Index surgery and ninety day re-operation cost comparison of robotic-assisted versus manual total knee arthroplasty

Ezeokoli, Ekene U; John, Jithin; Gupta, Rohun; Jawad, Ali H.; Cavinatto, Leonardo

doi:10.1007/s00264-022-05674-w

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Current literature supports equivalent or improved implant positioning, patient outcomes, and cost associated with rTJA [ 1 , 2 , 4 , [6] , [7] , [8] , [9] , [10] , [11] ]. A recent GlobalData analysis [ 19 ] reported that 11% of knee arthroplasties in 2020 used robotic assistance, with robotic volume expected to double by 2030.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown a higher consistency of implant position and mechanical alignment with the use of robotics in arthroplasty [ [1] , [2] , [3] , [4] , [5] ]. Furthermore, an increasing number of studies support the clinical benefit and cost effectiveness of rTJA, reporting equivalent or improved patient satisfaction, functional outcomes, and value of rTJA compared to traditional total joint arthroplasty (TJA) [ [6] , [7] , [8] , [9] , [10] , [11] ]. As a result, hospitals and orthopaedic surgeons across the United States and globally are increasingly utilizing robotic technology in TJA [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient Perceptions and Interest in Robotic-Assisted Total Joint Arthroplasty

Chang,

Wu,

Hinton

et al. 2024

Arthroplasty Today

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient Perceptions and Interest in Robotic-Assisted Total Joint Arthroplasty

Chang,

Wu,

Hinton

et al. 2024

Arthroplasty Today

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“…While polyethylene wear was previously the primary cause of long-term revision in TKA, currently, aseptic loosening of implants is the leading cause of long-term failure in TKA. The hope of finding a more durable anchoring solution largely rests on non-cemented implants and new technologies (artificial intelligence and robotics) [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Survivorship and complications of cementless compared to cemented posterior-stabilized total knee arthroplasties: A systematic review and meta-analysis

Chahidi,

Martinov,

Simion

et al. 2024

SICOT-J

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Purpose: Controversy exists on the best fixation for total knee arthroplasty (TKA). Non-cemented fixation has been theorized to improve patient outcomes and longevity of implantation but no study has focused on comparison between cemented or cementless posterior-stabilized implants despite being the most commonly or second most frequently utilized implant in most total knee replacement registries. Methods: Inclusion criteria with observational and interventional papers, and review articles that focused on patients with cementless and cemented PS TKAs were used to analyze outcomes such as implant survivorship, complication, or revision rates. Using a combination of keywords, a systematic search was performed on Medline (PubMed), Embase, and Cochrane Library for Meta-Analysis. Results: When using the specified criteria, only 8 studies were selected for full-text analysis and meta-analysis after eliminating screening duplicates, titles, and abstracts without full-text access. These eight studies contain 1652 patients, 693 in the non-cemented Group, and 959 in the cemented total knee prosthesis Group. The meta-analysis revealed the advantage of cementless fixation over cemented fixation in implant survivorship, with 0.6% and 2.6% of aseptic loosening in each Group. The cumulative survival at 12 years was 97.4% for the cementless Group and 89.2% for the cemented Group. The subgroup with a stem showed a positive outcome for cementless fixation over cemented fixation regarding implant survivorship. No differences between the cemented and cementless TKAs were observed in patient-reported outcomes, revision rates, or radiolucent line development. Conclusion: We observed comparable rates for cemented and cementless posterior-stabilized TKAs over a medium-term follow-up period.

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“…R-TKA remains costly, with prices ranging from USD 400 thousand to more than USD one million depending on the device and the contract. Average three-month health-related costs may be similar [ 77 ] or increased [ 78 ] compared to C-TKA, although the supply cost might not be mitigated even with hundreds of cases. Recent studies suggest that the initial capital investment could be paid off thanks to reduced postoperative pain and opioid intake, shorter length of stay, higher home discharge, and inferior readmission rates at short-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Robotic Total Knee Arthroplasty: An Update

Pipino,

Giai Via,

Ratano

et al. 2024

JPM

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Total knee arthroplasty (TKA) is a gold standard surgical procedure to improve pain and restore function in patients affected by moderate-to-severe severe gonarthrosis refractory to conservative treatments. Indeed, millions of these procedures are conducted yearly worldwide, with their number expected to increase in an ageing and more demanding population. Despite the progress that has been made in optimizing surgical techniques, prosthetic designs, and durability, up to 20% of patients are dissatisfied by the procedure or still report knee pain. From this perspective, the introduction of robotic TKA (R-TKA) in the late 1990s represented a valuable instrument in performing more accurate bone cuts and improving clinical outcomes. On the other hand, prolonged operative time, increased complications, and high costs of the devices slow down the diffusion of R-TKA. The advent of newer technological devices, including those using navigation systems, has made robotic surgery in the operatory room more common since the last decade. At present, many different robots are available, representing promising solutions to avoid persistent knee pain after TKA. We hereby describe their functionality, analyze potential benefits, and hint at future perspectives in this promising field.

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Index surgery and ninety day re-operation cost comparison of robotic-assisted versus manual total knee arthroplasty

Cited by 5 publications

References 20 publications

Patient Perceptions and Interest in Robotic-Assisted Total Joint Arthroplasty

Patient Perceptions and Interest in Robotic-Assisted Total Joint Arthroplasty

Survivorship and complications of cementless compared to cemented posterior-stabilized total knee arthroplasties: A systematic review and meta-analysis

Robotic Total Knee Arthroplasty: An Update

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