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Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Sanjay B. Londhe, MS, FRCS, FRCSI, MCh
INDIA

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Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Sanjay B. Londhe, MS, FRCS, FRCSI, MCh, INDIA Santosh Chandrashekar Shetty, MS, INDIA Ashit Hasmukhbhai Shah, FRCS Orth, M ChOrth, M S Orth, D N B Orth, INDIA Niraj Vora, MS,MRCS, INDIA Vijay Shetty, MD, MSc, FRCSC, INDIA Rakesh Nair, MS, INDIA Clevio Joao Baptista Desouza, MS , INDIA Farheen Khan, B.Tech, INDIA

Criticare Asia Hospital, Mumbai, Maharashtra, INDIA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Diagnosis / Condition

Osteoarthritis

Treatment / Technique

Arthroplasty

Summary: The study findings show that the RA- TKA does not take additional time than C-TKA.

Background

Despite improvements in the implants and surgical techniques about 20% of Total Knee Arthroplasty (TKA) patients remain dissatisfied. Accurate implant size/ alignment and limb alignment are necessary for the long term implant survival and successful outcome. Implant overhang/ under sizing and limb malalignment is associated with suboptimal patient reported outcome measures and increased chances of revision. Use of robotic system for performing TKA is increasing. Robotic assisted Total Knee replacement (RA- TKR) has shown to improve the accuracy of the implant size. It also allows dynamic confirmation of the implant and limb alignment during the TKA procedure. The major inhibition of the Arthroplasty surgeon in adapting to the robotic assisted TKA is the extra time spent during the registration process and milling of the bone with the Robot. The aim of the study was to ascertain the extra time spent during these two steps as compared to the conventional TKA (C-TKA).

Methods

A prospective study involving 30 patients each in the C-TKA and RA- TKA operated by the same surgical team using posterior stabilized high flexion TKA implant. The sample size was estimated to be 28 patients in each group for anticipated 10 % increase in operation time with alpha error of 0.05 beta error of 0.2 and power of study being 80%. Patients were given a choice between the C-TKA and RA-TKA and consecutive 30 cases in each group were studied by an independent observer. RA-TKA group patients underwent a pre-operative 3 dimensional CT scan. After segmentation of the scan images a bone model was prepared. The operating surgeon along with system specialist did the preoperative planning as regards the implant size/ alignment and limb alignment on a computer with specialized software. After surgical exposure of the knee joint and insertion of tracker pins, the surgeon did registration of 40 points on the femur and the tibia. Once the actual anatomy of the patient matched with the CT generated bone model as judged by root mean square error <1, the robot was docked to the patients leg with external fixator pins. After confirming a clear path for milling of the tibia and femur, the fully automated active robot performed the femur and tibia cuts by milling of the bone utilizing high speed burr. In C-TKA group the time for the application of appropriate zigs and execution of the bone cuts and soft tissue release was recorded whereas in RA-TKA group the time taken for registration and bone milling with robot and required soft tissue release was measured. The statistical difference between the times of two groups was measured with student t-test and p-value <0.05 was considered significant.

Results

The pre-operative patient characteristics (age, sex, BMI, HKA angle, pre-operative ROM) were similar in both the groups. The time taken in C- TKA and RA-TKA group was 33.6 +/- 4.4 and 35.5 +/- 4.5 respectively which is statistically non-significant (p value < 0.0599).

Conclusion

The study findings show that the RA- TKA does not take additional time than C-TKA.

