☆ 3.8 Review

and Future Perspectives

ORTHOPEDIC RESEARCH AND REVIEWS (2022)

Related references

Note: Only part of the references are listed.

Article Orthopedics

Distal Femoral Tracker Pin Placement Prevents Delayed Pin Tract-Induced Fracture in Robotic-Assisted Total Knee Arthroplasty: Results of Minimum 1-Year Follow-Up

Ji-Hoon Baek et al.

Summary: This study aimed to evaluate the outcomes of pin tracker placement in the distal femur in robotic-assisted total knee arthroplasty over a minimum follow-up period of one year. The results showed no periprosthetic fractures or complications associated with the distal femoral pins after a minimum follow-up of one year. The technique was proven to be safe and reliable.

JOURNAL OF KNEE SURGERY (2023)

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Article Orthopedics

A new robotically assisted technique can improve outcomes of total knee arthroplasty comparing to an imageless navigation system

Fabio Mancino et al.

Summary: This study compared the 1-year clinical outcomes of a new imageless robotically assisted technique with an imageless navigated procedure in total knee arthroplasty. The results showed that the imageless robotic assisted surgery was associated with longer operative time but better pain perception and improved range of motion compared to the imageless navigated surgery.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2023)

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Article Surgery

The successful implementation of the Navio robotic technology required 29 cases

Courtney Bell et al.

Summary: The study aimed to determine the number of cases needed for a surgeon to achieve a steady-state surgical time and identify steps with the most significant reduction in time. After 29 cases, the average surgical time decreased from 41.8 minutes to 31.1 minutes. Surgeons reported increased confidence in the system after completing 10 cases, indicating a learning curve completion.

JOURNAL OF ROBOTIC SURGERY (2022)

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Article Orthopedics

Image-Free Robotic-Assisted Total Knee Arthroplasty Improves Implant Alignment Accuracy: A Cadaveric Study

Gary W. Doan et al.

Summary: This study demonstrates that image-free robotic-assisted TKA can improve alignment accuracy compared to conventional instrumentation and reduce the incidence of outliers.

JOURNAL OF ARTHROPLASTY (2022)

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Article Orthopedics

The Cost-Effectiveness of Robotic-Assisted Versus Manual Total Knee Arthroplasty: A Markov Model-Based Evaluation

Prashant V. V. Rajan et al.

Summary: This study investigated the cost-effectiveness of robotic-assisted total knee arthroplasty (TKA) compared to conventional manual TKA in patients with knee osteoarthritis. A Markov model was used to simulate the lifetime outcomes of TKA in patients aged 60 years. The results showed that robotic-assisted TKA produced higher quality-adjusted life-years (QALYs) and lower total costs compared to conventional TKA, especially in institutions with higher case volumes.

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS (2022)

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Article Orthopedics

Learning curve for active robotic total knee arthroplasty

Siddharth A. Mahure et al.

Summary: The study evaluated the learning curve of Active Robotic total knee arthroplasty, showing a learning curve of 10-20 cases associated with surgical time and patient-related factors.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Initial Experience with the NAVIO Robotic-Assisted Total Knee Replacement-Coronal Alignment Accuracy and the Learning Curve

Kade Collins et al.

Summary: The primary aim of this study was to investigate the efficacy of a robotic-assisted system in coronal plane component positioning in total knee arthroplasty (TKA), with 93.3% of cases achieving the desired alignment within 3 degrees of neutral. A learning curve effect was not found in the adoption of this new technology, suggesting that the robotic-assisted system produced accurate coronal alignment in TKA in over 93% of cases without a learning curve effect.

JOURNAL OF KNEE SURGERY (2022)

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Article Orthopedics

Implementation of robotic-assisted total knee arthroplasty in the public health system: a comparative cost analysis

Daniel Steffens et al.

Summary: The study compared the in-hospital costs of robotic-assisted and computer-navigated total knee arthroplasty (TKA), finding that there was no significant difference in total in-hospital cost when excluding the capital costs of surgical equipment and maintenance. However, robotic-assisted TKA was more expensive when including these upfront costs. Further research is needed to investigate the long-term cost benefit of robotic-assisted TKA.

INTERNATIONAL ORTHOPAEDICS (2022)

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Review Orthopedics

Pin-Related Complications in Computer Navigated and Robotic-Assisted Knee Arthroplasty: A Systematic Review

Terence L. Thomas et al.

Summary: Pin-related complications following CAN and RA knee arthroplasty are relatively uncommon, with fractures, pin loosening, and superficial infections being the most common. Treatments were effective, and most complications were related to the tibial site.

