Improved intra-operative decision making in RA-TKR with the help of pre-operative CT scan.

Autor: Mukartihal R; Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India., Arun SR; Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India., Patil SS; Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India., Reddy AVG; Department of Orthopedics Sunshine Hospitals, Hyderabad, Telangana, 500003, India., Annapareddy A; Department of Orthopedics Sunshine Hospitals, Hyderabad, Telangana, 500003, India., Ratnakar V; Department of Orthopedics Sunshine Hospitals, Hyderabad, Telangana, 500003, India., das R; Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India., Sharan Patil S; Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2024 Feb 23; Vol. 52, pp. 107-111. Date of Electronic Publication: 2024 Feb 23 (Print Publication: 2024).
DOI: 10.1016/j.jor.2024.02.023
Abstrakt: Background: Robotic-assisted total knee replacement (RA-TKR) is a significant advancement in orthopedic surgery, but intra-operative decision-making remains challenging. Pre-operative imaging techniques, particularly CT scans, have gained momentum, providing insights into the patient's anatomy, improving implant positioning and alignment. However, further research is needed to explore their influence on RA-TKR planning and execution.
Materials and Methods: The hospital based cross-sectional study was conducted in Orthopedics department of Sparsh Speciality Hospital, Bangalore & Sunshine Hospital, Hyderabad. A total of 1020 participants in the age group over 50 years during the study period were included based on convenient sampling. The axial CT images were taken preoperatively and RA-TKA was done for all the patients.
Results: The study participant's average age was 64.01 ± 7.13. Out of 1020 patients 259 (24.4%) were males and 761 (74.6%) were females. The median femoral, tibia and Polyethylene predicted and the actual component were same with the side of surgery and BMI. The median femoral predicted actual component was significantly higher among the age category of more than 80 years when compared to other age groups. The median femoral, tibia and Polyethylene predicted was higher in males when compared to females.
Conclusion: Pre-operative CT scans enhance RA-TKR procedures by providing precise anatomical insights, enhancing implant placement, and identifying potential issues, improving surgical outcomes and patient satisfaction.
Competing Interests: NIL.
(© 2024 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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