REVIEW   

Minerva Ortopedica e Traumatologica 2017 June;68(2):91-8

DOI: 10.23736/S0394-3410.17.03806-1

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Robotics and navigation in total knee arthroplasty

Rolf HAAKER, Dragan JEREMIC ✉

Orthopedic Rheumatology and Traumatology Clinic, St. Vincenz Hospital, Brakel, Germany

In the last two decades we could realize a lot of technical support to perform total knee arthroplasties (TKAs), starting with the robotic systems in the nineties of the last century. Following those methods the navigation systems were introduced first in a computed-tomography-based version second in image free versions. Now we are discussing about the advantages of patient specific instruments or custom-made prostheses built by “rapid recovery” technology in special laboratories; it is still unknown which is the goal of TKA: restoration of leg axis within the Miculicz line or kinematic alignment with slide varus or valgus deformity depending on the preoperative situation. Even the robotic systems in TKA could be restored. In this review the historical development is summed up and a critical estimation is done comparing the visible results of these attempts to get better results in TKA.

KEY WORDS: Robotics - Robotic surgical procedures - Arthroplasty, replacement, knee