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Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_2 | Pages 12 - 12
1 Feb 2020
King C Jordan M Edgington J Wlodarski C Tauchen A Puri L
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Introduction

This study sought to evaluate the patient experience and short-term clinical outcomes associated with the hospital stay of patients who underwent robotic arm-assisted total knee arthroplasty (TKA). These results were compared to a cohort of patients who underwent TKA without robotic assistance performed by the same surgeon.

Methods

A cohort of consecutive patients undergoing primary TKA for the diagnosis of osteoarthritis by a single fellowship trained orthopaedic surgeon over a 39-month period was identified. Patients who underwent TKA during the year this surgeon transitioned his entire knee arthroplasty practice to robotic assistance were excluded to eliminate selection bias and control for the learning curve. A final population of 538 TKAs was identified. Of these, 314 underwent TKA without robotic assistance and 224 underwent robotic arm-assisted TKA. All patients received the same prosthesis and post-operative pain protocol. Patient demographic characteristics and short-term clinical data were analyzed.


Orthopaedic Proceedings
Vol. 86-B, Issue SUPP_III | Pages 339 - 339
1 Mar 2004
Roca D Sarasquete J Celaya F Jordan M Escrib‡ I
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Aims: The aim of this retrospective study was determine the survivorship of bipolar arthroplasty for femoral neck and what kind of associated factors could inßuence this survival rate. Methods: From 1980 until 2000, a total of 271 bipolar hemiarthroplasties were inserted for displaced femoral neck fractures in 269 patients, 207 were women and 64 were men, 62,4% cemented and 37,6% uncemented. The median age was 67,5 years (range: 28–93). The median follow-up was 74.6 months (range: 1–232). They were excluded pathologic fractures, osteoarthritis and dysplasic hips. We have studied the relationship between survivorship and presumed prognostic factors like age, sex and cementation. We used Kaplan-Meier method for calculating survival rates and Log-Rank test to assess prognostic factors. Results: Twenty-three (8,5%) hips required revision surgery, 3 were septic (1,1%) and 20 were aseptic (7,4%). In aseptic group we could þnd stem loosening (4,1%), polyethylene failure (1,4%), acetabular erosion (1,1%) and dislocation (0,7%). The 5- and 10-year hemiarthroplasty survival (HS) rates were 96% and 93% respectively. We found that only age< 60 years was signiþcant prognostic factor for HS (p< 0.05). Sex and cementation has not inßuenced signiþcantly on survival rate (p> 0,05). Conclusions: According to the outcomes in our group, we feel bipolar arthroplasty should be the technique of choice in patients over 60 years with sufþcient walking ability, when they have a displaced femoral neck fracture.