New technology‐based assistive techniques in total knee arthroplasty: A Bayesian network meta‐analysis and systematic review

Gao, Jiaxiang; Dong, Shengjie; Li, Jiao Jiao; Ge, Long; Xing, Dan; Lin, Jianhao

doi:10.1002/rcs.2189

Cited by 12 publications

(14 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clark et al [22] retrospectively compared these two technologies in total knee arthroplasty, and found that RAS (52 patients) led to decreased navigation time, fewer femoral malalignment and shorter hospitalization length compared to CAS (29 patients). Our previous network meta-analysis also demonstrated the best mechanical axis restoration with RAS, followed by CAS, and nally the conventional technique in total knee arthroplasty [23].…”

Section: Discussionmentioning

confidence: 78%

Is robotic assistance more eye-catching than computer navigation in joint arthroplasty? A Google trends analysis from the point of public interest

Gao

Xing

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Computer-assisted navigation system (CAS) and robotic assisted surgery (RAS) have been widely used in joint arthroplasty, but few studies focused on public interest. We aimed to evaluate current trend and seasonality of public interest in CAS and RAS arthroplasty over the past 10 years, and forecast the future development. All data related to CAS or RAS arthroplasty from January 2012 to December 2021 were collected through Google Trends. Public interest was described by relative search volume (RSV). Pre-existing trend was evaluated by linear and exponential models. Time series analysis and ARIMA model were utilized to analyze the seasonality and future trend. R software 3.5.0 was for statistics analysis. Public interest in RAS arthroplasty has been continuously increasing (P < 0.001) and exponential model (R2=0.83, MAE=7.35, MAPE=34%, RSME=9.58) fitted better than linear one (R2=0.78, MAE=8.44, MAPE=42%, RSME=10.67). CAS arthroplasty showed a downtrend (P<0.01) with equivalent R2 (0.04) and accuracy measures (MAE=3.92, MAPE=31%, RSME=4.95). The greatest popularity of RAS was observed in July and October, while the lowest was in March and December. For CAS, a rise of public interest was in May and October, but lower values were observed in January and November. Based on ARIMA models, the popularity of RAS might continuously increase and nearly double in 2030, along with a stability with slight downtrend for CAS. Public interest in RAS arthroplasty has been continuously increasing and seems to maintain this uptrend in the next 10 years, whereas popularity of CAS arthroplasty will likely remain stable.

show abstract

Section: Discussionmentioning

confidence: 78%

Is robotic assistance more eye-catching than computer navigation in joint arthroplasty? A Google trends analysis from the point of public interest

Gao

Xing

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…With the need to enhance the accuracy of surgery, computer‐assisted surgery (CAS) has been continuously advancing in the domain of total knee arthroplasty (TKA) surgery 1–3 . CAS started a few decades ago as computed tomography (CT)‐based/imageless navigation surgery, and the technology developed into robotically assisted surgery.…”

Section: Introductionmentioning

confidence: 99%

Robotic arm‐assisted posterior‐stabilised total knee arthroplasty reduces the amount of tibial bone resection thickness without increasing the rate of postoperative flexion contracture in varus knees in the short term: Comparison with image‐free navigated total knee arthroplasty

Ishida

Shibanuma

Hayashi

et al. 2022

Robotics Computer Surgery

View full text Add to dashboard Cite

Background: This study aimed to compare the bone resection thickness, rate of minimal thickness insert usage, and postoperative range of motion (ROM) between robotic and navigated total knee arthroplasty (TKA).Methods: Fifty consecutive posterior-stabilised (PS) robotic TKA and 50 casecontrolled PS navigated TKA were enroled. Bone resection thickness, rate of minimal thickness insert usage, and postoperative flexion contracture over 5°were statistically compared. Results:The tibial bone resection thickness was significantly thinner in robotic TKA.The insert thickness was significantly lower, and the rate of minimal thickness insert usage was significantly higher in robotic TKA. The ROM at 3 months postoperatively and the rate of postoperative flexion contracture were comparable between the two groups. Conclusion:Robotic TKA can reduce the tibial bone resection thickness and increase the rate of minimal thickness insert usage without increasing postoperative flexion contracture as compared with navigated TKA.

