دورية أكاديمية

Evaluating the accuracy of a new robotically assisted system in cadaveric total knee arthroplasty procedures.

التفاصيل البيبلوغرافية
العنوان: Evaluating the accuracy of a new robotically assisted system in cadaveric total knee arthroplasty procedures.
المؤلفون: Yi J; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.; School of Medicine, Nankai University, Tianjin, China.; National Clinical Research Center for Orthopedics and Sports Rehabilitation, Beijing, China., Gao Z; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.; National Clinical Research Center for Orthopedics and Sports Rehabilitation, Beijing, China., Huang Y; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.; National Clinical Research Center for Orthopedics and Sports Rehabilitation, Beijing, China.; Medical School of Chinese PLA, Beijing, China., Liu Y; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.; School of Medicine, Nankai University, Tianjin, China.; National Clinical Research Center for Orthopedics and Sports Rehabilitation, Beijing, China., Zhang Y; Longwood Valley Medical Technology Co. Ltd, Beijing, China., Chai W; Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China. chaiweiguanjie@sina.com.; National Clinical Research Center for Orthopedics and Sports Rehabilitation, Beijing, China. chaiweiguanjie@sina.com.
المصدر: Journal of orthopaedic surgery and research [J Orthop Surg Res] 2024 Jun 15; Vol. 19 (1), pp. 354. Date of Electronic Publication: 2024 Jun 15.
نوع المنشور: Journal Article; Evaluation Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101265112 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-799X (Electronic) Linking ISSN: 1749799X NLM ISO Abbreviation: J Orthop Surg Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, 2006-
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee*/methods , Arthroplasty, Replacement, Knee*/instrumentation , Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/instrumentation , Cadaver*, Humans ; Aged ; Male ; Female
مستخلص: Background: Robot-assisted total knee arthroplasty (TKA) has been shown to facilitate high-precision bone resection, which is an important goal in TKA. The aim of this cadaveric study was to analyze the accuracy of the target angle and bone resection thickness of a recently introduced robotic TKA system.
Methods: This study used 4 frozen cadaveric specimens (8 knees), 2 different implant designs, navigation, and a robotic system. The 4 surgeons who participated in this study were trained and familiar with the basic principles and operating procedures of this system. The angle of the bone cuts performed using the robotic system was compared with the target angles from the intraoperative plan. For each bone cut, the resection thickness was recorded and compared with the planned resection thickness.
Results: The mean angular difference for all specimens was less than 1°, and the standard deviation was less than 2°. The mean difference between the planned and measured angles was close to 0 and not significantly different from 0 except for the difference in the frontal tibial component angle, which was 0.88°. The mean difference in the hip-knee-ankle axis angle was - 0.21°± 1.06°. The mean bone resection difference for all specimens was less than 1 mm, and the standard deviation was less than 0.5 mm.
Conclusions: The results of the cadaveric experimental study showed that the new TKA system can realize highly accurate bone cuts and achieve planned angles and resection thicknesses. Despite the limitations of small sample sizes and large differences between cadaveric and clinical patients, the accuracy of cadaveric experiments provides strong support for subsequent clinical trials.
(© 2024. The Author(s).)
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معلومات مُعتمدة: Z221100003522014 Beijing Municipal Science and Technology Commission, Adminitrative Commission of Zhongguancun Science Park Fund; 2021YFC2401303 Key Technologies Research and Development Program; U22A20355 National Natural Science Foundation of China
فهرسة مساهمة: Keywords: Accuracy; Bone resection; Cadaveric study; ROPA TKA system; Robotic surgery; Total knee arthroplasty
تواريخ الأحداث: Date Created: 20240615 Date Completed: 20240615 Latest Revision: 20240618
رمز التحديث: 20240618
مُعرف محوري في PubMed: PMC11179344
DOI: 10.1186/s13018-024-04788-8
PMID: 38879524
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-799X
DOI:10.1186/s13018-024-04788-8