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Archives of Orthopaedic and Traumatic Surgery
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Serveur académique lausannois
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The usability of robotic-assisted systems for total knee arthroplasty can be improved without hindering the accuracy of the bone cuts

Authors: Killian Cosendey; Julien Stanovici; Jaad Mahlouly; Patrick Omoumi; Brigitte M. Jolles; Julien Favre;

The usability of robotic-assisted systems for total knee arthroplasty can be improved without hindering the accuracy of the bone cuts

Abstract

Abstract Introduction This study assessed the bone cuts accuracy of a robotic-assisted system for total knee arthroplasty (TKA) that was recently upgraded. Materials and methods Three orthopaedic surgeons planned and executed TKA on 24 sawbones. Bone cut accuracy was assessed using CT scans, comparing the planning and the actual bone cuts in all six degrees-of-freedom. Results The root-mean-square (RMS) values were below 2 mm or 2° for all error types, except for the medio-lateral position (2.4 mm) and internal-external rotation (2.3°) of the left tibias. The maximal amplitude of the 288 errors (6 degrees-of-freedom * 2 bones * 24 knees) was observed in tibial external rotation (3.2°). Most error types reported a bias, with limited variations among knees. Conclusions The errors were in the same range as those of the prior version of the system, suggesting that the improvements brought by the system upgrade were not obtained at the expense of accuracy.

Keywords

Research, Arthroplasty, Replacement, Knee/methods; Arthroplasty, Replacement, Knee/instrumentation; Humans; Robotic Surgical Procedures/methods; Tibia/surgery; Tibia/diagnostic imaging; Tomography, X-Ray Computed; Positional and angular errors; Registration; Robotic-assisted surgery; Total knee arthroplasty

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
hybrid