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  4. Simultaneous Evaluation of Bone Cut and Implant Placement Accuracy in Robotic-Assisted Total Knee Arthroplasty
 
research article

Simultaneous Evaluation of Bone Cut and Implant Placement Accuracy in Robotic-Assisted Total Knee Arthroplasty

Cosendey, Killian
•
Stanovici, Julien
•
Cadas, Hugues
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March 1, 2024
Journal Of Clinical Medicine

Background: This study aimed to evaluate the accuracy of bone cuts and implant placements, simultaneously, for total knee arthroplasty (TKA) performed using a system with an active robotic arm. Methods: Two experienced orthopaedic surgeons performed TKA on ten cadaveric legs. Computed tomography scans were performed to compare the bone cuts and implant placements with the preoperative planning. The differences between the planned and actual bone cuts and implant placements were assessed using positional and angular errors in the three anatomical planes. Additionally, the cut-implant deviations were calculated. Statistical analysis was performed to detect systematic errors in the bone cuts and implant placements and to quantify the correlations between these errors. Results: The root-mean-square (RMS) errors of the bone cuts (with respect to the planning) were between 0.7-1.5 mm and 0.6-1.7 degrees. The RMS implant placement errors (with respect to the planning) varied between 0.6-1.6 mm and 0.4-1.5 degrees, except for the femur and tibia in the sagittal plane (2.9 degrees). Systematic errors in the bone cuts and implant placements were observed, respectively, in three and two degrees of freedom. For cut-implant deviations, the RMS values ranged between 0.3-2.0 mm and 0.6-1.9 degrees. The bone cut and implant placement errors were significantly correlated in eight degrees-of-freedom (rho >= 0.67, p < 0.05). Conclusions: With most of the errors below 2 mm or 2 degrees, this study supported the value of active robotic TKA in achieving accurate bone cuts and implant placements. The findings also highlighted the need for both accurate bone cuts and proper implantation technique to achieve accurate implant placements.

  • Details
  • Metrics
Type
research article
DOI
10.3390/jcm13051293
Web of Science ID

WOS:001183249200001

Author(s)
Cosendey, Killian
Stanovici, Julien
Cadas, Hugues
Omoumi, Patrick
Jolles, Brigitte M.  
Favre, Julien
Date Issued

2024-03-01

Published in
Journal Of Clinical Medicine
Volume

13

Issue

5

Article Number

1293

Subjects

Life Sciences & Biomedicine

•

Total Knee Arthroplasty

•

Robotic-Assisted Surgery

•

Accuracy

•

Bone Cuts And Implant Placements

•

Position And Orientation Errors

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
IEM  
FunderGrant Number

Think Surgical Inc.

Available on Infoscience
April 3, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/206919
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