Robotic technology in total knee arthroplasty: a systematic review
| Autor: | Sujith Konan, Fares S. Haddad, Elliot Onochie, Babar Kayani, Talal Al-Jabri, Atif Ayuob |
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| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty business.industry Iatrogenic injury Postoperative pain technology industry and agriculture Total knee arthroplasty musculoskeletal system Radiation exposure 03 medical and health sciences surgical procedures operative 0302 clinical medicine Physical medicine and rehabilitation Hospital discharge Medicine Knee Orthopedics and Sports Medicine Surgery 030212 general & internal medicine Implant business Functional rehabilitation |
| Zdroj: | EFORT Open Reviews. 4:611-617 |
| ISSN: | 2058-5241 2396-7544 |
| DOI: | 10.1302/2058-5241.4.190022 |
| Popis: | Robotic total knee arthroplasty (TKA) improves the accuracy of implant positioning and reduces outliers in achieving the planned limb alignment compared to conventional jig-based TKA. Robotic TKA does not have a learning curve effect for achieving the planned implant positioning. The learning curve for achieving operative times comparable to conventional jig-based TKA is 7–20 robotic TKA cases. Cadaveric studies have shown robotic TKA is associated with reduced iatrogenic injury to the periarticular soft tissue envelope compared to conventional jig-based TKA. Robotic TKA is associated with decreased postoperative pain, enhanced early functional rehabilitation, and decreased time to hospital discharge compared to conventional jig-based TKA. However, there are no differences in medium- to long-term functional outcomes between conventional jig-based TKA and robotic TKA. Limitations of robotic TKA include high installation costs, additional radiation exposure, learning curves for gaining surgical proficiency, and compatibility of the robotic technology with a limited number of implant designs. Further higher quality studies are required to compare differences in conventional TKA versus robotic TKA in relation to long-term functional outcomes, implant survivorship, time to revision surgery, and cost-effectiveness. Cite this article: EFORT Open Rev 2019;4:611-617. DOI: 10.1302/2058-5241.4.190022 |
| Databáze: | OpenAIRE |
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