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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, MD, 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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Intraoperative Varus-Valgus Joint Laxity Pattern Was Associated With Postoperative Knee Flexion Angle and Patient-Reported Outcome Measures in Bicruciate-Stabilized Total Knee Arthroplasty. ePoster Presentation Ryota Yamagami, MD, JAPAN Kenichi Kono, MD, PhD, JAPAN Kohei Kawaguchi, MD, PhD, JAPAN Tomofumi Kage, JAPAN Ryo Murakami, MD, JAPAN Takahiro Arakawa, MD, JAPAN Hiroshi Inui, PhD, JAPAN Shuji Taketomi, MD, PhD, JAPAN Sakae Tanaka, MD, PhD, JAPAN
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
Efficacy of Functional Alignment Technique In Robotic-Arm Assisted Total Knee Arthroplasty ePoster Presentation Masashi Tamaki, MD, PhD, JAPAN Yuki Yamauchi, MD,PhD, JAPAN Seishiro Higa, MD, JAPAN Tomoyuki Shimakawa, MD, JAPAN Yuki Isobe, MD, JAPAN Teruya Ishibashi, MD,PhD, JAPAN Shoji Konda, PhD, JAPAN Tetsuya Tomita, M.D.,Ph.D , JAPAN
Changes In CPAK Classification and Its Characteristics before and after Kinematic Alignment TKA ePoster Presentation Manabu Akagawa, MD, PhD, JAPAN ヒデトモサイトウ, MD, PhD, JAPAN Naohisa Miyakoshi, MD, PhD, JAPAN
Short Term Outcome of Tibial Defect Reconstruction In Primary Total Knee Arthroplasty: A Retrospective Study ePoster Presentation Sanjib Kumar Behera, MS (Orth), DNB (Rehab), DPMR, INDIA Madhumita Pradhan, BDS, MPH, MHA , INDIA Vikram Choudhary, MD, UNITED STATES
Quality of Life Following Primary Total Knee Arthroplasty: Factors Predicting Satisfaction in Low-Income Population ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
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
Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study ePoster Presentation Daniel E Matthews, MD, FAAOS, UNITED STATES
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, MD, PhD, SPAIN
Effect of Altered Knee Joint Loading Pattern in Gait Biomechanics of Total Knee Arthroplasty Patient ePoster Presentation Sang Jin Lee, MD, PhD, KOREA, REPUBLIC OF
Total Knee Arthroplasty Without Patellar Component Replacement. Does it Increase the Risk of Revision? Local Experience Analysis ePoster Presentation Zoy Anastasiadis, MD, CHILE Diego Edwards, MD, CHILE Sergio Arellano, MD, CHILE Andrés Schmidt-Hebbel, MD, CHILE Eduardo Gardella, MD, CHILE Nicolás González-Kusjanovic, MD, MSc, CHILE Alex Vaisman, MD, Prof., CHILE
Success of Debridement, Antibiotics, and Implant Retention vs Revision In Early And Late Prosthetic Joint Infections Following Primary TKA: A Prospective, Multicenter Study of 251 Cases ePoster Presentation Mark Zhu, MBChB, NEW ZEALAND Richard Rahardja, MBChB, BMedSc(Hons), NEW ZEALAND Laurens Manning, MBChB, AUSTRALIA Sarah Metcalf, MBChB, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND

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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

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Methods

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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