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Comparison of Outcomes between Fungal and Non-fungal Periprosthetic Joint Infections in Total Knee Arthroplasty: A Propensity Score-Matched Analysis ePoster Presentation Hong Yeol Yang, MD, PhD, KOREA, REPUBLIC OF Jong-Keun Seon, MD, PhD, Prof, KOREA, REPUBLIC OF
Antibiotic-Loaded Bone Cement with Colistin at Erythromycin Do Not Decrease Chronic TKA Pji at a Long-Term ePoster Presentation Daniel Pérez-Prieto, MD, SPAIN Albert Fontanellas, MD, SPAIN Pedro Hinarejos-Gomez, MD, PhD, SPAIN Juan Francisco Sanchez-Soler, MD, PhD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Advanced Active Robotic Technology for Total Knee Arthroplasty: A Learning Curve of Operative Time and Alignment Accuracy ePoster Presentation Yong-Beom Park, MD, PhD, KOREA, REPUBLIC OF Young-Bong Ko, MD, KOREA, REPUBLIC OF Dong-Hoon Lee, MD, KOREA, REPUBLIC OF Hyun-Chul Nam, MD, KOREA, REPUBLIC OF Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF
Does Robotic Assisted Unicompartmental Knee Arthroplasty Restore Native Jointline More Accurately Than With Conventional Instruments? ePoster Presentation Ashok Kumar Podhili Subramani, MS, INDIA Shantanu S. Patil, MBBS, MS(Orth), INDIA SAWAN PAWAR, MBBS MS (ORTH), INDIA Kalaivanan Kanniyan, MBBS MS Orth, INDIA karthik jayachandran, MS, INDIA PICHAI SURYANARAYAN, MBBS MS ORTH, INDIA
Implant Size and Outcome Differences of Knees in Same Patient for Simultaneous vs Staged Bilateral TKA ePoster Presentation Alexander P. Sah, MD, UNITED STATES
Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction ePoster Presentation Brian Rao, BS, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Eric Milliron, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Robert A. Duerr, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES David C. Flanigan, MD, UNITED STATES
Subtalar Joint Compensation using Full-length Standing Lower Extremity Anteroposterior Radiograph after Total Knee Arthroplasty for Varus Osteoarthritis in Nara Medical University Hospital with 2-year Follow-up ePoster Presentation Jerre Co De Guzman, MD, PHILIPPINES Munehiro Ogawa, MD, PhD, JAPAN Yusuke Ozaki, MD, JAPAN Yasuhito Tanaka, Prof., JAPAN Yuki Nishimura, MD, JAPAN Maria Elizabeth Mercado, MD, MAS, PHILIPPINES
How to Measure Physical Function in Clinical Trials on Patients Undergoing Total or Partial Knee Arthroplasty? A Systematic Review ePoster Presentation Marco Adriani, MD, ITALY Roland Becker, MD, PhD, Prof., GERMANY Aleksandra Krolikowska, PhD, Prof., POLAND Krzysztof Lachowski, MD, GERMANY Robert Prill, PhD, GERMANY
Accuracy of the Component Alignment and Sizing in Total Knee Arthroplasty: Preoperative Templating and Postoperative Evaluation Using CT-Based 3D Pre-Operative Planning Software ePoster Presentation Takayuki Koya, MD, PhD, UNITED STATES Atsushi Sato, MD, PhD, JAPAN Jun Oike, MD,PhD, JAPAN Masataka Ota, MD, JAPAN Kanako Izukashi, MD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Saki Yagura, MD, JAPAN Naoki Okuma, MD, JAPAN Fumiyoshi Kawashima, MD, JAPAN Hiroshi Takagi, MD, PhD, JAPAN Koji Kanzaki, Prof., JAPAN
Tibial Morphology for Proper Adjustment of Metal Augmentation in Revision Total Knee Arthroplasty ePoster Presentation Yushi Sakamoto, MD, JAPAN Shinichiro Nakamura, MD, PhD, JAPAN Yugo Morita, MD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Young Dong Song, MD, PhD, UNITED STATES Yusuke Yamawaki, MD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
High Cure Rate In Hematogenous TKA PJI At A Long-Term Follow-Up By Means Of Dair Procedure ePoster Presentation Daniel Pérez-Prieto, MD, SPAIN Albert Fontanellas, MD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Juan Francisco Sanchez-Soler, MD, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN Pedro Hinarejos-Gomez, MD, PhD, SPAIN

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Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Background

Methods

Results

Conclusion

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Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Comparative Analysis Of Time Taken In Conventional vs. Robotic Assisted Total Knee Arthroplast

Background

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content