show abstract

“…The traditional manual method cannot fulfill the requirement of rKA‐TKA implementation as it requires higher accuracy for individualized alignment. The development of new techniques including patient specific instrumentation (PSI), navigation, and robotic surgery improved the surgical precision of TKA, 14 which may be applicable in rKA‐TKA. However, errors still existed in executing surgical plans with the use of new techniques 15,16 .…”

Section: Introductionmentioning

confidence: 99%

Computer Navigation Assisted Restricted Kinematic Alignment Improves Short‐Term Outcomes in Total Knee Arthroplasty: An Ambispective Cohort Study

Chen

et al. 2022

Orthopaedic Surgery

View full text Add to dashboard Cite

Objectives Mechanical alignment (MA)‐total knee arthroplasty (TKA) has been challenged due to the excessive soft tissue release and the evidence of the clinical outcomes of computer assisted navigation is still limited. The aim of this ambispective cohort study was to: (i) investigate whether computer assisted navigation is capable to achieve restricted kinematic alignment (rKA)‐TKA; and (ii) compare the short‐term outcomes between rKA‐TKA and MA‐TKA. Methods We retrospectively included 41 patients diagnosed with osteoarthritis who received MA‐TKA between April 2019 and January 2021 and 43 patients diagnosed with osteoarthritis who received rKA‐TKA were included in the prospective cohort from January 2021 to September 2021. Demographical, peri‐operative, and radiological data were collected and compared. Unpaired two‐sample t‐test for continuous variables and χ2 test for categorical variables were used to compare various measurements in two groups. The patient‐reported outcome measures at baseline, 10 days (T1), and 6 months (T6) after surgery were statistically analyzed by generalized estimating equation (GEE) models. Results Fourty‐one patients (45 knees) and 43 patients (48 knees) were included in the MA and the rKA group respectively. Three constitutional knee phenotypes (II, I, IV) were the commonest in our population. Navigation improved the surgical accuracy (1.5° vs 3.5°, p < 0.001) and precision (interquartile range 4.0 vs 2.0, p < 0.001) in the rKA group than the MA group. The changes in Knee Injury and Osteoarthritis Outcome Score 12 (KOOS12), EuroQol five‐dimension questionnaire (EQ5D) from baseline to T1 and T6 for patients with on‐target rKA were larger than on‐target MA counterparts (26.053 vs 18.607, P < 0.001(KOOS12, T1), 0.457 vs 0.367 p < 0.001(EQ5D, T1); 51.017 vs 46.896, P = 0.023(KOOS12, T6), 0.606 vs 0.565, P = 0.01(EQ5D, T6)). Patients with on‐target rKA had better Forgotten Joint Score (FJS) at T1 (54.126 vs 40.965, P = 0.002) compared with on‐target MA counterparts. Conclusions Computer assisted navigation achieved the level of accuracy required by rKA‐TKA. rKA‐TKA offered significantly better short‐term outcomes than MA‐TKA.

show abstract

New technology‐based assistive techniques in total knee arthroplasty: A Bayesian network meta‐analysis and systematic review

Cited by 12 publications

References 63 publications

Is robotic assistance more eye-catching than computer navigation in joint arthroplasty? A Google trends analysis from the point of public interest

Is robotic assistance more eye-catching than computer navigation in joint arthroplasty? A Google trends analysis from the point of public interest

Robotic arm‐assisted posterior‐stabilised total knee arthroplasty reduces the amount of tibial bone resection thickness without increasing the rate of postoperative flexion contracture in varus knees in the short term: Comparison with image‐free navigated total knee arthroplasty

Computer Navigation Assisted Restricted Kinematic Alignment Improves Short‐Term Outcomes in Total Knee Arthroplasty: An Ambispective Cohort Study

Contact Info

Product

Resources

About