2025 ISAKOS Congress in Munich, Germany

2025 ISAKOS Biennial Congress ePoster


Total Knee Arthroplasty With the CORI Robotic System: Bur-All vs Hybrid-Bur Technique

Konstantinos G. Makridis, MD, MSc, PCAOSD, PhD, Larisa, THESSALY GREECE
Stamatina - Emmanouela Zourntou, MD, MSc, PhD.c, LARISSA GREECE
Maria Mpoulovana, MD, LARISSA GREECE
Vasilios Athanasios Georgaklis, MD,PhD, Volos, Magnisia GREECE

Iaso Thessaly, Larissa, GREECE

FDA Status Cleared

Summary

Robotic CORI System: Surgical Technique

ePosters will be available shortly before Congress

Abstract

Background

Total knee arthroplasty with the CORI robotic system offers different options to execute the surgical technique

Objectives
The purpose of the study was to compare the bur-all technique with the hybrid-bur with the CORI robotic system and evaluate their advantages and disadvantages.


Study Design & Methods
180 patients underwent total knee arthroplasty using the CORI robotic system. Patients were randomly assigned to 2 groups to have either the bur-all or the hybrid-bur technique. Operative time, extent of pain improvement, accuracy of mechanical axis correction, range of motion, time to return to activities, and any complication were analyzed. Clinical evaluation was performed using the OXFORD KNEE score, pain was assessed with the VAS scale, and quality of life was assessed with the SF-12. Radiological evaluation consisted of plain radiographs.

Results

There were a total of 126 women (70%) and 54 men (30%), with a mean age of 69.5 years (range 52-85). Patients were mobilized within 6.5 hours (range, 5-10 hours) after surgery, and the mean hospital stay was 2 days (range, 1-3 days) for both groups. There was a statistically significant improvement in pain and less blood loss in favor of the bur-all technique, while no differences emerged in terms of functionality and restoration of the mechanical axis. Overall patient quality of life was statistically significantly better for both SF-12 parameters in the first 6 postoperative weeks for the bur-all technique group.

Conclusions

The bur-all technique is the recommended option offered by CORI giving the surgeon the possibility to perceive the essence of robotic surgery. Without being time-consuming, it allows the removal of minimal subchondral bone that has been calculated based on the intraoperative planning providing the optimal functional result for the patient.