Rinehart Dustin B, Stambough Jeffrey B, Mears Simon C, Barnes C Lowry, Stronach Benjamin
The San Antonio Orthopaedic Group, San Antonio, TX, USA.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Arthroplast Today. 2024 Mar 17;27:101357. doi: 10.1016/j.artd.2024.101357. eCollection 2024 Jun.
Robotic total knee arthroplasty (R-TKA) utilization and marketing continue to rise. We examined the marketing on surgeon websites regarding R-TKA benefits and sought to determine if the claims were supported by existing literature.
A Google search identified 10 physician websites from each of the 5 largest U.S. markets by population with the term "robotic total knee arthroplasty city, state." Claims on websites about R-TKA were categorized. Literature from 2012-2022 was reviewed for data "for" or "against" each claim. Level of evidence for each publication was collected.
Fifty websites were captured that included 59 surgeons. A specific R-TKA platform was mentioned on 68% of websites. Website claims about robotics were placed into 8 major categories. Literature review supported the claims of more precise/accurate, reduced injury to tissue, and less pain with more literature "for" than "against" the claims.
Claims made on physician websites regarding the benefits of R-TKA are variable and not definitively supported by existing literature. Most available data can be categorized into levels of evidence III, IV, and V. There is a paucity of level I evidence to support the various marketing statements. Physicians should be cognizant of both the claims made on their websites and the literature that could be used to support or refute those specific claims.
机器人全膝关节置换术（R-TKA）的应用和市场推广持续增加。我们研究了外科医生网站上关于R-TKA益处的宣传，并试图确定这些说法是否有现有文献支持。
通过谷歌搜索，从美国人口最多的5个最大市场中，每个市场找出10个医生网站，搜索词为“机器人全膝关节置换术 城市，州”。对网站上关于R-TKA的说法进行分类。查阅2012年至2022年的文献，获取支持或反对每项说法的数据。收集每份出版物的证据级别。
共获取50个网站，其中包括59位外科医生。68%的网站提到了特定的R-TKA平台。网站上关于机器人技术的说法分为8大类。文献综述表明，关于更精确/准确、减少组织损伤和疼痛减轻的说法，支持这些说法的文献比反对的更多。
医生网站上关于R-TKA益处的说法各不相同，现有文献并未明确支持这些说法。大多数现有数据可归类为证据级别III、IV和V。缺乏I级证据来支持各种营销声明。医生应该了解他们网站上的说法以及可用于支持或反驳这些特定说法的文献。
