Making the transition from traditional to robotic-arm assisted TKA: What to expect? A single-surgeon comparative-analysis of the first-40 consecutive cases

被引：67

作者：

Naziri, Qais ^{[1
]}

Cusson, Barry C. ^{[2
]}

Chaudhri, Moiuz ^{[1
]}

Shah, Neil V. ^{[1
]}

Sastry, Akhilesh ^{[2
]}

机构：

[1] Suny Downstate Med Ctr, Dept Orthopaed Surg, Brooklyn, NY 11203 USA

[2] Portsmouth Reg Hosp, Dept Orthopaed Surg, Portsmouth, NH USA

来源：

JOURNAL OF ORTHOPAEDICS | 2019年 / 16卷 / 04期

关键词：

Robotic-arm assisted; Total knee arthroplasty; Robotic surgery; Cemented technique; Learning curve; Outcomes; TOTAL KNEE ARTHROPLASTY; TOTAL HIP; ALIGNMENT; REVISION; OUTCOMES;

D O I：

10.1016/j.jor.2019.03.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Objective/methods: We compared short-term outcomes following 40 traditional, cemented total knee arthroplasty (TKA) to the first 40 cemented robotic-arm assisted TKA (raTKA) and analyzed the learning curve for raTKA. Results: LOS was longer for traditional TKA compared to raTKA (1.92 vs. 1.27days, p < 0.0001). There was no difference in surgical time between the second 20 raTKA and all traditional TKA cases (81.1 vs. 78.3 mins, p = 0.254). raTKA patients had improved 90-day ROM (+3.8 degrees vs. -8.7 degrees, p < 0.05) but comparable complications rates, Knee Society Scores, and patient-reported outcomes at all timepoints. Conclusion: Despite comparable outcomes, the learning curve for raTKA appeared to progress rapidly.

引用

页码：364 / 368

页数：5

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