Academic Journal

Operating room efficiency after the implementation of MAKO robotic-assisted total knee arthroplasty.

التفاصيل البيبلوغرافية
العنوان: Operating room efficiency after the implementation of MAKO robotic-assisted total knee arthroplasty.
المؤلفون: Loomans, Laura1 (AUTHOR) laura.loomans@hotmail.com, Leirs, Geert2 (AUTHOR), Vandenneucker, Hilde3 (AUTHOR)
المصدر: Archives of Orthopaedic & Trauma Surgery. Sep2023, Vol. 143 Issue 9, p5501-5506. 6p.
مصطلحات موضوعية: *TOTAL knee replacement, *OPERATING rooms, *MANN Whitney U Test, *FISHER exact test, *LENGTH of stay in hospitals
People: MAKO, 1933-2006
مستخلص: Introduction: The aim of this study was to examine if robotic-assisted total knee arthroplasty (RATKA) is cost- and time-effective in terms of implant stock and perioperative parameters, as optimizing perioperative efficiency may contribute to value-based care. Materials and methods: Four hundred thirty-two consecutive patients who received primary total knee arthroplasties (TKAs) from May 2017 to March 2020 in a regional hospital were included in this study. Operating room time (OR time), surgical time, number of trays, insert thickness, and length of stay (LOS) were assessed and compared for a cohort group with navigation-assisted procedures to a group with robotic-assisted procedures (MAKO, Stryker, USA). Prediction of implant size was assessed for the robotic-assisted group. The Mann–Whitney U test was used for comparisons between groups when the normality assumption was not met. Categorical variables were assessed using the Fisher's exact test. p < 0.05 was considered statistically significant. Results: In the RATKA group, we noticed a significant mean reduction of 11 min in total OR time (p < 0.001), the use of thinner insert (p < 0.001), and a shorter mean length of stay of 1 day (p < 0.001). Compared to the navigation group, surgical time was not significantly longer, nor clinically relevant (0.238). In 76.9% of the robotic-assisted cases, the estimated implant size was equal to the final size and in all other cases, the preoperative implant size was oversized. Conclusion: The introduction of the MAKO robotic-assisted total knee arthroplasty resulted in a gain in operating room time, a thinner and more predictable insert thickness, a shorter length of stay in hospital, and less instrumentation compared to navigation-assisted procedures. Level of evidence Level III, Retrospective cohort study. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:09368051
DOI:10.1007/s00402-023-04834-w