of this technology being used for revision of a total knee replacement.…”
Section: Discussionmentioning
confidence: 99%
“…Surgeons continue to harness the abilities of robotics and devise ways to use new technology during surgery. There are case reports of the robot being used in the conversion of UKA to TKA, as well as conversion of previous hip fusion to THA [ 12 , 13 ]. Advanced imaging is frequently used for preoperative planning, which can be helpful in the restoration of native anatomy.…”
Total knee arthroplasty (TKA) is a highly successful operation for the treatment of end-stage osteoarthritis of the knee. Increasing use of computer-assisted and robotic-assisted total joint arthroplasty has been shown to improve component position, with short-term studies demonstrating improved survivability in unicompartmental knee arthroplasty. Robotic-assisted technology has been shown to be helpful in revising unicompartmental knee arthroplasty to TKA, as well as hip fusion to total hip arthroplasty, but few have described revision of a primary TKA. This case report describes the use of robotic-assisted technology in revision TKA. Robotic assistance during revision TKA may improve component alignment and increase prosthesis longevity. Future research is needed to investigate the effects on survivorship and cost.
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