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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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The Statistical Fragility of Tourniquet Use In Total Knee Arthroplasty: A Systematic Review ePoster Presentation Kyle William Lawrence, BS, UNITED STATES John K Cordero, MD, UNITED STATES Ashley Brown, BS, UNITED STATES Xinning Li, MD, UNITED STATES Brett Hayden, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES
A Prospective Randomised Study to Compare the Clinical and Radiological Outcomes of Functionally Aligned versus Mechanically Aligned Total Knee Arthroplasty with Robotic Arm Assistance ePoster Presentation Jai Thilak Kailathuvalapil, MS, MCh, FRCS, INDIA Amal Antony Paul, MBBS, INDIA
Patellar Medial-lateral Position can be Used to Correct the Effect of Leg Rotation on Preoperative Planning in Total Knee Arthroplasty for Varus Knees ePoster Presentation Shinichiro Nakamura, MD, PhD, JAPAN Shota Takemoto, MD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Hiromu Ito, MD, PhD, JAPAN Mutsumi Watanabe, MD, PhD, JAPAN Young Dong Song, MD, PhD, UNITED STATES Shuichi Matsuda, MD, PhD, JAPAN
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
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
The Functional Outcome of Zimmer Biomet’s Nexgen Total Knee Arthroplasty as Compared with Healthy Older Adults ePoster Presentation Gwenllian F. Tawy, PhD, MRes, BSc(Hons), UNITED KINGDOM Michael J. McNicholas, BSc, MD, FRCS Tr & Orth, UNITED KINGDOM Leela C. Biant, MS, MFSTEd, FRCSEd(Tr&Orth), UNITED KINGDOM
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
Detection Loosening of Total Knee Arthroplasty Implant from Plain Radiograph Using Machine Learning Algorithm ePoster Presentation Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF Dongho Kwak, MD, KOREA, REPUBLIC OF Sungcheol Yang, MD, KOREA, REPUBLIC OF Hyukjin Jang, MD, KOREA, REPUBLIC OF Ryu Kyoung Cho, MD, KOREA, REPUBLIC OF Yong In, MD, PhD, KOREA, REPUBLIC OF
Follow-Up after Primary Total Knee Arthroplasty with the Sigma PFC implant (DePuy Synthes Inc.) in Patients with Metal Allergy or Hypersensitivity ePoster Presentation Natalie Mengis, MD, SWITZERLAND Jules-Nikolaus Rippke, Dr. med. (MD), SWITZERLAND Sebastian Schmidt, GERMANY Tudor Daniel Cucos, MD, GERMANY Luis Alfredo Navas Contreras, MD, GERMANY Daniel Krahl, MD, GERMANY Marcus Streit, Prof., GERMANY
Clinical Comparison and Survival Rate Between Unicompartmental Knee Arthroplasty and High Tibial Osteotomy With An External Fixator For Varus Knee In Patients Younger Than 60 Years at Mid-Term Follow-Up ePoster Presentation Amit Kumar Yadav, M.S (Orth),DNB(Orth),MNAMS, UNITED KINGDOM Riccardo D'Ambrosi, MD, ITALY Mangal Parihar, MS Ortho, INDIA
Effect of Restricted Kinematic Alignment Total Knee Arthroplasty on Coronal Plane Alignment Of The Ankle Joint ePoster Presentation Bartosz Michał Maciąg, MD, POLAND Marcin Łapiński, MD, POLAND Tomasz Mrozek, MD, POLAND Adrian Góralczyk, MD, POLAND Maciej Swiercz, MD, POLAND Grzegorz Maciąg, POLAND Krystian Żarnovsky, POLAND Olga Adamska, POLAND Artur Stolarczyk, MD, PhD, POLAND
Bicruciate Substituting Total Knee Arthroplasty Improved Anteroposterior Displacement in Mid-Flexion Range ePoster Presentation Keinosuke Ryu, Prof., JAPAN Takanori Iriuchisima, MD, JAPAN

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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