Surgical Technique for Complementing Robotic-Assisted Total Knee Arthroplasty in Middle-Aged Patients with Rigid Knee Bones
This study reports 12 cases of inaccurate bone cutting from a single-surgeon series of 509 consecutively performed robotic-assisted total knee arthroplasty (TKA) for 1 year. In addition, a complementary technique with the combined benefits of robotic-assisted and manual techniques that address this...
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Veröffentlicht in: | Journal of personalized medicine 2024-09, Vol.14 (9), p.945 |
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creator | Baek, Ji-Hoon Lee, Su Chan Ryu, Suengryol Lee, Dong Nyoung Kim, Taehyeon Ahn, Hye Sun Nam, Chang Hyun |
description | This study reports 12 cases of inaccurate bone cutting from a single-surgeon series of 509 consecutively performed robotic-assisted total knee arthroplasty (TKA) for 1 year. In addition, a complementary technique with the combined benefits of robotic-assisted and manual techniques that address this issue is described. From June 2020 to May 2021, a consecutive series of 509 TKAs was performed on 338 patients using a posterior-stabilized total knee prosthesis with a robotic-assisted system at our hospital. The surgical records were reviewed to identify the causative bone locations and bone re-cutting events correlated with improper trial instrument positioning. The re-cutting rate was 2.4% (12/509). All re-cutting attempts occurred because of improper cutting of the femoral posterior chamfer. Re-cutting was attempted mostly on middle-aged male patients. This complementary technique can facilitate manual bone cutting while retaining the advantages of robotic surgery during robotic-assisted TKA. Additionally, the combined technique of manual bone cutting and robotic-assisted surgery can be a useful alternative for middle-aged male patients with rigid knee bones. |
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In addition, a complementary technique with the combined benefits of robotic-assisted and manual techniques that address this issue is described. From June 2020 to May 2021, a consecutive series of 509 TKAs was performed on 338 patients using a posterior-stabilized total knee prosthesis with a robotic-assisted system at our hospital. The surgical records were reviewed to identify the causative bone locations and bone re-cutting events correlated with improper trial instrument positioning. The re-cutting rate was 2.4% (12/509). All re-cutting attempts occurred because of improper cutting of the femoral posterior chamfer. Re-cutting was attempted mostly on middle-aged male patients. This complementary technique can facilitate manual bone cutting while retaining the advantages of robotic surgery during robotic-assisted TKA. Additionally, the combined technique of manual bone cutting and robotic-assisted surgery can be a useful alternative for middle-aged male patients with rigid knee bones.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm14090945</identifier><identifier>PMID: 39338199</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Arthroplasty (knee) ; Body mass index ; Bone surgery ; Bones ; Disadvantages ; Hospitals ; Implants, Artificial ; Joint replacement surgery ; Knee ; Medical imaging ; Middle age ; Necrosis ; Osteoarthritis ; Patients ; Polyethylene ; Polymethyl methacrylate ; Prostheses ; Prosthesis ; Rheumatoid arthritis ; Robotic surgery ; Robotics ; Software ; Surgeons ; Surgical techniques ; Transplants & implants</subject><ispartof>Journal of personalized medicine, 2024-09, Vol.14 (9), p.945</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2805-256624e005b5e50888fe4d03edcface52f39c6f0a8f7592c25c755130e1479cc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11432815/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11432815/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39338199$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baek, Ji-Hoon</creatorcontrib><creatorcontrib>Lee, Su Chan</creatorcontrib><creatorcontrib>Ryu, Suengryol</creatorcontrib><creatorcontrib>Lee, Dong Nyoung</creatorcontrib><creatorcontrib>Kim, Taehyeon</creatorcontrib><creatorcontrib>Ahn, Hye Sun</creatorcontrib><creatorcontrib>Nam, Chang Hyun</creatorcontrib><title>Surgical Technique for Complementing Robotic-Assisted Total Knee Arthroplasty in Middle-Aged Patients with Rigid Knee Bones</title><title>Journal of personalized medicine</title><addtitle>J Pers Med</addtitle><description>This study reports 12 cases of inaccurate bone cutting from a single-surgeon series of 509 consecutively performed robotic-assisted total knee arthroplasty (TKA) for 1 year. In addition, a complementary technique with the combined benefits of robotic-assisted and manual techniques that address this issue is described. From June 2020 to May 2021, a consecutive series of 509 TKAs was performed on 338 patients using a posterior-stabilized total knee prosthesis with a robotic-assisted system at our hospital. The surgical records were reviewed to identify the causative bone locations and bone re-cutting events correlated with improper trial instrument positioning. The re-cutting rate was 2.4% (12/509). All re-cutting attempts occurred because of improper cutting of the femoral posterior chamfer. Re-cutting was attempted mostly on middle-aged male patients. This complementary technique can facilitate manual bone cutting while retaining the advantages of robotic surgery during robotic-assisted TKA. Additionally, the combined technique of manual bone cutting and robotic-assisted surgery can be a useful alternative for middle-aged male patients with rigid knee bones.