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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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Bicruciate Substituting Total Knee Arthroplasty Improved Anteroposterior Displacement in Mid-Flexion Range ePoster Presentation Keinosuke Ryu, Prof., JAPAN Takanori Iriuchisima, MD, JAPAN
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 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
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
Is Surgeon Assessed Bone Quality During Total Knee Arthroplasty a Valid Tool To Diagnose Osteoporosis ? ePoster Presentation Adit Rajesh Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, INDIA Arpit Vasantbhai Bavaskar, MBBS, D.Orth., INDIA Vishal Raina, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Ashwini Khokhar, MS, INDIA Rajesh Maniar, INDIA
Tibia Placement Difference Between The Supine And Prone Position After Total Knee Arthroplasty: The Comparison Of The BCS and PS-TKA ePoster Presentation Takanori Iriuchishima, MD, PhD, JAPAN Keinosuke Ryu, Prof., JAPAN Eiji Cho, MD, JAPAN
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
Anatomical distribution of radiological OA Influences the Outcome of TKA ePoster Presentation Johanna Elliott, MB, BS, B.Med Sci, Master Science, GERMANY
Combined Fixed-Bearing Unicompartmental Knee Arthroplasty and Anterior Cruciate Ligament Reconstruction ePoster Presentation Claudio Legnani, MD, ITALY Enrico Borgo, MD, ITALY Vittorio Macchi, MD, ITALY Alberto Ventura, MD, ITALY
"The Other Partial Knee"- Milling System Technique for Patellofemoral Arthroplasty in 250 Patients ePoster Presentation Alexander P. Sah, MD, UNITED STATES
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
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
In-Vivo Kinematic Analysis of Evolution® Medial-Pivot Total Knee Arthroplasty during Weight-Bearing Activity ePoster Presentation Eiichi Nakamura, MD, PhD, JAPAN Nobukazu Okamoto, MD, PhD, JAPAN Hitoshi Ito, MD, PhD, JAPAN Tetsurou Masuda, MD, PhD, JAPAN Satoshi Hisanaga, MD, PhD, JAPAN Yasunari Oniki, MD, PhD, JAPAN
Incidence and Prevention of Deep Vein Thrombosis Using Thromboprophylaxis in Total Knee Replacement: A Prospective Clinical Study ePoster Presentation Amit Lakhani, MS, DNB, MRCPS(Glassg), MNAS, INDIA

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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