Robotics for total knee arthroplasty by NAVIO: study of patient outcomes and surgical progress of operators

AbstractAll-polyethylene tibial (APT) implants were incorporated into the initial design of the first total knee arthroplasty (TKA) systems. Since then, a dynamic shift has taken place and metal-backed tibial (MBT) implants have become the gold standard in TKA. This has mostly been due to the theoretical advantages of intraoperative flexibility and improved biomechanics in addition to the heavy influence of device manufacturers. MBT implant comes not only with a higher cost but also with potential for complications such as osteolysis, backside wear, and thinning of the polyethylene insert, which were not previously seen with APT implant. The majority of studies comparing APT and MBT implants have shown no difference in clinical outcomes and survivorship. Newer studies from the past decade have begun highlighting the economic advantages of APT implant, especially in patients undergoing primary, uncomplicated TKA. Use of APT implants in younger patients and those with a body mass index > 35 has not been extensively studied, but the existing literature suggests the use of APT implant in these cohorts to be equally as acceptable. With modern implant design and instrumentation, rising utilization of TKA along with current and future economic strain on health care, the increased use of APT implant could result in massive savings without sacrificing positive patient outcomes.

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The Impact of Morbid Obesity on Patient Outcomes After Total Knee Arthroplasty

The Journal of Arthroplasty ◽

10.1016/j.arth.2007.08.005 ◽

2008 ◽

Vol 23 (6) ◽

pp. 795-800 ◽

Cited By ~ 96

Author(s):

Vaishnav Rajgopal ◽

Robert B. Bourne ◽

Bert M. Chesworth ◽

Steven J. MacDonald ◽

Richard W. McCalden ◽

...

Keyword(s):

Morbid Obesity ◽

Total Knee Arthroplasty ◽

Patient Outcomes ◽

Knee Arthroplasty ◽

Total Knee ◽

The Impact

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The Impact of Diabetes on Perioperative Patient Outcomes after Total Hip and Total Knee Arthroplasty in the United States

The Journal of Arthroplasty ◽

10.1016/j.arth.2008.01.254 ◽

2008 ◽

Vol 23 (2) ◽

pp. 322-323

Author(s):

Michael P. Bolognesi ◽

Milford H. Marchant, Jr. ◽

Nicholas A. Viens ◽

Chad Cook ◽

Ricardo Pietrobon ◽

...

Keyword(s):

United States ◽

Total Knee Arthroplasty ◽

Patient Outcomes ◽

Knee Arthroplasty ◽

The United States ◽

Total Hip ◽

Total Knee ◽

The Impact

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Early Patient Outcomes After Primary Total Knee Arthroplasty with Quadriceps-Sparing Subvastus and Medial Parapatellar Techniques

The Journal of Bone and Joint Surgery (American) ◽

10.2106/jbjs.l.01578 ◽

2014 ◽

Vol 96 (11) ◽

pp. 907-915 ◽

Cited By ~ 10

Author(s):

Ivan M Tomek ◽

Stephen R Kantor ◽

LuAnne A Cori ◽

Jennifer M Scoville ◽

Margaret R Grove ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Patient Outcomes ◽

Knee Arthroplasty ◽

Primary Total Knee Arthroplasty ◽

Total Knee ◽

Quadriceps Sparing ◽

Medial Parapatellar ◽

Primary Total Knee

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The Effects of a Preoperative Physical Therapy Visit on Patient Outcomes Following Total Knee Arthroplasty

Journal of Patient-Centered Research and Reviews ◽

10.17294/2330-0698.1662 ◽

2018 ◽

Vol 5 (4) ◽

pp. 317

Author(s):

Kelly E Schneider ◽

Sheldon R Garrison ◽

Maharaj Singh ◽

Jennifer L Pogodzinski

Keyword(s):

Total Knee Arthroplasty ◽

Physical Therapy ◽

Patient Outcomes ◽

Knee Arthroplasty ◽

Total Knee

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Effect of Educational Program on Nurses' Knowledge, Practices and Patients' Outcomes Post Total Knee Arthroplasty

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v3i4.217 ◽

2021 ◽

Vol 3 (4) ◽

pp. 16

Author(s):

Amal S. Taha ◽

Rawia A. Ibrahim

Keyword(s):

Total Knee Arthroplasty ◽

Patient Outcomes ◽

Knee Arthroplasty ◽

Program Implementation ◽

Educational Program ◽

Knowledge Practices ◽

Orthopedic Department ◽

Total Knee ◽

Nurses Knowledge

Context: Total knee arthroplasty (TKA) is a surgical procedure in which the damaged parts of the patient's kneecap, thighbone, and shinbone are replaced with artificial parts. Aim: This study aimed to evaluate the effect of an educational program on nurses' knowledge, practices, and patients' outcomes post total knee arthroplasty. Methods: A quasi-experimental design was utilized in the orthopedic department and outpatient orthopedic clinic affiliated to Benha University Hospital from the beginning of July 2020 to the end of June 2021. A convenience sample of all available nurses (50) working in the orthopedic department. A purposive sample of 64 adult patients from both genders was divided into (32) control and (32) study groups. Three tools were used: The nurses' knowledge assessment questionnaire, nurses' practice observational checklist, and patient’ outcomes assessment sheet. Results: The present study revealed that 58% of nurses age was from 40 to less than 60 years old, 92% were females, 66% had secondary nursing education, 28 % of studied nurses had total satisfactory knowledge pre-program implementation, which reached 80%, 58 %, respectively immediately after and in follow up of program implementation. 22% of studied nurses had a competent level of practice scores pre-program implementation, which improved to 82%, 74 %, respectively, immediately after and in follow up of program implementation. There were highly statistically significant differences between study and control group patients regarding the frequency of most of the general and local complication and lower extremity function scale after two weeks and one month post-surgery at p-value<0.00. Conclusion: Implementing the educational program had statistically significantly improved the knowledge and practices of the studied nurses that could reflect positively on patient condition. The study recommended a continuous educational program for all nurses working in the orthopedic departments. Further study to search the correlation between the nurses' performance and the patient outcomes is recommended.

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