Robotic-assisted revision total joint arthroplasty: a state-of-the-art scoping review

作者全名："Wu, Xiang-Dong; Zhou, Yixin; Shao, Hongyi; Yang, Dejin; Guo, Sheng-Jie; Huang, Wei"

作者地址："[Wu, Xiang-Dong; Zhou, Yixin; Shao, Hongyi; Yang, Dejin; Guo, Sheng-Jie] Peking Univ, Beijing Jishuitan Hosp, Clin Coll 4, Dept Orthopaed Surg, Beijing, Peoples R China; [Huang, Wei] Chongqing Med Univ, Affiliated Hosp 1, Dept Orthopaed Surg, Chongqing, Peoples R China"

通信作者："Zhou, YX (通讯作者)，Peking Univ, Beijing Jishuitan Hosp, Clin Coll 4, Dept Orthopaed Surg, Beijing, Peoples R China."

来源：EFORT OPEN REVIEWS

ESI学科分类：　

WOS号：WOS:001023432400003

JCR分区：Q1

影响因子：4.3

年份：2023

卷号：8

期号：1

开始页：18

结束页：25

文献类型：Review

关键词：robotic-assisted; revision; total joint arthroplasty; total hip arthroplasty; total knee arthroplasty; unicompartmental knee arthroplasty; scoping review

摘要："center dot Background: During the past decades, robotic-assisted technology has experienced an incredible advancement in the field of total joint arthroplasty (TJA), which demonstrated promise in improving the accuracy and precision of implantation and alignment in both primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, revision TJA remains a technically challenging procedure with issues of large-scale bone defects and damage to nearby anatomical structures. Thus, surgeons are trying to harness the abilities of robotic-assisted technology for revision TJA surgery. center dot Methods: PubMed, Embase, Cochrane Library, and Google Scholar were comprehensively searched to identify relevant publications that reported the application of robotic-assisted technology in revision TJA. center dot Results: Overall, ten studies reported the use of the robotic system in revision TJA, including active (ROBODOC) and semi-active (MAKO and NAVIO) systems. One clinical case reported conversion from hip fusion to THA, and three studies reported revision from primary THA to revision THA. Moreover, four studies reported that robotic-assisted technology is helpful in revising unicompartmental knee arthroplasty (UKA) to TKA, and two case reports converted primary TKA to revision TKA. In this study, we present the latest evolvements, applications, and technical obstacles of robotic-assisted technology in the revision of TJA and the current state-of-the-art. center dot Conclusion: Current available evidence suggests that robotic-assisted technology may help surgeons to reproducibly perform preoperative plans and accurately achieve operative targets during revision TJA. However, concerns remain regarding preoperative metal artifacts, registration techniques, closed software platforms, further bone loss after implant removal, and whether robotic-assisted surgery will improve implant positioning and long-term survivorship."

基金机构：Beijing Municipal Natural Science Foundation Project [L202051]

基金资助正文：Funding This study was supported by the Beijing Municipal Natural Science Foundation Project (grant No. L202051) .