The successful implementation of the Navio robotic technology required 29 cases.

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Tytuł:: The successful implementation of the Navio robotic technology required 29 cases.
Autorzy:: Bell C; Rothman Orthopaedic Institute, 2500 English Creek Ave., Building 1300, Egg Harbor Township, NJ, 08234, USA.
Grau L; Riverside Medical Group, 201 Route 17, Suite 1202, Rutherford, NJ, 07070, USA.
Orozco F; Orozco Orthopedics, 1999 New Road, Suite B, Linwood, NJ, 08221, USA.
Ponzio D; Rothman Orthopaedic Institute, 2500 English Creek Ave., Building 1300, Egg Harbor Township, NJ, 08234, USA.
Post Z; Rothman Orthopaedic Institute, 2500 English Creek Ave., Building 1300, Egg Harbor Township, NJ, 08234, USA.
Czymek M; Rothman Orthopaedic Institute, 2500 English Creek Ave., Building 1300, Egg Harbor Township, NJ, 08234, USA. .
Ong A; Rothman Orthopaedic Institute, 2500 English Creek Ave., Building 1300, Egg Harbor Township, NJ, 08234, USA.
Źródło:: Journal of robotic surgery [J Robot Surg] 2022 Jun; Vol. 16 (3), pp. 495-499. Date of Electronic Publication: 2021 Jun 19.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : Springer
MeSH Terms:: Arthroplasty, Replacement, Knee*
Robotic Surgical Procedures*/methods
Robotics*
Humans ; Knee Joint/surgery ; Prospective Studies
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Contributed Indexing:: Keywords: Implementation; Learning curve; Robotic-assisted; Total knee arthroplasty
Entry Date(s):: Date Created: 20210619 Date Completed: 20220530 Latest Revision: 20220530
Update Code:: 20240104
DOI:: 10.1007/s11701-021-01254-z
PMID:: 34146231
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Robotic-assisted total knee arthroplasty (RA-TKA) has potential benefits of improved restoration of mechanical alignment, accuracy of bony resection, and balancing. The purpose of this study was to determine the number of cases necessary for a single surgeon to achieve a constant, steady-state surgical time. The secondary purpose was to identify which steps demonstrated the most time reduced. This was a prospective study assessing intraoperative time for 60 RA-TKA with the Navio surgical system. Overall arthroplasty time and duration for each step were recorded. Statistical analysis included a nonlinear regression and survival regression. Successful implementation required 29 cases to achieve a steady-state. The average time decreased from 41.8 min for the first cohort to 31.1 min for the last cohort, a 26% decrease. The step with the greatest reduction was the "Review of Intraoperative Plan" with a reduction of 2.1 min. This study demonstrates surgical times averaging below 60 min and a learning curve that is complete in 29 cases with the surgeon reporting a high level of confidence with the system at 10 cases. Though Navio assisted TKA showed a significantly slower operative time, we are hopeful that future generations of robotic technology will be more efficiently implemented by surgeons.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)

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