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The future of robotic TKA surgery - a critical review but positive outlook

Published in N°011 - May / June 2021
Article viewed 113 times

The future of robotic TKA surgery - a critical review but positive outlook

By Cécile BATAILLER(1), Sébastien PARRATTE(2,3) in category TECHNOLOGY
(1) Orthopaedics surgery and Sports Medicine Department, Croix-Rousse Hospital, Lyon, France. - (2) International Knee and Joint Centre, Abu Dhabi, United Arab Emirates. - (3) Institute for Locomotion, Aix-Marseille University, Marseille, France.

Orthopedic surgery is one of the most dynamic surgical specialties, and knee arthroplasty surgery is one of its fastest-growing sub-segments. In parallel of this growth, computer assisted surgery (CAS) using computer navigation, patient specific instrumentation and sensors have been progressively developed to increase the accuracy and the reproducibility of total knee arthroplasty (TKA).

Introduction

Orthopedic surgery is one of the most dynamic surgical specialties, and knee arthroplasty surgery is one of its fastest-growing sub-segments. In parallel of this growth, computer assisted surgery (CAS) using computer navigation, patient specific instrumentation and sensors have been progressively developed to increase the accuracy and the reproducibility of total knee arthroplasty (TKA). The latest CAS technology gaining interest is robotically assisted surgery (RAS) in knee arthroplasty. Despite the high accuracy and the reproducibility during TKA procedures brought by the robotic system, clear clinical advantages and superiority of these innovations have not yet been proven. The place of RAS in orthopedic surgery in the future, particularly in knee arthroplasty, is not yet well defined and remains subject of debate. Several questions about the ultimate goal of RAS are not settled now. In this article we will give a critical review but aimed to give some positive outlooks about the future of RAS in knee arthroplasty.

 

Visions of future RAS for knee arthroplasty

Three different visions of the future of RAS for knee arthroplasty exist currently, which will be described in more detail.

The super optimistic vision could be described as the “cyborg of the TKA...

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