The trends in robotic-assisted knee arthroplasty: A statewide database study

Naziri, Qais; Burekhovich, Steven A.; Mixa, Patrick J.; Pivec, Robert; Newman, Jared M.; Shah, Neil V.; Patel, Preetesh D.; Sastry, Akhilesh

doi:10.1016/j.jor.2019.04.020

Cited by 36 publications

(30 citation statements)

References 26 publications

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“…achieves the same or better technical outcomes, fewer studies have shown changes in clinical outcomes [6]. We aimed to evaluate for differences in 3 of the immediate postoperative outcomes between the 2 groups: pain scores on POD0, 1, and 2; discharge disposition (home vs SAR); and time to discharge.…”

Section: Discussionmentioning

confidence: 99%

Differences in Immediate Postoperative Outcomes Between Robotic-Assisted TKA and Conventional TKA

et al. 2021

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Background: Robotic-assisted total knee arthroplasty (TKA) is a growing technique in adult reconstruction. The variations between robotic-assisted and conventional TKA could lead to changes in immediate postoperative outcomes. We aimed to evaluate for differences in postoperative pain, discharge day, as well as post-hospital disposition (home vs subacute rehabilitation facility [SAR]) between roboticassisted and conventional TKA. Methods: We retrospectively identified 2 cohorts of patients who underwent either conventional or robotic-assisted TKA between January 2019 and July 2019. Their average pain scores from postoperative day 0, day 1, and day 2 were recorded. Their postoperative discharge day was recorded, as well as their disposition to either home or a SAR. Preoperatively, all patients are offered robotic-assisted TKA, and only those who want the procedure and undergo a preoperative CT scan receive the robotic-assisted surgery. Statistical analysis was conducted using SPSS. Results: One hundred sixty-six patients were identified with 83 in each cohort. No differences between age, race, and gender were found. Despite minor variations in pain levels, the overall postoperative pain score analysis did not strongly favor one technique over the other. The robotic-assisted group had a significantly higher amount of patients discharged to home instead of a SAR and also had a shorter time to discharge than the conventional group. Conclusions: Robotic-assisted TKA has similar postoperative pain scores compared with conventional TKA. The robotic-assisted cohort demonstrated other benefits including earlier discharge and are more likely to be discharged home instead of a SAR.

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Section: Discussionmentioning

confidence: 99%

Differences in Immediate Postoperative Outcomes Between Robotic-Assisted TKA and Conventional TKA

et al. 2021

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“…Medical robots can assist in various tasks such as treatment of patients [ 34 ], surgery, and recognition of surgical activities. Robot-assisted surgery provides advantages like minimal invasiveness [ 53 ], better vision, and better instrument control [ 54 – 56 ], thereby allowing its application in difficult environmental conditions [ 34 ] and facilitating complex surgeries [ 57 ].…”

Section: Medical Tasksmentioning

confidence: 99%

The potential and challenges of Health 4.0 to face COVID-19 pandemic: a rapid review

et al. 2021

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The COVID-19 pandemic has generated the need to evolve health services to reduce the risk of contagion and promote a collaborative environment even remotely. Advances in Industry 4.0, including the internet of things, mobile networks, cloud computing, and artificial intelligence make Health 4.0 possible to connect patients with healthcare professionals. Hence, the focus of this work is analyzing the potentiality, and challenges of state-of-the-art Health 4.0 applications to face the COVID-19 pandemic including augmented environments, diagnosis of the virus, forecasts, medical robotics, and remote clinical services. It is concluded that Health 4.0 can be applied in the prevention of contagion, improve diagnosis, promote virtual learning environments, and offer remote services. However, there are still ethical, technical, security, and legal challenges to be addressed. Additionally, more imaging datasets for COVID-19 detection need to be made available to the scientific community. Working in the areas of opportunity will help to address the new normal. Likewise, Health 4.0 can be applied not only in the COVID-19 pandemic, but also in future global viruses and natural disasters.

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“…The utilization of robots in the operating room is increasing across multiple surgical subspecialties. More specifically, robotic-assisted surgery for hip and knee arthroplasty has rapidly evolved in the last several years, now with nearly every major implant company developing or offering a robot [1][2][3]. In a statewide database, use of robotic total knee arthroplasty increased over 500% from 2009 to 2013 [1].…”

Section: Introductionmentioning

confidence: 99%

“…More specifically, robotic-assisted surgery for hip and knee arthroplasty has rapidly evolved in the last several years, now with nearly every major implant company developing or offering a robot [1][2][3]. In a statewide database, use of robotic total knee arthroplasty increased over 500% from 2009 to 2013 [1]. Since the original more primitive robotic systems utilized in hip and knee arthroplasty, several other robotic systems have been developed with more advanced and variable features.…”

Section: Introductionmentioning

confidence: 99%

Robots in the Operating Room During Hip and Knee Arthroplasty

Sousa

Sculco

Mayman

et al. 2020

Curr Rev Musculoskelet Med

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Purpose of the Review The utilization of technology has increased over the last decade across all surgical specialties. Roboticassisted surgery, among the most advanced surgical technology, applied to hip and knee arthroplasty has experienced rapid growth in utilization, surgical applications, and robotic platforms. The goal of this study is to provide a comprehensive review of the most commonly utilized robotic platforms for hip and knee arthroplasty and the most up to date literature on the benefits and limitations of robotic arthroplasty. Recent Findings Studies consistently demonstrate that that robotic-assisted surgery during total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA) improves component position and alignment. There is also growing evidence that robotic-assisted UKA improves clinical outcomes and implant survivorship and, therefore, may be cost-effective. However, there remains to be convincing evidence that robotic-assisted arthroplasty improves clinical outcome measures or reduces revision rates for THA and TKA. Potential disadvantages of robotic arthroplasty remain, including a learning curve, potential for additional radiation exposure preoperatively, and the financial costs. Summary Robotic hip and knee arthroplasty remains attactive as studies show that it consistently improves implant position and alignment over conventional techniques. There is growing evidence that robotic UKA may improve patient outcomes and reduce revision rates, but further study is needed. In addition, further and longer-term studies are needed to determine if improved component position and alignment in TKA and THA leads to improved clinical outcomes and reduced revision rates. Keywords Total hip replacement . Total knee replacement . Unicompartmental knee replacement . Robotics . Clinical outcomes . Implant alignment This article is part of the Topical Collection on The Use of Technology in Orthopaedic Surgery-Intraoperative and Post-Operative Management

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The trends in robotic-assisted knee arthroplasty: A statewide database study

Cited by 36 publications

References 26 publications

Differences in Immediate Postoperative Outcomes Between Robotic-Assisted TKA and Conventional TKA

Differences in Immediate Postoperative Outcomes Between Robotic-Assisted TKA and Conventional TKA

The potential and challenges of Health 4.0 to face COVID-19 pandemic: a rapid review

Robots in the Operating Room During Hip and Knee Arthroplasty

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