The Place for Innovative Technology

Salem, Hytham S; Mathew, Kevin K.; Tarazi, John M.; Ehiorobo, Joseph O.; Mont, Michael A.

doi:10.1007/978-3-030-41223-4_14

Cited by 2 publications

(6 citation statements)

References 34 publications

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“…In addition, using a preoperative computed tomography (CT) scan may allow for less time in the operating room for the surgeon to decide on implant size, position, and balancing. 14 21 22…”

Section: Discussionmentioning

confidence: 99%

Learning Curve of Robotic-Assisted Total Knee Arthroplasty for a High-Volume Surgeon

et al. 2020

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The learning curve has been established for robotic-assisted total knee arthroplasty (RATKA) during the first month of use; however, there have been no studies evaluating this on a longer term. Therefore, the purpose of this study was to compare operative times for three cohorts during the first year following adoption of RATKA (initial, 6 months, and 1 year) and a prior cohort of manual TKA. We investigated both mean operative times and the variability of operative time in each cohort. This is a learning curve study comparing a single surgeon's experience using RAKTA. The study groups were made up of two cohorts of 60 cementless RATKAs performed at ∼6 months and 1 year of use. A learning curve was created based on the mean operative times and individual operative times were stratified into different cohorts for comparison. Study groups were compared with the surgeon's initial group of 20 cemented RATKAs and 60 cementless manual cases. Descriptive numbers were compiled and mean operative times were compared using Student's t-tests for significant differences with a p-value of < 0.05. The mean surgical times continued to decrease after 6 months of RATKA. In 1 year, the surgeon was performing 88% of the RATKA between 50 and 69 minutes. The initial cohort and 1-year robotic-assisted mean operative times were 81 and 62 minutes, respectively (p < 0.00001). Mean 6-month robotic-assisted operative times were similar to manual times (p = 0.12). A significant lower time was found between the mean operative times for the 1-year robotic-assisted and manual (p = 0.008) TKAs. The data show continued improvement of operative times at 6 months and 1 year when using this new technology. The results of this study are important because they demonstrate how the complexity of a technology which initially increases operative time can be overcome and become more time-effective than conventional techniques.

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“…In addition, using a preoperative computed tomography (CT) scan may allow for less time in the operating room for the surgeon to decide on implant size, position, and balancing. 14 21 22…”

Section: Discussionmentioning

confidence: 99%

Learning Curve of Robotic-Assisted Total Knee Arthroplasty for a High-Volume Surgeon

et al. 2020

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“…Currently, to allow for social distancing and avoid overcrowding at the hospital, these in-person edPT appointments are now also being performed at multiple off-site locations that are typically more convenient for patients who live outside of NYC. These off-site locations may or may not have rehabilitation services on site, so having a virtual option for the edPT appointment ensures that all patients can receive the beneficial education prior to their surgical procedure [9], regardless of where their presurgical appointments are performed.…”

Section: Importance and Benefits Of Virtual Preoperative Physical Thementioning

confidence: 99%

“…Preoperative education programs are beneficial for TJA patients, especially when compared with postoperative education programs [5,13]. Preoperative patient education empowers patients to be involved in their surgical pathway, sets appropriate expectations for themselves and their families, and allows for decreased anxiety that potentially results in a shorter hospitalization and fewer complications, both in hospital and after discharge home [1,2,9,12,13].…”

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confidence: 99%

“…Telehealth has demonstrated success in preoperative education [8]. The development of mobile health platforms and telehealth systems for preoperative education has shown to improve patient participation compared with in-person presurgical classes [9]. These innovations may reduce cost while maintaining or even improving patient outcomes [9].…”

mentioning

confidence: 99%

“…The development of mobile health platforms and telehealth systems for preoperative education has shown to improve patient participation compared with in-person presurgical classes [9]. These innovations may reduce cost while maintaining or even improving patient outcomes [9]. After the start of the COVID-19 pandemic, once surgery resumed in May 2020, the HSS Rehabilitation and Performance department began to offer the option of a virtual one-on-one edPT appointment with the goal of maintaining patient safety and social distancing, while providing essential patient education.…”

mentioning

confidence: 99%

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