Comparison of Time Taken in Conventional versus Active Robotic-Assisted Total Knee Arthroplasty.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-01 Epub Date: 2024-02-08 DOI:10.4055/cios23062

Sanjay Bhalchandra Londhe, Santosh Shetty, Vijay Shetty, Clevio Desouza, Paras Banka, Nicholas Antao

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引用次数: 0

Abstract

Background: Computer- and robotic-assisted total knee replacement procedures have been shown to improve the accuracy of the implant size. It also allows dynamic confirmation of the implant and limb alignment during total knee arthroplasty (TKA). The major inhibition of the arthroplasty surgeon in adapting to the robotic-assisted TKA (RA-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 2 steps as compared to the conventional TKA (C-TKA).

Methods: It is a prospective study involving 30 patients each in the conventional TKA and RA-TKA operated by the same surgical team. The 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. In the 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 the RA-TKA group, the time taken for fixation of the tibial and femoral arrays and bone registration and bone milling with robot and required soft-tissue release was measured.

Results: The preoperative patient characteristics were the same in both groups. The time taken in the C-TKA and RA-TKA groups was 24.77 ± 1.92 minutes and 25.03 ± 3.27 minutes, respectively, which is statistically insignificant (p = 0.709).

Conclusions: The study findings show that RA-TKA does not take additional time than C-TKA.

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传统与主动机器人辅助全膝关节置换术所用时间的比较

背景：计算机和机器人辅助的全膝关节置换手术已被证明可提高植入物尺寸的准确性。它还能在全膝关节置换术（TKA）中动态确认植入物和肢体的对齐情况。关节置换外科医生在适应机器人辅助全膝关节置换术（RA-TKA）时遇到的主要障碍是在登记过程中和使用机器人铣削骨骼时需要花费额外的时间。本研究的目的是确定与传统 TKA（C-TKA）相比，这两个步骤所花费的额外时间：这是一项前瞻性研究，由同一个手术团队为 30 名患者分别实施传统 TKA 和 RA-TKA 手术。患者可在 C-TKA 和 RA-TKA 之间进行选择，由一名独立观察员对每组中连续的 30 个病例进行研究。在C-TKA组中，记录了应用适当的 "Z "和执行骨切割和软组织松解的时间，而在RA-TKA组中，则测量了胫骨和股骨阵列固定、骨登记和使用机器人铣骨以及所需的软组织松解所需的时间：结果：两组患者的术前特征相同。结果：两组患者术前特征相同，C-TKA 组和 RA-TKA 组所用时间分别为 24.77 ± 1.92 分钟和 25.03 ± 3.27 分钟，差异无统计学意义（P = 0.709）：研究结果表明，RA-TKA 无需比 C-TKA 多花时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.