Abstract

Objectives: This review evaluates the literature comparing Robotic-assisted and Conventional Knee Arthroplasty based on accuracy, operative time, and patient outcomes. It aims to determine the potential of robotic-assisted surgeries in orthopedics and other surgical fields to provide guidance to medical professionals on best practices in Knee Arthroplasty. Methods / Evidence Acquisition: This study conducted a search for evidence primarily on two databases: PubMed and Web of Science, with two additional articles found in the National Library of Medicine. The search utilized the term “Robotic Assisted Total Knee Arthroplasty” matched with various Mesh terms. Only articles published between 2018 and the present were included for evidence collection. Results and Discussion / Evidence Synthesis: The measurement of the postoperative Hip-Knee-Ankle (HKA) in comparison to the preoperative plan demonstrated significantly greater accuracy in Robotic Assisted Total Knee Arthroplasty (RATKA). Furthermore, the number of outliers was significantly less in RATKA. Conversely, the operative time was significantly longer in RATKA. Patient outcomes, including estimated blood loss, length of stay, complications, the number of revision surgeries, and C-Reactive Protein (CRP), did not differ significantly between the two techniques; however, estimated blood loss, length of stay, and CRP displayed a trend toward better outcomes in RATKA. The results of the analysis revealed a clear advantage in terms of cost effectiveness for RATKA.

Conclusions: Patients who require higher accuracy levels for optimal outcomes should undergo RATKA. Conversely, patients at higher risk for intraoperative complications as surgery duration increases should opt for conventional TKA.

Publication Date

1-1-2024

Document Type

Master's Project

Student Type

Graduate

Degree Name

Physician Assistant (MS)

Department, Program, or Center

Physician Assistant

College

College of Health Sciences and Technology

Advisor

Nancy Valantage

Campus

RIT – Main Campus

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