JOURNAL OF ARTHROPLASTY (2022)

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Article Orthopedics

Implant Malalignment may be a Risk Factor for Poor Patient-Reported Outcomes Measures (PROMs) Following Total Knee Arthroplasty (TKA)

Gregory S. Kazarian et al.

Summary: Implant malalignment is a significant risk factor for decreased patient satisfaction, poor pain relief, and decreased activity levels following total knee arthroplasty.

JOURNAL OF ARTHROPLASTY (2022)

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Review Chemistry, Multidisciplinary

Augmented Reality in Orthopedic Surgery and Its Application in Total Joint Arthroplasty: A Systematic Review

Stefano Marco Paolo Rossi et al.

Summary: The development of augmented reality (AR) in total joint arthroplasty has the potential to improve accuracy and precision in implant positioning. However, its widespread adoption in clinical practice is still limited. Advancements in machine learning techniques may help overcome current limitations and promote the usage of AR systems.

APPLIED SCIENCES-BASEL (2022)

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Review Orthopedics

Is it prime time for robotic-assisted TKAs? A systematic review of current studies

Arun B. Mullaji et al.

Summary: Robotic-assisted total knee arthroplasty shows promising early functional and radiological outcomes, but more robust evidence is needed to demonstrate its superiority and durability in clinical practice.

JOURNAL OF ORTHOPAEDICS (2022)

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Article Orthopedics

Unsatisfactory accuracy of recent robotic assisting system ROSA for total knee arthroplasty

Caleb Shin et al.

Summary: This study aimed to assess the accuracy of a newly FDA-approved robotic-assisted device in total knee arthroplasty (TKA). The results showed that the device accurately predicted coronal plane resections but fell short in the sagittal plane.

JOURNAL OF EXPERIMENTAL ORTHOPAEDICS (2022)

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Article Orthopedics

Robot-assisted total knee arthroplasty is associated with a learning curve for surgical time but not for component alignment, limb alignment and gap balancing

Hannes Vermue et al.

Summary: Robot-assisted total knee arthroplasty (RA TKA) is associated with a learning curve for surgical time, but there is no learning curve for component alignment, limb alignment, and gap balancing.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Accuracy of Bone Resection in MAKO Total Knee Robotic-Assisted Surgery

James D. Sires et al.

Summary: The MAKO Total Knee system demonstrates high accuracy in achieving preoperatively planned bone resection and final limb coronal alignment, with majority of bone resections within 1mm of the plan and final limb coronal alignment within 1.00 degrees of the plan for the majority of cases. Future research will explore any association with decreased rates of polyethylene wear and revision arthroplasty.

JOURNAL OF KNEE SURGERY (2021)

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Article Orthopedics

Better accuracy and reproducibility of a new robotically-assisted system for total knee arthroplasty compared to conventional instrumentation: a cadaveric study

Ari Seidenstein et al.

Summary: The study compared the accuracy and reproducibility of a new TKA robotic system to conventional instrumentation in bone resections. The robotic group showed statistically more accurate results and fewer outliers compared to the conventional group when aiming for neutral alignment.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2021)

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Review Orthopedics

The Impact of Author Financial Conflicts on Robotic-Assisted Joint Arthroplasty Research

Michael J. DeFrance et al.

Summary: Most studies comparing robotic THA, TKA, and UKA to conventional techniques involve financially conflicted authors, potentially influencing the study outcomes. Further studies without conflicts of interest are needed to provide unbiased results.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics

Can robot-assisted total knee arthroplasty be a cost-effective procedure? A Markov decision analysis

H. Vermue et al.

Summary: A Markov state-transition model was used to simulate the impact of TKA surgery on patient health status, indicating that RA TKA may be cost-effective at a surgical volume of 253 cases per robot per year.

KNEE (2021)

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Review Orthopedics

Contemporary Robotic Systems in Total Knee Arthroplasty A Review of Accuracy and Outcomes

Shuyang Han et al.

Summary: The success of total knee arthroplasty relies on the correct positioning and alignment of prosthetic components, matched to each individual patient's anatomy and soft tissue properties. While early results suggest gains in patient outcomes using robotic technologies, long-term evidence is still awaited from multicenter prospective clinical trials. Advancements in technology are needed to address knee laxity and customize functional performance.

ORTHOPEDIC CLINICS OF NORTH AMERICA (2021)

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Review Orthopedics

A clinical review of robotic navigation in total knee arthroplasty: historical systems to modern design

Ahmed Siddiqi et al.

