Open AccessWhere are We Now and What are We Hoping to Achieve with Robotic Total Knee Arthroplasty? A Critical Analysis of the Current Knowledge and Future Perspectives
Author(s) -
Fabio Mancino,
Christopher W. Jones,
Francesco Benazzo,
Alessandro Singlitico,
Alessandro Giuliani,
Ivan De Martino
Publication year - 2022
Publication title -
orthopedic research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 9
ISSN - 1179-1462
DOI - 10.2147/orr.s294369
Subject(s) - survivorship curve , total knee arthroplasty , kinematics , term (time) , medicine , computer science , medical physics , operations management , artificial intelligence , physical medicine and rehabilitation , surgery , engineering , physics , classical mechanics , cancer , quantum mechanics
Robotic-assisted total knee arthroplasty (rTKA) has been developed to improve knee kinematics and functional outcomes, expedite recovery, and improve implants long-term survivorship. Robotic devices are classified into active, semi-active, and passive, based on their degree of freedom. Their capacity to provide increased accuracy in implants positioning with reduced radiographic outliers has been widely proved. However, these early advantages are yet to be associated with long-term survivorship. Moreover, multiple drawbacks are still encountered including a variable learning curve, increased setup and maintenance costs, and potential complications related to the surgical technique. Despite recent technologies applied to TKA have failed to prove substantial improvements, robotic-assisted surgery seems to be here to stay and revolutionize the field of TKA. To support its consistent usage on a daily basis, long-term results are still awaited, and further improvements are necessary to reduce the expenses related to it.