Technology in Total Knee Arthroplasty in 2023

Area of Science:

• Orthopedic Surgery
• Biomedical Engineering
• Medical Technology

Background:

• Total knee arthroplasty (TKA) has seen substantial technological evolution over recent decades.
• Early TKA relied on conventional manual instrumentation, with limitations in precision and accuracy.
• The drive for improved patient outcomes has spurred innovation in TKA tools and techniques.

Purpose of the Study:

• To provide a comprehensive overview of the latest technological advancements in total knee arthroplasty.
• To examine the challenges and potential solutions associated with implementing these advanced TKA technologies.
• To critically evaluate the current limitations of emerging technologies in the field of TKA.

Main Methods:

• Review of current literature on instrumentation and techniques for total knee arthroplasty.
• Analysis of technologies including calibrated guides, smart tools, intraoperative sensors, patient-specific guides, computer navigation, and robotics.
• Discussion of the practical application, challenges, and limitations of these advanced TKA methods.

Main Results:

• Significant progress has been made in TKA instrumentation, enhancing bone cut accuracy and alignment.
• Advanced technologies like computer navigation and robotics offer potential for improved surgical precision.
• Intraoperative sensors and patient-specific guides are emerging tools for soft tissue balancing and personalized TKA.

Conclusions:

• The field of total knee arthroplasty is rapidly advancing with sophisticated technologies.
• Addressing challenges in the application of these technologies is crucial for widespread adoption.
• Further research is needed to fully understand and overcome the limitations of current and future TKA innovations.