» Computer-assisted robots aid orthopaedic surgeons in implant positioning and bony resection. Surgeons selecting a robot for their practice are faced with numerous options. This study aims to make the choice less daunting by reviewing the most commonly used Food and Drug Administration-approved robotic total knee arthroplasty platforms in the American arthroplasty market.» Modern total knee arthroplasty (TKA) robots use computer guidance to create a virtual knee model that serves as the surgeon's canvas for resection planning.» Most available robotic TKA (rTKA) systems are closed semiactive systems that restrict implant use to those of the manufacturer.» Each system has distinct imaging requirements, safety features, resection methods, and operating room footprints that will affect a surgeon's technique and practice.» Robots carry different purchase, maintenance, and equipment costs that will influence patient access across different socioeconomic groups.» Some studies show improved early patient-reported outcomes with rTKA, but long-term studies have yet to show clinical superiority over manual TKA.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368221 | PMC |
http://dx.doi.org/10.2106/JBJS.OA.24.00063 | DOI Listing |
Radiol Adv
January 2022
Department of Radiology, New York University Grossman School of Medicine, New York, NY 10016, United States.
Purpose: Accurately predicting the expected duration of time until total knee replacement (time-to-TKR) is crucial for patient management and health care planning. Predicting when surgery may be needed, especially within shorter windows like 3 years, allows clinicians to plan timely interventions and health care systems to allocate resources more effectively. Existing models lack the precision for such time-based predictions.
View Article and Find Full Text PDFAm J Sports Med
January 2025
Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, USA.
Background: Anterior cruciate ligament (ACL) injury often leads to posttraumatic osteoarthritis (PTOA), despite ACL reconstruction (ACLR). Medial meniscal extrusion (MME) is implicated in PTOA progression but remains understudied after ACL injury and ACLR.
Hypothesis/purpose: It was hypothesized that MME would increase longitudinally after ACL injury and ACLR, with greater changes in the ipsilateral knee compared with the contralateral knee, leading to cartilage degeneration.
Bone Joint J
January 2025
Department of Research, Sint Maartenskliniek, Nijmegen, Netherlands.
Aims: Tibial fixation in revision total knee arthroplasty (rTKA) can present surgical challenges. It has been suggested that appropriate fixation in at least two of the three anatomical zones (epiphysis, metaphysis, and diaphysis) is essential for implant survival. However, supporting clinical data are lacking.
View Article and Find Full Text PDFJ Sports Sci
January 2025
College of Health Sciences, University of Memphis, Memphis, TN, USA.
Runners often reduce their pace during inclined running to maintain a constant metabolic workload, known as iso-efficiency speed (a speed-incline combination with the same metabolic intensity as level running). This study investigates changes in lower extremity (LE) joint work profiles when running on an incline at iso-efficiency speed. Eleven collegiate distance runners completed a treadmill running task under three conditions (0%, 4%, and 8% incline).
View Article and Find Full Text PDFJ Pain Res
December 2024
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, 100102, People's Republic of China.
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