Nicholas D. ClementDepartment of Orthopaedics, Freeman Hospital, Newcastle, UK Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK South West of London Orthopaedic Elective Centre, Epsom, UK
aware of any published review reporting the evidence for this in isolation from image-based systems.
The aim of this systematic review was to present and assess the quality of evidence for learningcurve, component positioning, functional outcomes and
Bjarke VibergDepartment of Orthopaedic Surgery and Traumatology, Kolding Hospital – part of Hospital Lillebaelt, Kolding, Denmark Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
standard primary THA within a few years. The use of a well-documented implant for a surgeon with no experience regarding this implant will initiate a learningcurve which could lead to higher revision rate during the first years.
We initiated this
dislocation rate reported have tempted many surgeons and patients to switch to the anterior approach. This has not been without criticism, however, focusing on the steep learningcurve, high rate of perioperative complications, early revision rate and limited
patient satisfaction, greater stability, and improved kinematics through the arc of motion following TKA.
14 – 16
Learningcurve of robotic TKA
The learningcurve of robotic TKA is important for understanding the impact of this procedure on the
Amer SebaalyDepartment of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Lebanon. Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
breaches may occur during the learningcurve of this navigation-assisted percutaneous instrumentation technique ( Fig. 5 ). To ensure rapid insertion of the screws, we tape all the screws using the navigated tap ( Fig. 4c ). Screw insertion is made easier
alignment in robotic UKA translates to long-term functional and implant survivorship compared to conventional manual UKA.
Learningcurve of robotic UKA
Studies have shown well-established learningcurves for UKA, with the introduction of new
robotic TKA compared to conventional TKA is currently underway.
However, more long-term studies are required to fully appraise and assess this and other newer robotic systems.
-morbidities and other variables, which can help in patient selection and improve implant survival. Since ankle arthroplasty surgery has a steep learningcurve, the prosthesis choice should be driven by a surgeon’s familiarity with prostheses and the availability
the surgical team to become familiar with the new instruments and workflow. The robotic technology is also only compatible with a select number of implant designs from the manufacturer. There is a steep learningcurve for the operating surgeon with
follow-up. Patient-reported satisfaction rate was 95% good/excellent results.
Jowett and Bedi
reviewed the learningcurve of the first 120 minimally invasive Chevron osteotomies by dividing the population into group A (first 60) and group B