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the pelvis. 8 Preoperative planning with this method was consistent between surgeons, independently from their degree of expertise. 9 Only one paper discussed a robotic-assisted procedure performed by a single surgeon using a minimally
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THA Technological developments enabling more precise surgery (computer-assisted surgery, robotics 43 ) and improvement in implant design and quality (wear-resistant surface bearings, 44 biological implant fixation) have enabled the
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. 7 Similarly, small errors in osteotomy positioning can lead to local complications such as hinge fractures. 8 Assistive technology in the form of 3D printed patient-specific instrumentation (PSI) is one method of addressing the need for
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A . Accuracy of computer-assisted iliosacral screw placement using a hybrid operating room . Injury 2016 ; 47 : 402 - 7 . 8. Richter PH Yarboro S Kraus M Gebhard F . One year orthopaedic trauma
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customized implants to handle complex reconstructions. This topic is closely related to computer-assisted surgery (CAS) and the optimization of data derived from preoperative imaging studies for the improvement of clinical and surgical outcomes such as the
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only be performed in specialist, high volume centres. 15 , 16 An alternative response is to try and replicate the technical skills of experts in surgeons who never, or infrequently, perform UKA. Assistive technology, in the form of 3D printed
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
Centre de l’Arthrose - Clinique du Sport, Bordeaux-Mérignac, France
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Leeds Teaching Hospitals Trust, UK
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-specific instrumentation (PSI), computer-aided surgery (CAS) or robotics is required. The original rKA protocol was first described by Hutt et al in 2016 using CAS, 22 with the aim of performing KA for most cases but adjusting bone resections in patients who lie
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Institute of Orthopaedics and Musculoskeletal Science, University College London, United Kingdom
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bright appearance of hip implants on CT scans. Visualising bone morphology Although the lowering of the technical CT parameters (field of view, kV and mAs) assists the dose reduction process, image quality is compromised as a result. However, this
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
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fusion (MIS-TLIF), percutaneous endoscopic transforaminal lumbar interbody fusion (PETLIF), and robot-assisted minimally invasive TLIF have emerged. These techniques have achieved good clinical efficacy in reducing iatrogenic injury, shortening hospital
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assess the patient’s anatomy (limb alignment, joint line obliquity) pre- or intraoperatively, in order to adjust the positioning of implants if needed. The rKA technique is therefore best performed with the use of intraoperative computer-assisted
