Comparison of perioperative complications in total arthroplasty of the knee: Robotic approach versus regular - an overview of literature
DOI:
https://doi.org/10.33448/rsd-v13i9.46748Keywords:
Knee arthroplasty; Robotic surgical procedures; Knee.Abstract
Musculoskeletal diseases negatively affect the musculoskeletal system, causing pain and limited movement, as well as cartilage damage due to mechanical trauma, obesity and excessive movements, leading to an inflammatory cycle that compromises the joint. This study aims to evaluate the complications of robotic and traditional surgical procedures in TKA. The study design was carried out in the form of an integrative review of the literature. The intraoperative complications associated with TKA and TKA were reviewed, analyzing 32 articles from 2018 to 2024. Conventional TKA presents complications such as hypotension, atelectasis, deep vein thrombosis (DVT) and postoperative pain, with a dissatisfaction rate of approximately 20 %. TKAR, despite a longer operating time, shows less variation in the angulation of the prosthesis and a reduction in the need for blood transfusions. However, TKA has higher costs and a greater risk of infections. The use of a tourniquet during TKA is associated with complications such as increased pain and risk of thrombosis, while tranexamic acid (TXA) demonstrates efficacy in reducing blood loss and the need for transfusions, without a significant negative impact on pain or range of motion. Periarticular infiltration (PAI) is more effective in reducing postoperative pain compared to adductor canal block (ACB). Conclusively, TKA offers advantages in the precision and stability of the prosthesis, but with challenges such as higher cost and operating time, and the choice of method must consider the specificities and risks of each approach.
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Copyright (c) 2024 Otoni Lima de Oliveira Filho; Arthur Lucena Valle; Pedro Henrique Cirne Borba; Maria Clara Fernandes Fabricio; Rafael Cavalcanti Pereira; Diego Fabricio Ribeiro; Maine Virgínia Alves Confessor
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