Clinical outcomes associated with robotic and computer-navigated total knee arthroplasty: a machine learning-augmented systematic review

Buchlak, Quinlan D.; Clair, Joe; Esmaili, Nazanin; Barmare, Arshad; Chandrasekaran, Siva

doi:10.1007/s00590-021-03059-0

Cited by 5 publications

(2 citation statements)

References 109 publications

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“…The precision and accuracy of robotic technology has been shown to allow better alignment and positioning of implant components, which reduces the likelihood of complications such as implant loosening, wear and tear, and the need for revision surgery 36 , 37 . Buchlak et al 38 found that robot-assisted TKA was associated with a shorter operative duration, a higher likelihood of achieving the target alignment, and a shorter length of stay than computer-navigated TKA. A critical analysis review showed that robot-assisted TKA provided more accurate and precise implant positioning, potentially leading to better long-term outcomes 39 .…”

Section: Discussionmentioning

confidence: 99%

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Riantho,

Butarbutar,

Fidiasrianto

et al. 2023

JBJS Open Access

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Background: Total knee arthroplasty (TKA) has long been considered the definitive treatment for knee osteoarthritis.Although tremendous improvements have been made in surgical techniques for conventional TKA, a substantial dissatisfaction rate among patients has persisted because of moderate-to-severe pain and stiffness following TKA. Robotassisted TKA was developed as an alternative to conventional TKA with the goal of improving operative precision and producing better clinical outcomes with minimal postoperative complications. The aim of this study was to compare the radiographic outcomes, duration of surgery, and complication rate between robot-assisted TKA and conventional TKA. Methods:We conducted relevant literature searches of Medline, Scopus, ClinicalTrials.gov, and the Cochrane Library databases with use of specific keywords. The outcomes for continuous variables were pooled into mean differences, whereas the outcomes for dichotomous variables were pooled into odds ratios with 95% confidence intervals with use of random-effects models.Results: A total of 12 randomized clinical trials were included. Our pooled analysis revealed that robot-assisted TKA was associated with fewer outliers in the hip-knee-ankle (HKA) angle (p < 0.0001), femoral component (coronal) angle (p = 0.0006), femoral component (sagittal) angle (p = 0.009), tibial component (coronal) angle (p = 0.05), and tibial component (sagittal) angle (p = 0.01) when compared with conventional TKA. The postoperative HKA angle was also significantly more neutral in the robot-assisted TKA group (mean difference, 20.77°; p < 0.0001). However, the complication rate did not differ significantly between the 2 groups.Conclusions: Robot-assisted TKA may produce more accurate placement of the prosthetic component and better joint alignment accuracy than conventional TKA as shown by fewer outliers in several joint angles.

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Section: Discussionmentioning

confidence: 99%

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Riantho,

Butarbutar,

Fidiasrianto

et al. 2023

JBJS Open Access

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“… 46 Even in robot-assisted arthroplasty, further exploration to determine whether it objectively improves clinical outcomes is urgent. 16 , 47 Although almost all explorations are preliminary, several online calculators for assessing specific risks after TJA have become available, 22 meaning that we have a considerable opportunity to improve current clinical practice and improve the accuracy of the models in larger datasets.…”

Section: Discussionmentioning

confidence: 99%

Global research landscape on artificial intelligence in arthroplasty: A bibliometric analysis

Maimaiti

Chen

et al. 2023

DIGITAL HEALTH

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Background Artificial intelligence (AI) has promising applications in arthroplasty. In response to the knowledge explosion resulting from the rapid growth of publications, we applied bibliometric analysis to explore the research profile and topical trends in this field. Methods The articles and reviews related to AI in arthroplasty were retrieved from 2000 to 2021. The Java-based Citespace, VOSviewer, R software-based Bibiometrix, and an online platform systematically evaluated publications by countries, institutions, authors, journals, references, and keywords. Results A total of 867 publications were included. Over the past 22 years, the number of AI-related publications in the field of arthroplasty has grown exponentially. The United States was the most productive and academically influential country. The Cleveland Clinic was the most prolific institution. Most publications were published in high academic impact journals. However, collaborative networks revealed a lack and imbalance of inter-regional, inter-institutional, and inter-author cooperation. Two emerging research areas represented the development trends: major AI subfields such as machine learning and deep learning, and the other is research related to clinical outcomes. Conclusion AI in arthroplasty is evolving rapidly. Collaboration between different regions and institutions should be strengthened to deepen our understanding further and exert critical implications for decision-making. Predicting clinical outcomes of arthroplasty using novel AI strategies may be a promising application in this field.

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Robotic-Assisted Total Knee Arthroplasty Results in Shorter Navigation Working Time With Similar Clinical Outcomes Compared to Computer-Navigated Total Knee Arthroplasty

Ho,

Jagota,

Twiggs

et al. 2024

The Journal of Arthroplasty

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Clinical outcomes associated with robotic and computer-navigated total knee arthroplasty: a machine learning-augmented systematic review

Cited by 5 publications

References 109 publications

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Global research landscape on artificial intelligence in arthroplasty: A bibliometric analysis

Robotic-Assisted Total Knee Arthroplasty Results in Shorter Navigation Working Time With Similar Clinical Outcomes Compared to Computer-Navigated Total Knee Arthroplasty

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