Robotic-assisted total knee arthroplasty improved component alignment in the coronal plane compared with navigation-assisted total knee arthroplasty : a comparative study

• Material Type: 博士論文
• Title: Robotic-assisted total knee arthroplasty improved component alignment in the coronal plane compared with navigation-assisted total knee arthroplasty : a comparative study
• Author/Editor: Omichi, Yasuyuki; Hamada, Daisuke; Wada, Keizo; Tamaki, Yasuaki; Shigekiyo, Shota; Sairyo, Koichi
• Author Heading: Omichi, Yasuyuki; Hamada, Daisuke; Wada, Keizo; Tamaki, Yasuaki; Shigekiyo, Shota; Sairyo, Koichi
• Publication, Distribution, etc.: Springer Nature
• Publication Date: 2023-09-27; 17 6
• Publication Date (W3CDTF): 2023-09-27
• Alternative Title: ロボット支援による人工膝関節全置換術は、ナビゲーション支援による人工膝関節全置換術と比較して、冠状面におけるインプラントのアライメントを改善する : 比較研究; Accuracy comparison of robotic-assisted TKA vs. navigation-assisted TKA
• Degree grantor/type: 徳島大学
• Date Granted: 2024-03-22
• Date Granted (W3CDTF): 2024-03-22
• Dissertation Number: 甲第3795号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Robotic-assisted total knee arthroplasty; Navigation-assisted total knee arthroplasty; Accuracy; Image-free; Handheld
• Target Audience: 一般
• Note (General): Background: The purpose of this study was to directly compare implant placement accuracy and postoperative limb alignment between robotic-assisted total knee arthroplasty and navigation-assisted total knee arthroplasty.Methods: This retrospective case-control study included a consecutive series of 182 knees (robotic-assisted group, n=103 knees; navigation-assisted group, n=79). An image-free handheld robotic system (NAVIO) or an image-free navigation system (Precision N) was used. Component and limb alignment were evaluated on three-dimensional computed tomography scans and full-length standing anterior–posterior radiographs. We compared the errors between the final intraoperative plan and the postoperative coronal and sagittal alignment of the components and the hip-knee-ankle angle between the two groups.Results: The orientation of the femoral and tibial components in the coronal plane were more accurate in the robotic-assisted group than in the navigation-assisted group (p < 0.05). There was no significant difference in the orientation of the femoral and tibial component in the sagittal plane between the two groups. There were fewer outliers in the tibial coronal plane in the robotic-assisted group (p < 0.05). There was also no significant difference in the frequency of outlying values for coronal or sagittal alignment of the femoral component or sagittal alignment of the tibial component or the hip-knee-ankle angle between the two groups.Conclusion: Robotic-assisted total knee arthroplasty using a handheld image-free system improved component alignment in the coronal plane compared with total knee arthroplasty using an image-free navigation system. Robotic surgery is useful for accurate implantation and helps surgeons to achieve personalised alignment that may result in a better clinical outcome.
• Persistent ID (NDL): info:ndljp/pid/13803379; https://dl.ndl.go.jp/pid/13803379
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2024-11-12T17:29:50+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://repo.lib.tokushima-u.ac.jp/119326
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp