Trends in adoption of robotics in arthroplasty: an analysis of the Indian landscape.

IF 2.2 3区 医学 Q2 SURGERY
Praharsha Mulpur, Tarun Jayakumar, Rajeev Reddy Kikkuri, Adarsh Annapareddy, Kushal Hippalgaonkar, A V Gurava Reddy
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Abstract

Robotic-assisted technology in total joint arthroplasty (TJA) offers improved precision in component placement and alignment, addressing challenges, such as ligament imbalance, malalignment, and patient dissatisfaction. In India, where diverse healthcare settings exist, trends in robotic adoption remain underexplored. This study examines the adoption patterns and geographic distribution of robotic systems for TJA in India, highlighting market dynamics over the past 5 years. A cross-sectional observational study was conducted using data from manufacturers of robotic arthroplasty systems. Annual installations, tier-wise city classifications, and geographic distributions were analyzed. Statistical methods included descriptive analysis for installation trends, time-series visualization for adoption trajectories, and linear regression to forecast 2025 installations. As of September 2024, 290 robotic systems were installed across India. Among these, the CUVIS system (Meril) accounted for 89 installations (30.7%), followed by CORI (Smith and Nephew) with 66 installations (22.8%), and VELYS (DePuy) with 52 installations (17.9%). The MAKO system (Stryker) contributed 38 installations (13.1%), while MISSO (Meril) and ROSA (Zimmer) had 25 (8.6%) and 20 (6.9%) installations, respectively. Tier I hospitals dominated with 50% of installations, while Tier III and IV facilities accounted for only 10%. Linear regression predicts steady growth, with over 80 new robotic installations in 2025. Robotic technology adoption in Indian TJA has surged, with a strong preference for systems offering precision and versatility. However, barriers such as high costs and limited training impede penetration in lower tier facilities. Addressing these challenges could enhance equitable access and support the integration of robotics into diverse healthcare settings.

关节成形术中采用机器人技术的趋势:对印度景观的分析。
全关节置换术(TJA)中的机器人辅助技术提高了部件放置和对齐的精度,解决了韧带不平衡、不对齐和患者不满等挑战。在印度,医疗环境多样化,机器人采用的趋势仍未得到充分探索。本研究考察了印度TJA机器人系统的采用模式和地理分布,重点介绍了过去5年的市场动态。一项横断面观察研究使用了来自机器人关节成形术系统制造商的数据。分析了年度安装、城市分类和地理分布。统计方法包括对安装趋势的描述性分析,采用轨迹的时间序列可视化,以及预测2025年安装的线性回归。截至2024年9月,印度各地安装了290个机器人系统。其中,CUVIS系统(Meril)安装了89台(30.7%),其次是CORI (Smith and Nephew)安装了66台(22.8%),VELYS (DePuy)安装了52台(17.9%)。MAKO系统(Stryker)安装了38台(13.1%),MISSO (Meril)和ROSA (Zimmer)分别安装了25台(8.6%)和20台(6.9%)。一级医院占50%,而三级和四级医院仅占10%。线性回归预测稳定增长,到2025年将有超过80个新机器人安装。印度TJA的机器人技术采用激增,对提供精度和多功能性的系统有强烈的偏好。然而,诸如高成本和有限的培训等障碍阻碍了较低层次设施的渗透。解决这些挑战可以促进公平获取,并支持将机器人技术整合到各种医疗保健环境中。
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
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
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