Mukartihal Ravikumar, Arun S R, Patil Sharan S, Reddy A V Gurava, Annapareddy Adarsh, Ratnakar V, das Rajdeep, Sharan Patil Shrishti
Department of Orthopedics Sparsh Group of Hospitals, Infantry Road, Bangalore, Karnataka, 560001, India.
Department of Orthopedics Sunshine Hospitals, Hyderabad, Telangana, 500003, India.
J Orthop. 2024 Feb 23;52:107-111. doi: 10.1016/j.jor.2024.02.023. eCollection 2024 Jun.
Robotic-assisted total knee replacement (RA-TKR) is a significant advancement in orthopedic surgery, but intra-operative decision-making remains challenging. Pre-operative imaging techniques, particularly CT scans, have gained momentum, providing insights into the patient's anatomy, improving implant positioning and alignment. However, further research is needed to explore their influence on RA-TKR planning and execution.
The hospital based cross-sectional study was conducted in Orthopedics department of Sparsh Speciality Hospital, Bangalore & Sunshine Hospital, Hyderabad. A total of 1020 participants in the age group over 50 years during the study period were included based on convenient sampling. The axial CT images were taken preoperatively and RA-TKA was done for all the patients.
The study participant's average age was 64.01 ± 7.13. Out of 1020 patients 259 (24.4%) were males and 761 (74.6%) were females. The median femoral, tibia and Polyethylene predicted and the actual component were same with the side of surgery and BMI. The median femoral predicted actual component was significantly higher among the age category of more than 80 years when compared to other age groups. The median femoral, tibia and Polyethylene predicted was higher in males when compared to females.
Pre-operative CT scans enhance RA-TKR procedures by providing precise anatomical insights, enhancing implant placement, and identifying potential issues, improving surgical outcomes and patient satisfaction.
机器人辅助全膝关节置换术（RA-TKR）是骨科手术的一项重大进展，但术中决策仍具有挑战性。术前成像技术，尤其是CT扫描，已得到广泛应用，能够深入了解患者的解剖结构，改善植入物的定位和对线。然而，仍需进一步研究以探讨其对RA-TKR规划和实施的影响。
本基于医院的横断面研究在班加罗尔的斯帕什专科医院和海得拉巴的阳光医院的骨科进行。基于便利抽样，纳入了研究期间1020名年龄超过50岁的参与者。术前拍摄轴向CT图像，并对所有患者进行RA-TKA手术。
研究参与者的平均年龄为64.01±7.13岁。在1020名患者中，259名（24.4%）为男性，761名（74.6%）为女性。股骨、胫骨和聚乙烯的预测值与手术侧和BMI的实际组件相同。与其他年龄组相比，80岁以上年龄组的股骨预测实际组件中位数显著更高。男性的股骨、胫骨和聚乙烯预测值高于女性。
术前CT扫描通过提供精确的解剖学见解、改善植入物放置和识别潜在问题，增强了RA-TKR手术，提高了手术效果和患者满意度。
