Adoption of Robotic-Arm-Assisted Total Knee Arthroplasty Is Associated with Decreased Use of Articular Constraint and Manipulation under Anesthesia Compared to a Manual Approach
| Autor: | Jenny Zhang, Michael A. Mont, Matthew S. Hepinstall, Andrew N. Sawires, Joseph O. Ehiorobo, Chelsea Matzko |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Knee function
medicine.medical_specialty Knee Joint Total knee arthroplasty Ligament Laxity 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures medicine Humans Anesthesia Orthopedics and Sports Medicine Range of Motion Articular Arthroplasty Replacement Knee 030222 orthopedics business.industry 030229 sport sciences Osteoarthritis Knee Surgery Arm Implant Knee Prosthesis business Robotic arm Manipulation under anesthesia |
| Zdroj: | The Journal of Knee Surgery. 35:849-857 |
| ISSN: | 1938-2480 1538-8506 |
| Popis: | Haptic robotic-arm-assisted total knee arthroplasty (RATKA) seeks to leverage three-dimensional planning, intraoperative assessment of ligament laxity, and guided bone preparation to establish and achieve patient-specific targets for implant position. We sought to compare (1) operative details, (2) knee alignment, (3) recovery of knee function, and (4) complications during adoption of this technique to our experience with manual TKA. We compared 120 RATKAs performed between December 2016 and July 2018 to 120 consecutive manual TKAs performed between May 2015 and January 2017. Operative details, lengths of stay (LOS), and discharge dispositions were collected. Tibiofemoral angles, Knee Society Scores (KSS), and ranges of motion were assessed until 3 months postoperatively. Manipulations under anesthesia, complications, and reoperations were tabulated. Mean operative times were 22 minutes longer in RATKA (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|