Modern orthopedics: the use of robotics in total knee arthroplasty

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.34960

Keywords:

Arthroplasty; Orthopedics; Knee.

Abstract

Introduction: The advance in the development of implant technologies that are more resistant and more modern, adapting the human anatomy, reducing pain and the readaptation process, in addition to the great improvement of surgical techniques and techniques of sterilization and packaging of surgical materials, made arthroplasty knee (TKA) the most performed group of surgeries in the orthopedic environment. The advancement of techniques in the application of knee trampling has made the technique of frequent and increasing use in the last decade, conditioning its success to several factors: the design of the components, the quality of the available materials, the manufacturing technique, application adequate to each patient, as well as the development of the surgical technique. Methodology: This is a narrative review of the literature. Results: A great instrument is the navigation of total knee arthroplasty, which is an instrument that facilitates the operative performance, also having the ability to assist the surgeon in making intraoperative decisions, enabling the simulation of situations before performing them. It has great use in the teaching field, as it makes it possible to immediately see the effect of each action performed during the operation, and it is possible that the navigator eliminates the need for the surgeon's qualification or reduces the value of his experience, as the navigator does not point out paths or make decisions. by the surgeon, providing only assistance in obtaining and measuring the planned results for each action. This activity enhances the surgeon's knowledge and experiences as it provides great parameters with high precision and real-time objectives in the operation. Conclusion: The use of robotics in orthopedic surgery should be seen as an instrument available to the Surgeon, demonstrating their knowledge and never as an autonomous independent system that can compensate for an eventual deficiency of experience or knowledge. Important studies reveal that using robotics, surgery revision rates have decreased, increasing patient satisfaction with the surgery.

References

Babazadeh, S. et al. (2013).The long leg radiograph is a reliable method of assessing alignment when compared to computer-assisted navigation and computer tomography. Knee. 20(4), 242–9.

Beldame J ; Boisrenoult P & Beaufils P. (2010). Pin track induced fractures around computer-assisted TKA. Orthop Traumatol Surg Res.; 96(3), 249-55.

Daniilidis, K. & Tibesku, C. O. (2013). Frontal plane alignment after total knee arthroplasty using patient-specific instruments. International orthopaedics. 37(1), 45–50.

Deakin, A. H. & Sarungi, M. (2014). A Comparison of Variable Angle Versus Fixed Angle Distal Femoral Resection in Primary Total Knee Arthroplasty. The Journal of Arthroplasty. 29(6), 1133–7.

Donaldson, J.& Joyner, J. & Tudor, F.(2015). Current Controversies of Alignment in Total Knee Replacements. p. 489–494, 2015.

Griffin, F. M. & Insall, J. N. & Scuderi, G. R. (2000). Accuracy of Soft Tissue Balancing in Total Knee Arthroplasty. 15(8), 970–3.

Hakki S & Coleman S & Saleh K, Bilotta V J & Hakki A. (2009) .Navigational predictors in determining the necessity for collateral ligament release in total knee replacement. J Bone Joint Surg Br. 91(9),1178-82.

Howcroft, D. W. J. et al. (2006).The role of preoperative templating in total knee arthroplasty: Comparison of three prostheses. Knee, 13(6), 427–429.

Jenny J Y, Clemens U & Kohler S, Kiefer H & Konermann W, Miehlke R K (2005). Consistency of implantation of a total knee arthroplasty with a non-image-based navigation system a case-control study of 235 casescompared with 235 conventionally implanted prostheses. J Arthroplasty. (20), 832-9c.

Kutzner, I. (2012). Influence of Limb Alignment on Mediolateral Loading in Total Knee ReplacementIn Vivo Measurements in Five Patients. The Journal of Bone and Joint Surgery (American), 94(11), 1023.

Lee, H. J. et al. (2011).Comparison of joint line position changes after primary bilateral total knee arthroplasty performed using the navigation-assisted measured gap resection or gap balancing techniques. Knee Surgery, Sports Traumatology, Arthroscopy, 19(12), 2027–2032.

Mendes K D S; Silveira R C C P & Galvão C M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 17(4), 758-64.

Mota. R. F. & Albuquerque L. (2011). Navegação na Artroplastia Total do Joelho .Navigation in total knee arthroplasty Roberto Freire da Mota e Albuquerque Rev Bras Ortop. 46(1), 18-22.

Roberto F.M; Albuquerque L; Fábio J. A; José R. P. ; Marco M. A. , Sandra, U. S.. (2006). Artroplastia total do joelho assistida por computador . Acta Ortop Brás.14(4).

Stiehl JB, Jackson S & Szabo A. (2009).Multi-factorial analysis of time efficiency in total knee arthroplasty. Comput Aided Surg.14(1-3):58-62 16.

Widmer, K.-H.& Zich, A. (2015). Ligamentkontrollierte Positionierung der Knieprothesenkomponenten. Der Orthopäde, 44(4), 275–281.

Winck, R D. R; Brüggemann, D. M. (2010). Responsabilidade legal do enfermeiro em obstetrícia. Revista Brasileira de Enfermagem. Brasília, 63(3), 464-469, 2010.

Zorman D & Etuin P, Jennart H & Scipioni D, Devos S. (2005). Computer-assisted total knee arthroplasty: comparative results in a preliminary series of 72 cases. Acta Orthop Belg. 71, 696-702.

Published

25/09/2022

How to Cite

PEREIRA, R. T. .; PENTRADO, J. P. R. .; BERNARDINETTI , M.; NOGUEIRA, N. I. A. .; TAVARES, J. P. .; BATISTA, G. de J. . Modern orthopedics: the use of robotics in total knee arthroplasty. Research, Society and Development, [S. l.], v. 11, n. 12, p. e521111234960, 2022. DOI: 10.33448/rsd-v11i12.34960. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34960. Acesso em: 19 apr. 2024.

Issue

Section

Teaching and Education Sciences