Improved Accuracy of Component Positioning with Robotic-Assisted Unicompartmental Knee Arthroplasty

Bell, Stuart W.; Anthony, Iain; Jones, Bryn; Maclean, Angus; Rowe, Peter; Blyth, Mark

doi:10.2106/jbjs.15.00664

Cited by 238 publications

(196 citation statements)

References 18 publications

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“…Major complications are rarely reported in primary joint replacement surgery (either with or without the use of robots) and clinical benefits of the use of the robotics are not so evident. In a recent study, Bell et al clearly confirm what we might expect (8). Accuracy of component positioning in unicompartmental knee replacement (UKR) is improved in the robot-assisted group, reducing also the number of outliers.…”

Section: Robotics In Knee Replacementmentioning

confidence: 76%

Robotics accuracy in orthopaedics: is it enough for a well-working knee replacement?

Mancuso¹,

Pandit

2016

Ann. Transl. Med.

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Section: Robotics In Knee Replacementmentioning

confidence: 76%

Robotics accuracy in orthopaedics: is it enough for a well-working knee replacement?

Mancuso¹,

Pandit

2016

Ann. Transl. Med.

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“…In the only level I study regarding Mako, Bell et al 68 randomised 139 patients to either Mako-assisted or conventional surgery. A postoperative CT was performed at 3 months to assess the accuracy of the axial, coronal and sagittal component positioning.…”

Section: Limitationsmentioning

confidence: 99%

New and evolving technologies for knee arthroplasty—computer navigation and robotics: state of the art

et al. 2018

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“…Initially, robotic systems were introduced to improve precision, accuracy and patient's overall outcome and satisfaction rates 30 79 83 86. Robotic-assisted surgery has the potential to achieve these goals by enhancing the surgeon’ ability to generate reproducible techniques through an individualised surgical approach.…”

Section: Current State Of the Artmentioning

confidence: 99%

Unicompartmental knee arthroplasty: state of the art

et al. 2017

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The popularity of unicompartmental knee arthroplasty (UKA) for the treatment of isolated compartment osteoarthritis of the knee has risen over the past 2 decades. Currently, UKA covers 10% of all knee arthroplasties worldwide. Although indications have been extended, results have proven that patient selection plays a critical role in the success of UKA. From the current perspective, age, body mass index, patellofemoral osteoarthritis, anterior cruciate ligament deficiency and chondrocalcinosis are no longer absolute contraindications for UKA. Motivated by the desire to improve survivorship rates, patient-reported outcomes and reduce complications, there have been many technological advances in the field of UKA over the recent years. The aim of this review was to evaluate the current indications, surgical techniques, modes of failure and survivorship results of UKA, by assessing a thorough review of modern literature. Several studies show that innovations in implant design, fixation methods and surgical techniques have led to good-to-excellent long-term survivorship, functional outcomes and less complications. Until now, resurgence of interest of cementless designs is noted according to large national registries to address problems associated with cementation. The future perspective on the usage of UKA, in particular the cementless design, looks promising. Furthermore, there is a growing interest in robotic-assisted techniques in order to optimise result by controlled soft-tissue balancing and reproduce alignment in UKA. Future advances in robotics, most likely in the field of planning and setup, will be valuable in optimising patient-specific UKA.

show abstract

Improved Accuracy of Component Positioning with Robotic-Assisted Unicompartmental Knee Arthroplasty

Abstract: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Cited by 238 publications

References 18 publications

Robotics accuracy in orthopaedics: is it enough for a well-working knee replacement?

Robotics accuracy in orthopaedics: is it enough for a well-working knee replacement?

New and evolving technologies for knee arthroplasty—computer navigation and robotics: state of the art

Unicompartmental knee arthroplasty: state of the art

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