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Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center

Background and objectives: Our study aimed to assess the learning curve for robot-assisted (RA) total knee arthroplasty (TKA) in our hospital, compare operative times between RA-TKAs and manual TKAs, and assess the early complications rate between the two approaches. Methods: We included 39 patients...

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Autores principales: Dragosloveanu, Serban, Petre, Mihnea-Alexandru, Capitanu, Bogdan Sorin, Dragosloveanu, Christiana Diana Maria, Cergan, Romica, Scheau, Cristian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649181/
https://www.ncbi.nlm.nih.gov/pubmed/37959414
http://dx.doi.org/10.3390/jcm12216950
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author Dragosloveanu, Serban
Petre, Mihnea-Alexandru
Capitanu, Bogdan Sorin
Dragosloveanu, Christiana Diana Maria
Cergan, Romica
Scheau, Cristian
author_facet Dragosloveanu, Serban
Petre, Mihnea-Alexandru
Capitanu, Bogdan Sorin
Dragosloveanu, Christiana Diana Maria
Cergan, Romica
Scheau, Cristian
author_sort Dragosloveanu, Serban
collection PubMed
description Background and objectives: Our study aimed to assess the learning curve for robot-assisted (RA) total knee arthroplasty (TKA) in our hospital, compare operative times between RA-TKAs and manual TKAs, and assess the early complications rate between the two approaches. Methods: We included 39 patients who underwent RA-TKA and 45 control patients subjected to manual TKA in the same period and operated on by the same surgical staff. We collected demographic and patient-related data to assess potential differences between the two groups. Results: No statistical differences were recorded in regard to age, BMI, sex, Kellgren–Lawrence classification, or limb alignment between patients undergoing RA-TKA and manual TKA, respectively. Three surgeons transitioned from the learning to the proficiency phase in our study after a number of 6, 4, and 3 cases, respectively. The overall operative time for the learning phase was 111.54 ± 20.45 min, significantly longer compared to the average of 86.43 ± 19.09 min in the proficiency phase (p = 0.0154) and 80.56 ± 17.03 min for manual TKAs (p < 0.0001). No statistically significant difference was recorded between the global operative time for the proficiency phase TKAs versus the controls. No major complications were recorded in either RA-TKA or manual TKA groups. Conclusions: Our results suggest that experienced surgeons may adopt RA-TKA using this platform and quickly adapt without significant complications.
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spelling pubmed-106491812023-11-06 Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center Dragosloveanu, Serban Petre, Mihnea-Alexandru Capitanu, Bogdan Sorin Dragosloveanu, Christiana Diana Maria Cergan, Romica Scheau, Cristian J Clin Med Article Background and objectives: Our study aimed to assess the learning curve for robot-assisted (RA) total knee arthroplasty (TKA) in our hospital, compare operative times between RA-TKAs and manual TKAs, and assess the early complications rate between the two approaches. Methods: We included 39 patients who underwent RA-TKA and 45 control patients subjected to manual TKA in the same period and operated on by the same surgical staff. We collected demographic and patient-related data to assess potential differences between the two groups. Results: No statistical differences were recorded in regard to age, BMI, sex, Kellgren–Lawrence classification, or limb alignment between patients undergoing RA-TKA and manual TKA, respectively. Three surgeons transitioned from the learning to the proficiency phase in our study after a number of 6, 4, and 3 cases, respectively. The overall operative time for the learning phase was 111.54 ± 20.45 min, significantly longer compared to the average of 86.43 ± 19.09 min in the proficiency phase (p = 0.0154) and 80.56 ± 17.03 min for manual TKAs (p < 0.0001). No statistically significant difference was recorded between the global operative time for the proficiency phase TKAs versus the controls. No major complications were recorded in either RA-TKA or manual TKA groups. Conclusions: Our results suggest that experienced surgeons may adopt RA-TKA using this platform and quickly adapt without significant complications. MDPI 2023-11-06 /pmc/articles/PMC10649181/ /pubmed/37959414 http://dx.doi.org/10.3390/jcm12216950 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dragosloveanu, Serban
Petre, Mihnea-Alexandru
Capitanu, Bogdan Sorin
Dragosloveanu, Christiana Diana Maria
Cergan, Romica
Scheau, Cristian
Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title_full Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title_fullStr Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title_full_unstemmed Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title_short Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center
title_sort initial learning curve for robot-assisted total knee arthroplasty in a dedicated orthopedics center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649181/
https://www.ncbi.nlm.nih.gov/pubmed/37959414
http://dx.doi.org/10.3390/jcm12216950
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