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

Figueroa, Francisco; Parker, David; Fritsch, Brett; Oussedik, Sam

doi:10.1136/jisakos-2017-000146

Cited by 10 publications

(10 citation statements)

References 71 publications

(57 reference statements)

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“…Recent technological advances have led to the development of computer-navigated and robot-assisted techniques for TKA surgery 35 . Computer-navigated TKA involves the use of a device with an interface that allows anatomical data to be entered; the device then gives feedback to the surgeon regarding implant alignment and overall knee alignment but cannot be programmed to perform a task 35 . Computer-navigated TKA is most often utilized as an image-free modality 35 .…”

Section: Discussionmentioning

confidence: 99%

“…Computer-navigated TKA involves the use of a device with an interface that allows anatomical data to be entered; the device then gives feedback to the surgeon regarding implant alignment and overall knee alignment but cannot be programmed to perform a task 35 . Computer-navigated TKA is most often utilized as an image-free modality 35 . The anatomical landmarks of the patient are collected intraoperatively and used to create a reference frame, according to which the knee and cutting jig can be positioned 35 .…”

Section: Discussionmentioning

confidence: 99%

“…Computer-navigated TKA is most often utilized as an image-free modality 35 . The anatomical landmarks of the patient are collected intraoperatively and used to create a reference frame, according to which the knee and cutting jig can be positioned 35 .…”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Riantho,

Butarbutar,

Fidiasrianto

et al. 2023

JBJS Open Access

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“…Figueroa F. Y col., 5 realizó una descripción detallada de los sistemas CAS y los clasificó en tres categorías principales (►Fig. 1):…”

Section: Tipos De Casunclassified

Cirugía Robótica en Artroplastia de Rodilla

Negrín

Duboy

Iñiguez

et al. 2019

Rev Chil Ortop Traumatol

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ResumenLa cirugía protésica de rodilla es un procedimiento ampliamente aceptado como etapa final del tratamiento de la artrosis de rodilla, con sobrevida que supera el 90% a 10–15 años. Dentro de las principales causas de fallo, se encuentran la infección (20,4%) y el aflojamiento mecánico (20,3%). El uso de ayudas tecnológicas en cirugía está en constante desarrollo, con el objetivo de mejorar la precisión del acto quirúrgico. En ese escenario, la Cirugía Asistida por Computador (CAS) en artroplastia de rodilla, crece de forma exponencial, y apunta a mejorar el posicionamiento y selección del tamaño de los componentes protésicos, aumentar la precisión de las resecciones óseas y mejorar el balance de los tejidos blandos, logrando así una mayor sobrevida del implante. En comparación a las técnicas convencionales, la cirugía robótica ha mostrado mejores resultados funcionales, al primer año de seguimiento, en términos de rango articular, menor dolor post-operatorio y menor tiempo de estadía hospitalaria. Pero todavía es necesario establecer si, a largo plazo, esas diferencias funcionales se traducirán en mejores resultados clínicos que permitan, de forma consistente, inclinar la balanza en favor de la técnica asistida por robot por sobre las técnicas tradicionales.

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“…The use of robotic technology in health-care can be roughly divided between robots that are used to physically intervene, e.g. through being used in surgical procedures [13,15,25], to systems that engage the patient on a cognitive level. Computer vision can be used to support diagnosis [20,34], artificial intelligence is used to support decisions [10,29], and robots are now considered in earnest for patient and elderly Luthffi Idzhar Ismail…”

Section: Introductionmentioning

confidence: 99%

Analysis of Attention in Child–Robot Interaction Among Children Diagnosed with Cognitive Impairment

Ismail

Hanapiah

Belpaeme

et al. 2020

Int J of Soc Robotics

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Interacting with social robots has been reported as potentially beneficial for children with social communication difficulties, with one of the promising applications being the practising of social skills, such as joint attention. We present the analysis of attention skills in children with cognitive impairments over a series of child-robot interaction sessions. Here, an interaction consists of five different modules. The first module introduces the child to the robot. The next three modules are the task modules during which children are expected to improve their attention skills during the completion of a series of social tasks. The final module is a free style interaction, where the duration of interaction between the child and robot was used as a proxy to indicate the attention of the child towards a robot. Our analysis showed that the majority of the children reduced their task completion time in modules two to four, indicating an improvement in attention. Moreover, most of the children showed positive engagement towards the robot and spent an average of 120 s during the free style interaction in module five. The positive response suggests that the robot, via child-robot interaction could be a useful and engaging tool to improve attention skills of the children with cognitive impairment. Keywords Child-robot interaction • Children with cognitive impairment • Robotics IntroductionThe use of robotic technology in health-care can be roughly divided between robots that are used to physically intervene, e.g. through being used in surgical procedures [13,15,25], to systems that engage the patient on a cognitive level. Computer vision can be used to support diagnosis [20,34], artificial intelligence is used to support decisions [10,29], and robots are now considered in earnest for patient and elderly Luthffi Idzhar Ismail

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

Cited by 10 publications

References 71 publications

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Radiographic Outcomes of Robot-Assisted Versus Conventional Total Knee Arthroplasty

Cirugía Robótica en Artroplastia de Rodilla

Analysis of Attention in Child–Robot Interaction Among Children Diagnosed with Cognitive Impairment

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