Robotic-Assisted Total Knee Arthroplasty is Safe in the Ambulatory Surgery Center Setting

Eason, Travis; Mihalko, William M.; Toy, Patrick C.

doi:10.1016/j.ocl.2022.11.001

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…done at a ASC, the robotic platforms pose challenges in the free standing ASC setting since they require extra space, are expensive and may initially increase surgical time. 6 They also pointed out that there is usually a cost of advanced imaging prior to surgery for some of the systems.…”

Section: Case Seriesmentioning

confidence: 99%

Pixee knee+ augmented reality assisted navigation for total knee arthroplasty in an ambulatory surgical center

Waitzman,

Kassab

2024

Int J Res Orthop

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Total knee arthroplasty (TKA) requires precise alignment for optimal post-operative outcomes and prosthesis longevity. Recently, augmented reality (AR) has emerged as a promising technology in surgical procedures, including TKA. This case series evaluates the feasibility and accuracy of the knee+ augmented reality-assisted navigation (ARAN) system by Pixee Medical in an ambulatory surgical center (ASC) setting. Our study involved 17 consecutive TKA patients performed with the knee+ ARAN system at an ASC from August 2022 to October 2022. Demographic data, including sex, age, ASA score, height, weight, and BMI, were recorded. Postoperative measurements of the mechanical distal femoral angle (MDFA), mechanical distal tibial angle (MDTA), posterior tibial slope (PTS), femoral-tibial angle (FTA), and posterior femoral flexion (PFF) were compared to the ideal intraoperative angles. Outliers were defined as deviations greater than 3° from the planned angles. In this study, 15 out of 17 TKAs utilizing the Pixee knee+ ARAN system were analyzed. All mean post-operative radiographic measurements were within clinically acceptable ranges. The study also found that surgeries using the knee+ system had a slightly longer incision-to-closing time relative to the control group of patients undergoing normal TKA. Our results indicate clinically acceptable accuracy and precision in alignment with the knee+ ARAN system, albeit with a slight increase in surgery duration. This is the first study evaluating the knee+ ARAN system in an ASC setting indicates its suitability for outpatient centers, highlighting its precision, portability, and cost-effectiveness. Larger studies utilizing outcome measures can further assess the system’s advantages and disadvantages.

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Section: Case Seriesmentioning

confidence: 99%

Pixee knee+ augmented reality assisted navigation for total knee arthroplasty in an ambulatory surgical center

Waitzman,

Kassab

2024

Int J Res Orthop

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Outpatient Surgery Trend in Modern Healthcare

Nechaev

2023

City Healthcare

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Background. Outpatient surgery is proven to be effective, but there are some issues in organizing the workflow of an outpatient surgery center, selecting patients, and developing a perioperative care system. Purpose. To study the international experience in creating outpatient surgery centers. Methods and Materials. The review was prepared using the reporting guidelines for systematic reviews and meta-analyses (PRISMA). Results. The stages of an outpatient surgery development were defined as follows: firstly, minor surgery, then surgery under local anesthesia, and finally, laparoscopic surgery under general anesthesia. Modern surgery provides a wide range of interventions with minimal contraindications. In addition, it’s still unclear whether outpatient surgery services should be delivered within a multidisciplinary hospital, an outpatient surgery center, or an outpatient and polyclinic institution. Treatment process should engage patients by giving a comprehensive education, standardizing processes, and setting clear expectations for recovery and discharge. When complex patients who have already undergone a surgical intervention come to an outpatient institution, it is crucial to correctly select them. There is no established process of determining whether a patient is suitable for a surgical intervention; patient selection depends on multiple factors. Outpatient surgery centers face several challenges like increasing costs, attracting and retaining of qualified staff. The answer could be to provide payments based on performance, and to focus on patient relevant indicators. The assessment of patient’s health condition after discharge is done, firstly, via telephones, then through messengers, and now by digital cloud applications.

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Robotic-Assisted Total Knee Arthroplasty is Safe in the Ambulatory Surgery Center Setting

Cited by 2 publications

References 17 publications

Pixee knee+ augmented reality assisted navigation for total knee arthroplasty in an ambulatory surgical center

Pixee knee+ augmented reality assisted navigation for total knee arthroplasty in an ambulatory surgical center

Outpatient Surgery Trend in Modern Healthcare

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