Off-the-shelf knee replacements versus robotics versus customized implants: the reality versus the hype

Q4 Medicine Orthopaedics and Trauma Pub Date : 2025-02-01 DOI:10.1016/j.mporth.2024.12.005
Ian D McDermott, Gregory M Martin
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引用次数: 0

Abstract

With traditional ‘off-the-shelf’ implants for knee replacement surgery, 15–20% of patients end up unhappy with their knee. At least part of the reason for this may be the significant differences that can exist between individuals in their distal femoral and proximal tibial geometries. This article explains how patient-specific customized knee implants can address many of the deficiencies that may exist with off-the-shelf designs. Evidence is presented of how customized knee implants can lead to better alignment, better coverage, better knee kinematics, less bone resection, improved efficiency in theatre, fewer complications, better patient-reported outcomes and increased long-term prosthetic survivorship, all without any significant overall additional costs. This article also dispels some of the myths and the hype that surround the current trend towards robotic-assisted knee replacement surgery.
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来源期刊
Orthopaedics and Trauma
Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine
CiteScore
1.00
自引率
0.00%
发文量
57
期刊介绍: Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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