Christian Nogalo1,2, Amit Meena1,2, Elisabeth Abermann1,2, Christian Fink3,4. 1. Gelenkpunkt - Sports and Joint Surgery, FIFA Medical Centre of Excellence, Olympiastraße 39, 6020, Innsbruck, Austria. 2. Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Medical Informatics and Technology, UMIT - Private University for Health Sciences, Hall in Tirol, Austria. 3. Gelenkpunkt - Sports and Joint Surgery, FIFA Medical Centre of Excellence, Olympiastraße 39, 6020, Innsbruck, Austria. c.fink@gelenkpunkt.com. 4. Research Unit for Orthopaedic Sports Medicine and Injury Prevention (OSMI), Medical Informatics and Technology, UMIT - Private University for Health Sciences, Hall in Tirol, Austria. c.fink@gelenkpunkt.com.
Abstract
PURPOSE: The purpose of this systematic review is to describe the complications and downsides of robotic systems in total knee arthroplasty (TKA). METHODS: A comprehensive search according to the PRISMA guidelines was performed across PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, Scopus, and Google Scholar from inception until December 2021. All articles of any study design directly reporting on complications and downsides of the robotic system in TKA were considered for inclusion. Risk of bias assessment was performed for all included studies using the Cochrane risk of bias and MINORS score. RESULTS: A total of 21 studies were included, consisting of 4 randomized controlled trials, 7 prospective studies and 10 retrospective studies. Complications of the robotic system were pin-hole fracture, pin-related infection, iatrogenic soft tissue and bony injury, and excessive blood loss. While, downsides were longer operative duration, higher intraoperative cost, learning curve and aborting a robotic TKA due to different reasons. Iatrogenic injuries were more common in the active robotic system and abortion of the robotic TKA was reported only with active robotic TKA. CONCLUSION: Robotic TKA is associated with certain advantages and disadvantages. Therefore, surgeons need to be familiar with the system to use it effectively. Widespread adoption of the robotic system should always be evidence-based. LEVEL OF EVIDENCE: IV.
PURPOSE: The purpose of this systematic review is to describe the complications and downsides of robotic systems in total knee arthroplasty (TKA). METHODS: A comprehensive search according to the PRISMA guidelines was performed across PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, Scopus, and Google Scholar from inception until December 2021. All articles of any study design directly reporting on complications and downsides of the robotic system in TKA were considered for inclusion. Risk of bias assessment was performed for all included studies using the Cochrane risk of bias and MINORS score. RESULTS: A total of 21 studies were included, consisting of 4 randomized controlled trials, 7 prospective studies and 10 retrospective studies. Complications of the robotic system were pin-hole fracture, pin-related infection, iatrogenic soft tissue and bony injury, and excessive blood loss. While, downsides were longer operative duration, higher intraoperative cost, learning curve and aborting a robotic TKA due to different reasons. Iatrogenic injuries were more common in the active robotic system and abortion of the robotic TKA was reported only with active robotic TKA. CONCLUSION: Robotic TKA is associated with certain advantages and disadvantages. Therefore, surgeons need to be familiar with the system to use it effectively. Widespread adoption of the robotic system should always be evidence-based. LEVEL OF EVIDENCE: IV.
Authors: Hannes Vermue; Thomas Luyckx; Philip Winnock de Grave; Alexander Ryckaert; Anne-Sophie Cools; Nicolas Himpe; Jan Victor Journal: Knee Surg Sports Traumatol Arthrosc Date: 2020-11-03 Impact factor: 4.114
Authors: Tyler J Smith; Ahmed Siddiqi; Salvador A Forte; Anthony Judice; Peter K Sculco; Jonathan M Vigdorchik; Ran Schwarzkopf; Bryan D Springer Journal: JBJS Rev Date: 2021-01-26
Authors: Michael B Held; Anastasia Gazgalis; Alexander L Neuwirth; Roshan P Shah; H John Cooper; Jeffrey A Geller Journal: Knee Surg Sports Traumatol Arthrosc Date: 2021-05-07 Impact factor: 4.114
Authors: Siddharth A Mahure; Greg Michael Teo; Yair D Kissin; Bernard N Stulberg; Stefan Kreuzer; William J Long Journal: Knee Surg Sports Traumatol Arthrosc Date: 2021-02-20 Impact factor: 4.114