</description><subject>Arthroplasty (knee)</subject><subject>Body mass index</subject><subject>Bone surgery</subject><subject>Bones</subject><subject>Disadvantages</subject><subject>Hospitals</subject><subject>Implants, Artificial</subject><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Medical imaging</subject><subject>Middle age</subject><subject>Necrosis</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Polyethylene</subject><subject>Polymethyl methacrylate</subject><subject>Prostheses</subject><subject>Prosthesis</subject><subject>Rheumatoid arthritis</subject><subject>Robotic surgery</subject><subject>Robotics</subject><subject>Software</subject><subject>Surgeons</subject><subject>Surgical techniques</subject><subject>Transplants & implants</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkt1vFCEUxSfGxja1T74bEl9Mmql8DLPwZMaNH01rNHV9JixzmWUzAyPM1DT-81K3tlsjPEDgdw6cm1sULwg-Y0ziN9txIBWWWFb8SXFE8YKXVUXrp3v7w-IkpS3OQ3BKa_ysOGSSMUGkPCp-fZtj54zu0QrMxrsfMyAbIlqGYexhAD8536GrsA6TM2WTkksTtGgVpiy58ACoidMmhrHXabpBzqPPrm17KJsuY1_15LJFQj_dtEFXrnPtTvQueEjPiwOr-wQnd-tx8f3D-9XyU3n55eP5srksDRWYl5TXNa0AY77mwLEQwkLVYgatsdoAp5ZJU1ushV1wSQ3lZsE5YRhItZDGsOPi7c53nNdDVuUfRd2rMbpBxxsVtFOPb7zbqC5cK0IqRgXh2eH1nUMMuUJpUoNLBvpeewhzUowQLAmhXGT01T_oNszR53x_qJylovyB6nQPynkb8sPm1lQ1guBa1pLQTJ39h8qzhcGZXELr8vkjwelOYGJIKYK9D0mwuu0XtdcvmX65X5d79m93sN_6GrpH</recordid><startdate>20240906</startdate><enddate>20240906</enddate><creator>Baek, Ji-Hoon</creator><creator>Lee, Su Chan</creator><creator>Ryu, Suengryol</creator><creator>Lee, Dong Nyoung</creator><creator>Kim, Taehyeon</creator><creator>Ahn, Hye Sun</creator><creator>Nam, Chang Hyun</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240906</creationdate><title>Surgical Technique for Complementing Robotic-Assisted Total Knee Arthroplasty in Middle-Aged Patients with Rigid Knee Bones</title><author>Baek, Ji-Hoon ; Lee, Su Chan ; Ryu, Suengryol ; Lee, Dong Nyoung ; Kim, Taehyeon ; Ahn, Hye Sun ; Nam, Chang Hyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2805-256624e005b5e50888fe4d03edcface52f39c6f0a8f7592c25c755130e1479cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arthroplasty (knee)</topic><topic>Body mass index</topic><topic>Bone surgery</topic><topic>Bones</topic><topic>Disadvantages</topic><topic>Hospitals</topic><topic>Implants, Artificial</topic><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Medical imaging</topic><topic>Middle age</topic><topic>Necrosis</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Polyethylene</topic><topic>Polymethyl methacrylate</topic><topic>Prostheses</topic><topic>Prosthesis</topic><topic>Rheumatoid arthritis</topic><topic>Robotic surgery</topic><topic>Robotics</topic><topic>Software</topic><topic>Surgeons</topic><topic>Surgical techniques</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baek, Ji-Hoon</creatorcontrib><creatorcontrib>Lee, Su Chan</creatorcontrib><creatorcontrib>Ryu, Suengryol</creatorcontrib><creatorcontrib>Lee, Dong Nyoung</creatorcontrib><creatorcontrib>Kim, Taehyeon</creatorcontrib><creatorcontrib>Ahn, Hye Sun</creatorcontrib><creatorcontrib>Nam, Chang Hyun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of personalized medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baek, Ji-Hoon</au><au>Lee, Su Chan</au><au>Ryu, Suengryol</au><au>Lee, Dong Nyoung</au><au>Kim, Taehyeon</au><au>Ahn, Hye Sun</au><au>Nam, Chang Hyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Technique for Complementing Robotic-Assisted Total Knee Arthroplasty in Middle-Aged Patients with Rigid Knee Bones</atitle><jtitle>Journal of personalized medicine</jtitle><addtitle>J Pers Med</addtitle><date>2024-09-06</date><risdate>2024</risdate><volume>14</volume><issue>9</issue><spage>945</spage><pages>945-</pages><issn>2075-4426</issn><eissn>2075-4426</eissn><abstract>This study reports 12 cases of inaccurate bone cutting from a single-surgeon series of 509 consecutively performed robotic-assisted total knee arthroplasty (TKA) for 1 year. In addition, a complementary technique with the combined benefits of robotic-assisted and manual techniques that address this issue is described. From June 2020 to May 2021, a consecutive series of 509 TKAs was performed on 338 patients using a posterior-stabilized total knee prosthesis with a robotic-assisted system at our hospital. The surgical records were reviewed to identify the causative bone locations and bone re-cutting events correlated with improper trial instrument positioning. The re-cutting rate was 2.4% (12/509). All re-cutting attempts occurred because of improper cutting of the femoral posterior chamfer. Re-cutting was attempted mostly on middle-aged male patients. This complementary technique can facilitate manual bone cutting while retaining the advantages of robotic surgery during robotic-assisted TKA. Additionally, the combined technique of manual bone cutting and robotic-assisted surgery can be a useful alternative for middle-aged male patients with rigid knee bones.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39338199</pmid><doi>10.3390/jpm14090945</doi><oa>free_for_read</oa></addata></record> |
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subjects | Arthroplasty (knee) Body mass index Bone surgery Bones Disadvantages Hospitals Implants, Artificial Joint replacement surgery Knee Medical imaging Middle age Necrosis Osteoarthritis Patients Polyethylene Polymethyl methacrylate Prostheses Prosthesis Rheumatoid arthritis Robotic surgery Robotics Software Surgeons Surgical techniques Transplants & implants |
title | Surgical Technique for Complementing Robotic-Assisted Total Knee Arthroplasty in Middle-Aged Patients with Rigid Knee Bones |
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