Abstract
Optimizing results and durability in total knee arthroplasty (TKA) requires a combination of acceptable component alignment and sizing, as well as accurate soft tissue balancing. Smart technologies have evolved to achieve these goals. While autonomous robots have improved component accuracy, more recently, semiautonomous robotic technologies have emerged to satisfy not only the need to achieve bone resections within desired parameters, but also, and perhaps most importantly, to quantify precise soft tissue balance in the setting of TKA. This chapter highlights the early experience with the ROSA Knee semiautonomous robotic system for TKA.
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Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall award paper. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;7:13.
Schroer WC, Berend KR, Lombardi AV, Barnes CL, Bolognesi MP, Berend ME, et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplast. 2013;28(8 Suppl):116–9.
Dalury DF, Pomeroy DL, Gorab RS, Adams MJ. Why are total knee arthro- plasties being revised? J Arthroplast. 2013;28(8 Suppl):120–1.
Thiele K, Perka C, Matziolis G, Mayr HO, Sostheim M, Hube R. Current failure mechanisms after knee arthroplasty have changed: polyethylene wear is less common in revision surgery. J Bone Joint Surg Am. 2015;97:715–20.
Parratte S, Pagnano MW, Trousdale RT, Berry DJ. Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements. J Bone Joint Surg Am. 2010;92(12):2143.
Ritter MA, Davis KE, Meding JB, Pierson JL, Berend ME, Malinzak RA. The effect of alignment and BMI on failure of total knee replacement. J Bone Joint Surg Am. 2011;93(17):1588.
Howell SM, Howell SJ, Kuznik KT, Cohen J, Hull ML. Does a kinematically aligned total knee arthroplasty restore function without failure regardless of alignment category? Clin Orthop Relat Res. 2013;471:1000–7.
Lonner JH, Fillingham YA. Pros and cons: a balanced view of robotics in knee arthroplasty. J Arthroplast. 2018;33:2007–13.
Jacofsky DJ, Allen M. Robotics in arthroplasty: a comprehensive review. J Arthroplast. 2016; https://doi.org/10.1016/j.arth.2016.05.026.
Bargar WL. Robots in orthopaedic surgery: past, present, and future. Clin Orthop Relat Res. 2007;463:31–6.
Urish KL, Conditt M, Roche M, Rubash HE. Robotic total knee arthroplasty: surgical assistant for a customized normal kinematic knee. Orthopedics. 2016;39:e822–7.
Liow MH, Xia Z, Wong MK, Tay KJ, Yeo SJ, Chin PL. Robot-assisted total knee arthroplasty accurately restores the joint line and mechanical axis. A prospective randomized study. J Arthroplast. 2014;29:2373–7.
Dabuzhsky L, Neuhauser-Daley K, Plaskos C. Post-operative manipulation rates in robotic-assisted TKA using a gap referencing technique. Bone Joint J. 2017;99-B(SUPP 3):87.
Koenig JA, Suero EM, Plaskos C. Surgical accuracy and efficiency of computer-navigated TKA with a robotic cutting guide–report on the first 100 cases. J Bone Joint Surg Br. 2012;94-B(S)-XLIV:103.
Calliess T, Ettinger M, Savov P, Karkosch R, Windhagen H. Individualized alignment in total knee arthroplasty using image-based robotic assistance: video article. Orthopade. 2018;47(10):871–9. https://doi.org/10.1007/s00132-018-3637-1.
Cinotti G, Ripani FR, Ciolli G, La Torre G, Giannicola G. The native coronal orientation of tibial plateaus may limit the indications to perform a kinematic aligned total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2018; https://doi.org/10.1007/s00167-018-5017-0. [Epub ahead of print].
Hetaimish BM, Khan MM, Simunovic N, Al-Harbi HH, Bhandari M, Zalzal PK. Meta-analysis of navigation vs conventional total knee arthroplasty. J Arthroplast. 2012;27:1177–82.
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Klein, G.R., James, D., Lonner, J.H. (2019). Total Knee Arthroplasty Technique: ROSA® Knee. In: Lonner, J. (eds) Robotics in Knee and Hip Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-16593-2_18
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DOI: https://doi.org/10.1007/978-3-030-16593-2_18
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