Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives
Total knee arthroplasty (TKA) is a successful and highly effective procedure in most patients with tricompartmental knee arthritis. Despite the innovations in surgical techniques due to planning software and technological innovations, patients’ dissatisfaction after TKA is still high, at up to 20%....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Prosthesis |
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| Online Access: | https://www.mdpi.com/2673-1592/5/4/86 |
| _version_ | 1797379547679686656 |
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| author | Antonino Cantivalli Umberto Cottino Davide Edoardo Bonasia Federica Rosso Roberto Rossi |
| author_facet | Antonino Cantivalli Umberto Cottino Davide Edoardo Bonasia Federica Rosso Roberto Rossi |
| author_sort | Antonino Cantivalli |
| collection | DOAJ |
| description | Total knee arthroplasty (TKA) is a successful and highly effective procedure in most patients with tricompartmental knee arthritis. Despite the innovations in surgical techniques due to planning software and technological innovations, patients’ dissatisfaction after TKA is still high, at up to 20%. Robotic-assisted surgery (RAS) could be considered as a future option for improving outcomes due to its higher accuracy, precision, and reliability. Robotic systems can be classified as fully active, semi-active, or passive depending on the surgeon’s involvement during the procedure, and as imageless or image-based according to the necessity of radiological exams for the pre-operative planning. Three of the most well-known robotic systems for knee surgery are MAKO<sup>®</sup> (Stryker Ltd., Kalamazoo, MI, USA), NAVIO<sup>®</sup> (Smith & Nephew, Andover, TX, USA), and ROSA<sup>®</sup> (Zimmer Inc., Warsaw, IN, USA). These systems show differences in terms of surgeon involvement, the use of CT scans or X-rays for pre-operative planning, the possibility to perform both unicompartmental knee arthroplasty (UKA) and TKA (or even total hip arthroplasty THA), and in the different kinds of knee prosthesis that can be implanted. This article aims to describe the features of the most used robotic systems for knee arthroplasty, to examine their outcomes and analyze their cost-effectiveness, and to evaluate future perspectives. |
| first_indexed | 2024-03-08T20:24:51Z |
| format | Article |
| id | doaj.art-3c4bed16b9c746d0b99f9332915ed72e |
| institution | Directory Open Access Journal |
| issn | 2673-1592 |
| language | English |
| last_indexed | 2024-03-08T20:24:51Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Prosthesis |
| spelling | doaj.art-3c4bed16b9c746d0b99f9332915ed72e2023-12-22T14:37:53ZengMDPI AGProsthesis2673-15922023-11-01541257127410.3390/prosthesis5040086Robotic Systems in Knee Surgery: Current Concepts and Future PerspectivesAntonino Cantivalli0Umberto Cottino1Davide Edoardo Bonasia2Federica Rosso3Roberto Rossi4ASLTO5, Department of Orthopaedics and Traumatology, Ospedale Maggiore di Chieri, Via Giovanni de Maria, 1, 10023 Chieri, ItalyAO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Turin, Largo Turati 62, 10128 Torino, ItalyAO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Turin, Largo Turati 62, 10128 Torino, ItalyAO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Turin, Largo Turati 62, 10128 Torino, ItalyAO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Turin, Largo Turati 62, 10128 Torino, ItalyTotal knee arthroplasty (TKA) is a successful and highly effective procedure in most patients with tricompartmental knee arthritis. Despite the innovations in surgical techniques due to planning software and technological innovations, patients’ dissatisfaction after TKA is still high, at up to 20%. Robotic-assisted surgery (RAS) could be considered as a future option for improving outcomes due to its higher accuracy, precision, and reliability. Robotic systems can be classified as fully active, semi-active, or passive depending on the surgeon’s involvement during the procedure, and as imageless or image-based according to the necessity of radiological exams for the pre-operative planning. Three of the most well-known robotic systems for knee surgery are MAKO<sup>®</sup> (Stryker Ltd., Kalamazoo, MI, USA), NAVIO<sup>®</sup> (Smith & Nephew, Andover, TX, USA), and ROSA<sup>®</sup> (Zimmer Inc., Warsaw, IN, USA). These systems show differences in terms of surgeon involvement, the use of CT scans or X-rays for pre-operative planning, the possibility to perform both unicompartmental knee arthroplasty (UKA) and TKA (or even total hip arthroplasty THA), and in the different kinds of knee prosthesis that can be implanted. This article aims to describe the features of the most used robotic systems for knee arthroplasty, to examine their outcomes and analyze their cost-effectiveness, and to evaluate future perspectives.https://www.mdpi.com/2673-1592/5/4/86robotic-assisted surgeryTKAMAKONAVIOROSA |
| spellingShingle | Antonino Cantivalli Umberto Cottino Davide Edoardo Bonasia Federica Rosso Roberto Rossi Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives Prosthesis robotic-assisted surgery TKA MAKO NAVIO ROSA |
| title | Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives |
| title_full | Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives |
| title_fullStr | Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives |
| title_full_unstemmed | Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives |
| title_short | Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives |
| title_sort | robotic systems in knee surgery current concepts and future perspectives |
| topic | robotic-assisted surgery TKA MAKO NAVIO ROSA |
| url | https://www.mdpi.com/2673-1592/5/4/86 |
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