Utilization of robotic-arm assisted total knee arthroplasty for soft tissue protection

被引:64
作者
Sultan, Assem A. [1 ]
Piuzzi, Nicolas [1 ]
Khlopas, Anton [1 ]
Chughtai, Morad [1 ]
Sodhi, Nipun [1 ]
Mont, Michael A. [1 ]
机构
[1] Cleveland Clin, Dept Orthopaed Surg, Cleveland, OH 44106 USA
基金
美国国家卫生研究院;
关键词
Robotic; total knee arthroplasty; robotic-arm; soft tissue; protection; robotic-arm assisted; TKA; robotic outcomes; robot; robotic joint replacement; IMPLANTATION; EVERSION;
D O I
10.1080/17434440.2017.1392237
中图分类号
R318 [生物医学工程];
学科分类号
100103 [病原生物学];
摘要
Despite the well-established success of total knee arthroplasty (TKA), iatrogenic ligamentous and soft tissue injuries are infrequent, but potential complications that can have devastating impact on clinical outcomes. These injuries are often related to technical errors and excessive soft tissue manipulation, particularly during bony resections. Recently, robotic-arm assisted TKA was introduced and demonstrated promising results with potential technical advantages over manual surgery in implant positioning and mechanical accuracy. Furthermore, soft tissue protection is an additional potential advantage offered by these systems that can reduce inadvertent human technical errors encountered during standard manual resections. Therefore, due to the relative paucity of literature, we attempted to answer the following questions: 1) does robotic-arm assisted TKA offer a technical advantage that allows enhanced soft tissue protection? 2) What is the available evidence about soft tissue protection? Recently introduced models of robotic-arm assisted TKA systems with advanced technology showed promising clinical outcomes and soft tissue protection in the short- and mid-term follow-up with results comparable or superior to manual TKA. In this review, we attempted to explore this dimension of robotics in TKA and investigate the soft tissue related complications currently reported in the literature.
引用
收藏
页码:925 / 927
页数:3
相关论文
共 25 条
[1]
Robotic-assisted knee arthroplasty [J].
Banerjee, Samik ;
Cherian, Jeffrey J. ;
Elmallah, Randa K. ;
Jauregui, Julio J. ;
Pierce, Todd P. ;
Mont, Michael A. .
EXPERT REVIEW OF MEDICAL DEVICES, 2015, 12 (06) :727-735
[2]
Extensor Mechanism Disruption After Total Knee Arthroplasty [J].
Bates, Michael D. ;
Springer, Bryan D. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2015, 23 (02) :95-106
[3]
Causes and Patterns of Aborting a Robot-Assisted Arthroplasty [J].
Chun, Young Soo ;
Kim, Kang Il ;
Cho, Yoon Je ;
Kim, Yoon Hyuk ;
Yoo, Myung Chul ;
Rhyu, Kee Hyung .
JOURNAL OF ARTHROPLASTY, 2011, 26 (04) :621-625
[4]
Coon Thomas M, 2009, Am J Orthop (Belle Mead NJ), V38, P7
[5]
Quadriceps tendon rupture after total knee arthroplasty - Prevalence, complications, and outcomes [J].
Dobbs, RE ;
Hanssen, AD ;
Lewallen, DG ;
Pagnano, MW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (01) :37-45
[6]
What are the important surgical factors affecting the wound healing after primary total knee arthroplasty? [J].
Harato, Kengo ;
Tanikawa, Hidenori ;
Morishige, Yutaro ;
Kaneda, Kazuya ;
Niki, Yasuo .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2016, 11
[7]
Robotics in Arthroplasty: A Comprehensive Review [J].
Jacofsky, David J. ;
Allen, Mark .
JOURNAL OF ARTHROPLASTY, 2016, 31 (10) :2353-2363
[8]
Khlopas Anton, 2017, Surg Technol Int, V30, P441
[9]
Robot-assisted Implantation Improves the Precision of Component Position in Minimally Invasive TKA [J].
Kim, Sang-Min ;
Park, Youn-Soo ;
Ha, Chul-Won ;
Lim, Seung-Jae ;
Moon, Young-Wan .
ORTHOPEDICS, 2012, 35 (09) :E1334-E1339
[10]
Robotic systems in orthopaedic surgery [J].
Lang, J. E. ;
Mannava, S. ;
Floyd, A. J. ;
Goddard, M. S. ;
Smith, B. P. ;
Mofidi, A. ;
Seyler, T. M. ;
Jinnah, R. H. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2011, 93B (10) :1296-1299