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Introduction: This study assessed the bone cuts accuracy of a robotic-assisted system for total knee arthroplasty (TKA) that was recently upgraded.
Materials And Methods: Three orthopaedic surgeons planned and executed TKA on 24 sawbones. Bone cut accuracy was assessed using CT scans, comparing the planning and the actual bone cuts in all six degrees-of-freedom.
Results: The root-mean-square (RMS) values were below 2 mm or 2° for all error types, except for the medio-lateral position (2.4 mm) and internal-external rotation (2.3°) of the left tibias. The maximal amplitude of the 288 errors (6 degrees-of-freedom * 2 bones * 24 knees) was observed in tibial external rotation (3.2°). Most error types reported a bias, with limited variations among knees.
Conclusions: The errors were in the same range as those of the prior version of the system, suggesting that the improvements brought by the system upgrade were not obtained at the expense of accuracy.
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http://dx.doi.org/10.1007/s00402-025-05818-8 | DOI Listing |
Orthopadie (Heidelb)
September 2025
Department of Orthopedics and Rheumoorthopedics, Centre of Postgraduate Medical Education, Konarskiego 13, 05-400, Otwock, Poland.
Purpose: Performing a one-stage periarticular osteotomy in conjunction with total knee arthroplasty (TKA) constitutes a technically complex procedure. In such demanding cases, a personalized approach utilizing patient-specific instrumentation (PSI) may serve as an advantageous option to achieve optimal precision in bone cuts, thereby enhancing both clinical and radiological postoperative outcomes.
Methods: We present a case report of a 22-year-old man with multiple epiphyseal dysplasia (MED) resulting in knee osteoarthritis with complex femoral deformity and restricted (passive at 30-120° and active at 80-120°) range of movement (ROM).
Kans J Med
August 2025
Department of Orthopaedic Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas.
Introduction: Thicker polyethylene inserts in total knee arthroplasty (TKA) may be associated with increased wear rates, a higher risk of implant failure, and the need for revision surgery. The authors of this study aimed to compare polyethylene insert thickness in robotic-assisted TKA versus conventional manual TKA.
Methods: The authors conducted a cross-sectional study on patients with end-stage primary knee osteoarthritis who underwent TKA by a single fellowship-trained orthopedic surgeon over a two-year period.
Clin Adv Periodontics
August 2025
Private Practice, Chuou-ku, Tokyo, Japan.
Background: Precise control of corticotomy lines is critical in surgically facilitated orthodontic therapy. The Suya method is traditionally performed freehand, which introduces risks of root damage and procedural inconsistency. A digitally guided protocol may address these limitations by enhancing safety and technical predictability.
View Article and Find Full Text PDFJ Knee Surg
September 2025
Department of Orthopedic Surgery, University of Texas Health Science Center at Houston, Houston, Texas, United States.
Infection is a leading cause of primary total knee arthroplasty failure. Numerous strategies for infection prevention have been devised; however, the vast number of variables has made it difficult to isolate impactful factors. This study aims to narrow the scope by parsing the surgical procedure into stages to determine when the contamination risk is elevated.
View Article and Find Full Text PDFJBJS Essent Surg Tech
August 2025
Department of Orthopaedics, Faculty of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Background: Over the last 30 years, total ankle arthroplasty (TAA) has become a viable surgical option for end-stage ankle arthritis. The aim of TAA is to relieve pain and preserve ankle joint range of motion, which, by definition, shields adjacent joints. Alignment is essential for the longevity and survival of TAA, since malalignment of TAA components can cause abnormal loading patterns with subsequent polyethylene wear and early implant failure.
View Article and Find Full Text PDF