Robotic-assisted total knee arthroplasty is associated with the use of thinner polyethylene liners compared to navigation-guided and manual techniques.

التفاصيل البيبلوغرافية
العنوان:	Robotic-assisted total knee arthroplasty is associated with the use of thinner polyethylene liners compared to navigation-guided and manual techniques.
المؤلفون:	Cheng R; Department of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York, USA., Kim B; Department of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York, USA., Taylor WL 4th; Department of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York, USA., Westrich GH; Department of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York, USA., Shen TS; Department of Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York, USA.
المصدر:	Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2024 Sep; Vol. 32 (9), pp. 2290-2296. Date of Electronic Publication: 2024 May 13.
نوع المنشور:	Journal Article; Comparative Study
اللغة:	English
بيانات الدورية:	Publisher: Springer International Country of Publication: Germany NLM ID: 9314730 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-7347 (Electronic) Linking ISSN: 09422056 NLM ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: [Heidelberg, Germany] : Springer International, c1993-
مواضيع طبية MeSH:	Arthroplasty, Replacement, Knee/methods , Arthroplasty, Replacement, Knee/instrumentation , Robotic Surgical Procedures/methods , Robotic Surgical Procedures/instrumentation , Polyethylene* , Knee Prosthesis* , Surgery, Computer-Assisted/methods , Surgery, Computer-Assisted/instrumentation, Humans ; Male ; Aged ; Female ; Middle Aged ; Retrospective Studies ; Prosthesis Design
مستخلص:	Purpose: The purpose of this study was to examine the effects of intraoperative technology use on the rate of using polyethylene liners 15 mm or greater during primary total knee arthroplasty (TKA). Methods: There were 103,295 implants from 16,386 primary unilateral TKAs performed on 14,253 patients at a single institution between 1 January 2018, and 30 June 2022, included in the current study. Robotic assistance and navigation guidance were used in 1274 (8%) and 8345 (51%) procedures, respectively. The remaining 6767 TKAs (41%) were performed manually. Polyethylene liners were manually identified and further subcategorised by implant thickness. Patients who underwent robotic-assisted TKA were younger (p < 0.001) and more likely to be male (p < 0.001) compared to patients who underwent navigation-guided or manual TKAs. Results: Average polyethylene liner thickness was similar between groups (10.5 ± 1.5 mm for robotic-assisted TKAs, 10.9 ± 1.8 mm for navigation-guided TKAs and 10.8 ± 1.8 mm for manual TKAs). The proportions of polyethylene liners 15 mm or greater used were 4.9%, 3.8% and 1.9% for navigation-guided, manual and robotic-assisted procedures, respectively (p < 0.001). Multivariate regression analyses demonstrated that navigation-guided (odds ratio [OR]: 2.6, 95% confidence Interval [CI]: [1.75-4.07], p < 0.001) and manual (OR: 2.0, 95% CI: [1.34-3.20], p = 0.001) procedures were associated with an increased use of polyethylene liners 15 mm or greater. Conclusion: Robotic-assisted TKA was associated with a lower proportion of polyethylene liners 15 mm or greater used compared to navigation-guided and manual TKA. These findings suggest that robotic assistance can reduce human error via a more precise cutting system, limit over-resection of the tibia and flexion-extension gap mismatch and ultimately allow for more appropriately sized implants. Level of Evidence: Level III, retrospective cohort study. (© 2024 European Society of Sports Traumatology, Knee Surgery and Arthroscopy.)
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معلومات مُعتمدة:	None
فهرسة مساهمة:	Keywords: bony resection; intraoperative technology; polyethylene liners; primary total knee arthroplasty; robotics
المشرفين على المادة:	9002-88-4 (Polyethylene)
تواريخ الأحداث:	Date Created: 20240513 Date Completed: 20240902 Latest Revision: 20240902
رمز التحديث:	20240902
DOI:	10.1002/ksa.12228
PMID:	38738862
قاعدة البيانات:	MEDLINE

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تدمد:	1433-7347
DOI:	10.1002/ksa.12228