[Market Overview: Robotic-assisted Arthroplasty : Current Robotic Systems, Learning Curve and Cost Analysis]

Overview

Journal Orthopadie (Heidelb)

Specialty Orthopedics

Date 2022 Aug 9

PMID 35945459

Authors

Lars-Rene Tuecking

Max Ettinger

Henning Windhagen

Peter Savov

Affiliations

Soon will be listed here.

Abstract

Robotic-assisted arthroplasty has been rapidly entering clinical routine in recent years. The leading endoprosthesis manufacturers have all meanwhile placed robotic systems on the market, which, however, differ significantly from one another technically. Current systems are currently classified according to the degree of autonomy (active vs. semi-active vs. passive) and the data/image source (image-based: CT vs. X‑ray, imageless). Some systems already offer the possibility of robotic-assisted or navigated implantation of hip endoprostheses. In the following review article, the currently leading robotic systems will be presented and compared with regard to their characteristics. Furthermore, the analysis of the learning curves for the different systems, currently available cost analysis models and an outlook on future developments and challenges will be given.

References

Ali M, Phillips D, Kamson A, Nivar I, Dahl R, Hallock R . Learning Curve of Robotic-Assisted Total Knee Arthroplasty for Non-Fellowship-Trained Orthopedic Surgeons. Arthroplast Today. 2022; 13:194-198. PMC: 8791856. DOI: 10.1016/j.artd.2021.10.020. View

Batailler C, White N, Ranaldi F, Neyret P, Servien E, Lustig S . Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2018; 27(4):1232-1240. DOI: 10.1007/s00167-018-5081-5. View

Bell C, Grau L, Orozco F, Ponzio D, Post Z, Czymek M . The successful implementation of the Navio robotic technology required 29 cases. J Robot Surg. 2021; 16(3):495-499. DOI: 10.1007/s11701-021-01254-z. View

Bell S, Anthony I, Jones B, MacLean A, Rowe P, Blyth M . Improved Accuracy of Component Positioning with Robotic-Assisted Unicompartmental Knee Arthroplasty: Data from a Prospective, Randomized Controlled Study. J Bone Joint Surg Am. 2016; 98(8):627-35. DOI: 10.2106/JBJS.15.00664. View

Bellemans J, Vandenneucker H, Vanlauwe J . Robot-assisted total knee arthroplasty. Clin Orthop Relat Res. 2007; 464:111-6. DOI: 10.1097/BLO.0b013e318126c0c0. View

Sax O, Bains S, Chen Z, Douglas S, Nace J, Delanois R . Preoperative Statin Exposure Reduces Periprosthetic Fractures and Revisions following Total Knee Arthroplasty. J Knee Surg. 2022; 36(12):1259-1265. DOI: 10.1055/s-0042-1755359. View

Cho K, Seon J, Jang W, Park C, Song E . Objective quantification of ligament balancing using VERASENSE in measured resection and modified gap balance total knee arthroplasty. BMC Musculoskelet Disord. 2018; 19(1):266. PMC: 6064102. DOI: 10.1186/s12891-018-2190-8. View

Christen B, Tanner L, Ettinger M, Bonnin M, Koch P, Calliess T . Comparative Cost Analysis of Four Different Computer-Assisted Technologies to Implant a Total Knee Arthroplasty over Conventional Instrumentation. J Pers Med. 2022; 12(2). PMC: 8880057. DOI: 10.3390/jpm12020184. View

Clement N, Deehan D, Patton J . Robot-assisted unicompartmental knee arthroplasty for patients with isolated medial compartment osteoarthritis is cost-effective: a markov decision analysis. Bone Joint J. 2019; 101-B(9):1063-1070. DOI: 10.1302/0301-620X.101B9.BJJ-2018-1658.R1. View

10.

Cobb J, Henckel J, Gomes P, Harris S, Jakopec M, Rodriguez F . Hands-on robotic unicompartmental knee replacement: a prospective, randomised controlled study of the acrobot system. J Bone Joint Surg Br. 2006; 88(2):188-97. DOI: 10.1302/0301-620X.88B2.17220. View

11.

Cool C, Jacofsky D, Seeger K, Sodhi N, Mont M . A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty. J Comp Eff Res. 2019; 8(5):327-336. DOI: 10.2217/cer-2018-0136. View

12.

Cotter E, Wang J, Illgen R . Comparative Cost Analysis of Robotic-Assisted and Jig-Based Manual Primary Total Knee Arthroplasty. J Knee Surg. 2020; 35(2):176-184. DOI: 10.1055/s-0040-1713895. View

13.

Doan G, Courtis R, Wyss J, Green E, Clary C . Image-Free Robotic-Assisted Total Knee Arthroplasty Improves Implant Alignment Accuracy: A Cadaveric Study. J Arthroplasty. 2022; 37(4):795-801. DOI: 10.1016/j.arth.2021.12.035. View

14.

Fang C, Mazzocco J, Sun D, Shaker J, Talmo C, Mattingly D . Total Knee Arthroplasty Hospital Costs by Time-Driven Activity-Based Costing: Robotic vs Conventional. Arthroplast Today. 2021; 13:43-47. PMC: 8666607. DOI: 10.1016/j.artd.2021.11.008. View

15.

Figueroa F, Wakelin E, Twiggs J, Fritsch B . Comparison between navigated reported position and postoperative computed tomography to evaluate accuracy in a robotic navigation system in total knee arthroplasty. Knee. 2019; 26(4):869-875. DOI: 10.1016/j.knee.2019.05.004. View

16.

Grau L, Lingamfelter M, Ponzio D, Post Z, Ong A, Le D . Robotic arm assisted total knee arthroplasty workflow optimization, operative times and learning curve. Arthroplast Today. 2019; 5(4):465-470. PMC: 6921119. DOI: 10.1016/j.artd.2019.04.007. View

17.

Hampp E, Sodhi N, Scholl L, Deren M, Yenna Z, Westrich G . Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach: A blinded assessment. Bone Joint Res. 2019; 8(10):495-501. PMC: 6825049. DOI: 10.1302/2046-3758.810.BJR-2019-0129.R1. View

18.

Hayashi S, Hashimoto S, Kuroda Y, Nakano N, Matsumoto T, Ishida K . Robotic-arm assisted THA can achieve precise cup positioning in developmental dysplasia of the hip : a case control study. Bone Joint Res. 2021; 10(10):629-638. PMC: 8559969. DOI: 10.1302/2046-3758.1010.BJR-2021-0095.R1. View

19.

Honl M, Dierk O, Gauck C, Carrero V, Lampe F, Dries S . Comparison of robotic-assisted and manual implantation of a primary total hip replacement. A prospective study. J Bone Joint Surg Am. 2003; 85(8):1470-8. DOI: 10.2106/00004623-200308000-00007. View

20.

Iniguez M, Negrin R, Duboy J, Reyes N, Diaz R . Robot-Assisted Unicompartmental Knee Arthroplasty: Increasing Surgical Accuracy? A Cadaveric Study. J Knee Surg. 2019; 34(6):628-634. DOI: 10.1055/s-0039-1698771. View