The current state of robotics in total knee arthroplasty

被引：54

作者：

St Mart, Jean-Pierre ^{[1
]}

Goh, En Lin ^{[2
]}

机构：

[1] Kings Coll Hosp London, Dept Trauma & Orthopaed, London SE5 9RS, England

[2] Univ Oxford, Oxford Univ, Med Sci Div, Clin Acad Grad Sch, Oxford, England

来源：

EFORT OPEN REVIEWS | 2021年 / 6卷 / 04期

关键词：

complications; outcomes; robotic-assisted; total knee arthroplasty; HAND-HELD ROBOT; CORONAL ALIGNMENT; TIBIAL COMPONENT; FOLLOW-UP; TOTAL HIP; POSTOPERATIVE ALIGNMENT; PATIENT SATISFACTION; LEARNING-CURVE; ACCURACY; REPLACEMENT;

D O I：

10.1302/2058-5241.6.200052

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：

Robotic total knee arthroplasty (TKA) has demonstrated improved component positioning and a reduction of alignment outliers with regard to pre-operative planning. Early robotic TKA technologies were mainly active systems associated with significant technical and surgical complications. Current robotic TKA systems are predominantly semi-active with additional haptic feedback which minimizes iatrogenic soft tissue injury compared to conventional arthroplasty and older systems. Semi-active systems demonstrate advantages in terms of early functional recovery and hospital discharge compared to conventional arthroplasty. Limitations with current robotic technology include high upfront costs, learning curves and lack of long-term outcomes. The short-term gains and greater technical reliability associated with current systems may justify the ongoing investment in robotic technology. Further long-term data are required to fully ascertain the cost-effectiveness of newer robotic systems.

引用

页码：270 / 279

页数：10

共 94 条

[31] Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach A BLINDED ASSESSMENT [J].

Hampp, E. L. ;

Sodhi, N. ;

Scholl, L. ;

Deren, M. E. ;

Yenna, Z. ;

Westrich, G. ;

Mont, M. A. .

BONE & JOINT RESEARCH, 2019, 8 (10) :495-501

[32] Robotics in Arthroplasty: A Comprehensive Review [J].

Jacofsky, David J. ;

Allen, Mark .

JOURNAL OF ARTHROPLASTY, 2016, 31 (10) :2353-2363

[33]

Jakopec M, 2001, Comput Aided Surg, V6, P329, DOI 10.1002/igs.10023

[34] CORONAL ALIGNMENT AFTER TOTAL KNEE REPLACEMENT [J].

JEFFERY, RS ;

MORRIS, RW ;

DENHAM, RA .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (05) :709-714

[35] Robot-Assisted Total Knee Arthroplasty Does Not Improve Long-Term Clinical and Radiologic Outcomes [J].

Jeon, Sang-Woo ;

Kim, Kang-Il ;

Song, Sang Jun .

JOURNAL OF ARTHROPLASTY, 2019, 34 (08) :1656-1661

[36]

Jinnah A., 2019, ROBOTICS KNEE HIP AR, P27, DOI [10.1007/978-3-030-16593-2_3, DOI 10.1007/978-3-030-16593-2_3]

[37]

Kahlenberg Cynthia A, 2018, HSS J, V14, P192, DOI 10.1007/s11420-018-9614-8

[38] The Influence of Postoperative Knee Stability on Patient Satisfaction in Cruciate-Retaining Total Knee Arthroplasty [J].

Kamenaga, Tomoyuki ;

Muratsu, Hirotsugu ;

Kanda, Yutaro ;

Miya, Hidetoshi ;

Kuroda, Ryosuke ;

Matsumoto, Tomoyuki .

JOURNAL OF ARTHROPLASTY, 2018, 33 (08) :2475-2479

[39] Posterior cruciate ligament resection in total knee arthroplasty THE EFFECT ON FLEXION-EXTENSION GAPS, MEDIOLATERAL LAXITY, AND FIXED FLEXION DEFORMITY [J].

Kayani, B. ;

Konan, S. ;

Horriat, S. ;

Ibrahim, M. S. ;

Haddad, F. S. .

BONE & JOINT JOURNAL, 2019, 101B (10) :1230-1237

[40] Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty A PROSPECTIVE COHORT STUDY [J].

Kayani, B. ;

Konan, S. ;

Tahmassebi, J. ;

Pietrzak, J. R. T. ;

Haddad, F. S. .

BONE & JOINT JOURNAL, 2018, 100B (07) :930-937

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