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
Hauptverfasser: Baek, Ji-Hoon, Lee, Su Chan, Ryu, Suengryol, Lee, Dong Nyoung, Kim, Taehyeon, Ahn, Hye Sun, Nam, Chang Hyun
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container_issue 9
container_start_page 945
container_title Journal of personalized medicine
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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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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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