Summary: Robotic-assisted total knee arthroplasty has shown potential advantages in mechanical alignment, early functional outcomes, and cost savings compared to conventional surgery, but its true value is still uncertain. Current studies are limited by short-term follow-up and system heterogeneity, future research will be needed to evaluate the long-term effectiveness of RA-TKA.

EFORT OPEN REVIEWS (2021)

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Article Orthopedics

The current state of robotics in total knee arthroplasty

Jean-Pierre St Mart et al.

Summary: Robotic total knee arthroplasty (TKA) has advantages in improving component positioning and reducing alignment outliers, especially with current semi-active systems that incorporate haptic feedback to minimize iatrogenic soft tissue injury. However, limitations of current robotic technology include high upfront costs, steep learning curves, and lack of long-term outcomes. Short-term gains and technical reliability associated with current systems may justify continued investment in robotic technology, but further long-term data are needed to fully determine the cost-effectiveness of newer robotic systems.

EFORT OPEN REVIEWS (2021)

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Article Orthopedics

Assistive technologies in knee arthroplasty: fashion or evolution? Rate of publications and national registries prove the Scott Parabola wrong

Cecile Batailler et al.

Summary: The study evaluated the interest and usage of assistive technologies in modern knee arthroplasty, finding that these technologies do not follow the traditional "Scott Parabola" as described in literature. Computer-assisted knee arthroplasty and patient-specific instrumentation have reached a plateau in terms of publications, while research on robotic surgery, accelerometers, and sensors continues to increase. The proportion of primary total knee arthroplasty performed with computer-assisted systems has shown significant increases in registries such as Australia and Norway.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Review Orthopedics

Robotic-assisted knee arthroplasty: an evolution in progress. A concise review of the available systems and the data supporting them

Johanna Elliott et al.

Summary: The review highlights the improved precision and reproducibility of robotic-assisted knee arthroplasty, but there is limited long-term clinical follow-up and survivorship data. While some studies demonstrate enhanced radiological outcomes with robotic systems, results are inconsistent.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Article Orthopedics

Imageless robotic handpiece-assisted total knee arthroplasty: a learning curve analysis of surgical time and alignment accuracy

Peter Savov et al.

Summary: The study aimed to determine the learning curve of robotic-assisted total knee arthroplasty (TKA) to minimize surgery time and evaluate implant alignment accuracy. Results showed that after completing the initial 11 cases, the surgery time for robotic TKA was similar to conventional TKA, with high precision in implant positioning.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Article Orthopedics

Robotics in orthopaedic surgery: why, what and how?

Bernardo Innocenti et al.

Summary: Robotic systems applied in orthopedics aim to enhance joint arthroplasty surgery by providing precise and accurate support in bone preparation, limb alignment restoration, and joint kinematics. Different types of robotic systems are available on the market, each with specific features and requirements, all ultimately focused on improving surgical precision and accuracy. Surgeons considering adopting a robotic system need to evaluate the benefits and drawbacks to find the best fit for their needs.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Article Orthopedics

Imageless robotic-assisted total knee arthroplasty accurately restores the radiological alignment with a short learning curve: a randomized controlled trial

Satit Thiengwittayaporn et al.

Summary: The study compared a novel imageless robotic-assisted total knee arthroplasty with traditional TKA, showing that the imageless RATKA had better accuracy in knee alignment and component positioning, as well as a shorter learning curve.

INTERNATIONAL ORTHOPAEDICS (2021)

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Article Orthopedics

Robotic-assisted total knee arthroplasty improves accuracy and precision compared to conventional techniques

D. G. Deckey et al.

Summary: The study compared the accuracy of component positioning and precision in polyethylene insert thickness between measured-resection RA-TKA and M-TKA, with RA-TKA showing significantly better outcomes in both aspects.

BONE & JOINT JOURNAL (2021)

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Article Orthopedics

The initial learning curve for the ROSA® Knee System can be achieved in 6-11 cases for operative time and has similar 90-day complication rates with improved implant alignment compared to manual instrumentation in total knee arthroplasty

Luc Vanlommel et al.

Summary: This study conducted a retrospective cohort study on 180 patients who underwent raTKA or mTKA surgeries, finding that raTKA has a rapid learning curve for total operative time, minimal postoperative complications compared to mTKA, and more precise component positioning.

JOURNAL OF EXPERIMENTAL ORTHOPAEDICS (2021)

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Article Orthopedics

Does Robotic-assisted TKA Result in Better Outcome Scores or Long-Term Survivorship Than Conventional TKA? A Randomized, Controlled Trial

Young-Hoo Kim et al.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2020)

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Article Orthopedics

Preliminary experience with an image-free handheld robot for total knee arthroplasty: 77 cases compared with a matched control group

P. Bollars et al.

EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY (2020)

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Review Orthopedics

Clinical and Radiological Outcomes in Robotic-Assisted Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

Nikhil Agarwal et al.

