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The current state of robotics in total knee arthroplasty

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 robot...

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Detalles Bibliográficos
Autores principales: St Mart, Jean-Pierre, Goh, En Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142057/
https://www.ncbi.nlm.nih.gov/pubmed/34040804
http://dx.doi.org/10.1302/2058-5241.6.200052
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author St Mart, Jean-Pierre
Goh, En Lin
author_facet St Mart, Jean-Pierre
Goh, En Lin
author_sort St Mart, Jean-Pierre
collection PubMed
description 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. Cite this article: EFORT Open Rev 2021;6:270-279. DOI: 10.1302/2058-5241.6.200052
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spelling pubmed-81420572021-05-25 The current state of robotics in total knee arthroplasty St Mart, Jean-Pierre Goh, En Lin EFORT Open Rev Knee 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. Cite this article: EFORT Open Rev 2021;6:270-279. DOI: 10.1302/2058-5241.6.200052 British Editorial Society of Bone and Joint Surgery 2021-04-01 /pmc/articles/PMC8142057/ /pubmed/34040804 http://dx.doi.org/10.1302/2058-5241.6.200052 Text en © 2021 The author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Knee
St Mart, Jean-Pierre
Goh, En Lin
The current state of robotics in total knee arthroplasty
title The current state of robotics in total knee arthroplasty
title_full The current state of robotics in total knee arthroplasty
title_fullStr The current state of robotics in total knee arthroplasty
title_full_unstemmed The current state of robotics in total knee arthroplasty
title_short The current state of robotics in total knee arthroplasty
title_sort current state of robotics in total knee arthroplasty
topic Knee
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142057/
https://www.ncbi.nlm.nih.gov/pubmed/34040804
http://dx.doi.org/10.1302/2058-5241.6.200052
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