Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis
Abstract Purpose Prolongation of operation time due to registration and pin insertion has been reported with robotic‐assisted total knee arthroplasty (RATKA), and there has been concern about an increase in the postoperative incidence of deep vein thrombosis (DVT). In this study, we compared the inc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-023-00628-6 |
| _version_ | 1827324260115283968 |
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| author | Junya Itou Umito Kuwashima Masafumi Itoh Ken Okazaki |
| author_facet | Junya Itou Umito Kuwashima Masafumi Itoh Ken Okazaki |
| author_sort | Junya Itou |
| collection | DOAJ |
| description | Abstract Purpose Prolongation of operation time due to registration and pin insertion has been reported with robotic‐assisted total knee arthroplasty (RATKA), and there has been concern about an increase in the postoperative incidence of deep vein thrombosis (DVT). In this study, we compared the incidence of DVT after RATKA with that after conventional manual TKA (mTKA). Methods This consecutive retrospective series included 141 knees that underwent primary TKA using the Journey II system. The CORI robot was used. There were 60 RATKAs and 81 mTKAs. Doppler ultrasound was performed in all patients on postoperative day 7 to determine whether DVT was present. Results The operation time was longer in the RATKA cohort (99.5 min vs 78.0 min, p < 0.001). The overall incidence of DTV was 43.9% (62/141 knees), all of which were asymptomatic. There was no significant difference in incidence of DVT between RATKA and mTKA (50.0% vs 39.5%, p = 0.23). Use of the robot did not affect the incidence of DVT following TKA (odds ratio 1.02, 95% confidence interval 0.40–2.60; p = 0.96). Conclusion The incidence of DVT was not significantly different between RA‐TKA and mTKA. Multiple logistic regression indicated that RATKA is not associated with increased risk of postoperative DVT. Level of evidence IV. |
| first_indexed | 2024-03-08T04:57:25Z |
| format | Article |
| id | doaj.art-6478f816e7544f028904783cd24b863c |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-25T02:09:34Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-6478f816e7544f028904783cd24b863c2024-03-07T12:46:41ZengWileyJournal of Experimental Orthopaedics2197-11532023-01-01101n/an/a10.1186/s40634-023-00628-6Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosisJunya Itou0Umito Kuwashima1Masafumi Itoh2Ken Okazaki3Department of Orthopaedic SurgeryTokyo Women’s Medical University8‐1 Kawada‐Cho, Shinjuku‐Ku162‐8666TokyoJapanDepartment of Orthopaedic SurgeryTokyo Women’s Medical University8‐1 Kawada‐Cho, Shinjuku‐Ku162‐8666TokyoJapanDepartment of Orthopaedic SurgeryTokyo Women’s Medical University8‐1 Kawada‐Cho, Shinjuku‐Ku162‐8666TokyoJapanDepartment of Orthopaedic SurgeryTokyo Women’s Medical University8‐1 Kawada‐Cho, Shinjuku‐Ku162‐8666TokyoJapanAbstract Purpose Prolongation of operation time due to registration and pin insertion has been reported with robotic‐assisted total knee arthroplasty (RATKA), and there has been concern about an increase in the postoperative incidence of deep vein thrombosis (DVT). In this study, we compared the incidence of DVT after RATKA with that after conventional manual TKA (mTKA). Methods This consecutive retrospective series included 141 knees that underwent primary TKA using the Journey II system. The CORI robot was used. There were 60 RATKAs and 81 mTKAs. Doppler ultrasound was performed in all patients on postoperative day 7 to determine whether DVT was present. Results The operation time was longer in the RATKA cohort (99.5 min vs 78.0 min, p < 0.001). The overall incidence of DTV was 43.9% (62/141 knees), all of which were asymptomatic. There was no significant difference in incidence of DVT between RATKA and mTKA (50.0% vs 39.5%, p = 0.23). Use of the robot did not affect the incidence of DVT following TKA (odds ratio 1.02, 95% confidence interval 0.40–2.60; p = 0.96). Conclusion The incidence of DVT was not significantly different between RA‐TKA and mTKA. Multiple logistic regression indicated that RATKA is not associated with increased risk of postoperative DVT. Level of evidence IV.https://doi.org/10.1186/s40634-023-00628-6Total knee arthroplastyDeep vein thrombosisRobotics |
| spellingShingle | Junya Itou Umito Kuwashima Masafumi Itoh Ken Okazaki Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis Journal of Experimental Orthopaedics Total knee arthroplasty Deep vein thrombosis Robotics |
| title | Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| title_full | Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| title_fullStr | Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| title_full_unstemmed | Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| title_short | Robotic‐assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| title_sort | robotic assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis |
| topic | Total knee arthroplasty Deep vein thrombosis Robotics |
| url | https://doi.org/10.1186/s40634-023-00628-6 |
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