3.8 Review

and Future Perspectives

Journal

ORTHOPEDIC RESEARCH AND REVIEWS
Volume 14, Issue -, Pages 339-349

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/ORR.S294369

Keywords

robotic total knee arthroplasty; knee alignment; accuracy; robot; survivorship; clinical outcomes

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Robotic-assisted total knee arthroplasty has shown early advantages in improving knee kinematics and functional outcomes, but long-term results and cost reduction are still awaited.
Robotic-assisted total knee arthroplasty (rTKA) has been developed to improve knee kinematics and functional outcomes, expedite recovery, and improve implants long-term survivorship. Robotic devices are classified into active, semi-active, and passive, based on their degree of freedom. Their capacity to provide increased accuracy in implants positioning with reduced radiographic outliers has been widely proved. However, these early advantages are yet to be associated with long-term survivorship. Moreover, multiple drawbacks are still encountered including a variable learning curve, increased setup and maintenance costs, and potential complications related to the surgical technique. Despite recent technologies applied to TKA have failed to prove substantial improvements, robotic-assisted surgery seems to be here to stay and revolutionize the field of TKA. To support its consistent usage on a daily basis, long-term results are still awaited, and further improvements are necessary to reduce the expenses related to it.

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