JOURNAL OF ARTHROPLASTY (2020)

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Review Orthopedics

What are the benefits of robotic-assisted total knee arthroplasty over conventional manual total knee arthroplasty? A systematic review of comparative studies

Fabio Mancino et al.

ORTHOPEDIC REVIEWS (2020)

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Article Orthopedics

Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning

Babar Kayani et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2019)

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Article Health Care Sciences & Services

A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty

Christina L. Cool et al.

JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH (2019)

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Article Orthopedics

Robot-Assisted Total Knee Arthroplasty Does Not Improve Long-Term Clinical and Radiologic Outcomes

Sang-Woo Jeon et al.

JOURNAL OF ARTHROPLASTY (2019)

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Article Orthopedics

Accuracy of a New Robotically Assisted Technique for Total Knee Arthroplasty: A Cadaveric Study

Sebastien Parratte et al.

JOURNAL OF ARTHROPLASTY (2019)

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Article Orthopedics

Comparison between navigated reported position and postoperative computed tomography to evaluate accuracy in a robotic navigation system in total knee arthroplasty

Francisco Figueroa et al.

KNEE (2019)

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Editorial Material Orthopedics

Robotics in Hip and Knee Arthroplasty: Real Innovation or Marketing Ruse

Robert E. Booth et al.

JOURNAL OF ARTHROPLASTY (2019)

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Article Orthopedics

Robotic versus conventional primary total knee arthroplasty: clinical and radiological long-term results with a minimum follow-up of ten years

Kyu-Jin Cho et al.

INTERNATIONAL ORTHOPAEDICS (2019)

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Review Orthopedics

Robotic technology in total knee arthroplasty: a systematic review

Babar Kayani et al.

EFORT OPEN REVIEWS (2019)

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Article Orthopedics

Robotic Arm-Assisted Total Knee Arthroplasty

Anton Khlopas et al.

JOURNAL OF ARTHROPLASTY (2018)

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Review Orthopedics

Alignment options for total knee arthroplasty: A systematic review

C. Riviere et al.

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH (2017)

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Article Orthopedics

Patient Satisfaction Outcomes after Robotic Arm-Assisted Total Knee Arthroplasty: A Short-Term Evaluation

Robert C. Marchand et al.

JOURNAL OF KNEE SURGERY (2017)

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Review Orthopedics

THINK surgical TSolution-One® (Robodoc) total knee arthroplasty

Ming Han Lincoln Liow et al.

SICOT-J (2017)

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Article Orthopedics

Robotic Total Knee Arthroplasty with a Cruciate-Retaining Implant: A 10-Year Follow-up Study

Hong Yeol Yang et al.

CLINICS IN ORTHOPEDIC SURGERY (2017)

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Article Orthopedics

Can Robot-Assisted Unicompartmental Knee Arthroplasty Be Cost-Effective? A Markov Decision Analysis

Wayne E. Moschetti et al.

JOURNAL OF ARTHROPLASTY (2016)

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Review Orthopedics

Robotics in Arthroplasty: A Comprehensive Review

David J. Jacofsky et al.

JOURNAL OF ARTHROPLASTY (2016)

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Article Orthopedics

Long-Term Survivorship and Clinical Outcomes Following Total Knee Arthroplasty

Julio J. Jauregui et al.

JOURNAL OF ARTHROPLASTY (2015)

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Article Medicine, General & Internal

Early experiences with robot-assisted total knee arthroplasty using the DigiMatch™ ROBODOC® surgical system

Ming Han Lincoln Liow et al.

SINGAPORE MEDICAL JOURNAL (2014)

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Article Orthopedics

Robotic-assisted TKA Reduces Postoperative Alignment Outliers and Improves Gap Balance Compared to Conventional TKA

Eun-Kyoo Song et al.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2013)

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Article Orthopedics

Adjustable cutting blocks improve alignment and surgical time in computer-assisted total knee replacement

Eduardo M. Suero et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2012)

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Article Orthopedics

Simultaneous bilateral total knee arthroplasty with robotic and conventional techniques: a prospective, randomized study

Eun-Kyoo Song et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2011)

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Article Orthopedics

Survivorship of a Charnley Total Hip Arthroplasty A concise Follow-up, at a Minimum of Thirty-five Years, of Previous Reports

John J. Callaghan et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2009)

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