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Troubleshooting Robotics During Total Hip and Knee Arthroplasty
Andreas Fontalis1, Shanil Hansjee2, Dia Eldean Giebaly2
1Department of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, London, NW1 2BU, UK; Division of Surgery and Interventional Science, University College London, Gower Street, London WC1E 6BT, UK.
The Orthopedic Clinics of North America
|November 18, 2023
Summary
Robotic arthroplasty requires understanding technology to avoid complications. This article provides troubleshooting workflows for robotic-arm assisted total hip and knee arthroplasty to overcome surgical challenges.
Area of Science:
- Orthopedic surgery
- Surgical robotics
Background:
- New surgical technologies like robotic arthroplasty present unique challenges.
- Understanding and managing potential complications is crucial for successful outcomes.
Purpose of the Study:
- To outline reproducible workflows for troubleshooting robotic-arm assisted total hip arthroplasty (THA) and total knee arthroplasty (TKA).
- To provide solutions for common and rare issues encountered during robotic-assisted procedures.
Main Methods:
- Development of troubleshooting algorithms based on procedural stage and encountered problems.
- Focus on issues such as pin/array loosening, registration/verification problems, and rare device malfunctions.
Main Results:
- Established systematic approaches to identify and resolve complications during robotic arthroplasty.
- Provided practical solutions applicable to both THA and TKA procedures.
Conclusions:
- Effective troubleshooting strategies are essential for the safe and efficient implementation of robotic arthroplasty.
- Standardized workflows enhance surgeon confidence and patient safety in robotic-assisted joint replacements.

