A clinical review of robotic navigation in total knee arthroplasty: historical systems to modern design.

Authors

Ahmed Siddiqi
Timothy Horan, Philadelphia College of Osteopathic Medicine
Robert M Molloy
Michael R Bloomfield
Preetesh D Patel
Nicolas S Piuzzi

Document Type

Article

Publication Date

4-1-2021

Abstract

Robotic-assisted total knee arthroplasty (RA-TKA) has shown improved reproducibility and precision in mechanical alignment restoration, with improvement in early functional outcomes and 90-day episode of care cost savings compared to conventional TKA in some studies. However, its value is still to be determined.Current studies of RA-TKA systems are limited by short-term follow-up and significant heterogeneity of the available systems.In today's paradigm shift towards an increased emphasis on quality of care while curtailing costs, providing value-based care is the primary goal for healthcare systems and clinicians. As robotic technology continues to develop, longer-term studies evaluating implant survivorship and complications will determine whether the initial capital is offset by improved outcomes.Future studies will have to determine the value of RA-TKA based on longer-term survivorships, patient-reported outcome measures, functional outcomes, and patient satisfaction measures.

Comments

This article was published in EFORT Open Reviews, Volume 6, Issue 4, pages 252-269.

The published version is available at https://doi.org/10.1302/2058-5241.6.200071.

Copyright © 2021 The author(s). CC BY-NC 4.0.

Publication Title

EFORT Open Reviews

Recommended Citation

Siddiqi, Ahmed; Horan, Timothy; Molloy, Robert M; Bloomfield, Michael R; Patel, Preetesh D; and Piuzzi, Nicolas S, "A clinical review of robotic navigation in total knee arthroplasty: historical systems to modern design." (2021). Orthopedic Surgery Resident Research. 50.
https://digitalcommons.pcom.edu/orthopedic_surgery_residents/50

PubMed ID

34040803