Technology in Arthroplasty: Are We Improving Value? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-07-07

AUTHORS

Bradford S. Waddell, Kaitlin Carroll, Seth Jerabek

ABSTRACT

Purpose of ReviewTotal joint arthroplasty is regarded as a highly successful procedure. Patient outcomes and implant longevity, however, are related to proper alignment and position of the prostehses. In an attempt to reduce outliers and improve accuracy and precision of component position, navigation and robotics have been introduced. These technologies, however, come at a price. The goals of this review are to evaluate these technologies in total joint arthroplasty and determine if they add value.Recent FindingsRecent studies have demonstrated that navigation and robotics in total joint arthroplasty can decrease outliers while improving accuracy in component positioning. While some studies have demonstrated improved patient reported outcomes, not all studies have shown this to be true. Most studies cite increased cost of equipment and longer operating room times as the major downsides of the technologies at present. Long-term studies are just becoming available and are promising, as some studies have shown decreased revision rates when navigation is used. Finally, there are relatively few studies evaluating the direct cost and value of these technologies.SummaryNavigation and robotics have been shown to improve component position in total joint arthroplasty, which can improve patient outcomes and implant longevity. These technologies offer a promising future for total joint arthroplasty. More... »

PAGES

378-387

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12178-017-9415-6

DOI

http://dx.doi.org/10.1007/s12178-017-9415-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090374871

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28687958


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