Pohlig, Florian and Becker, Roland and Ettinger, Max and Calliess, Tilman and Hinterwimmer, Florian and Tibesku, Carsten O. and Schnurr, Christoph and Graichen, Heiko and Savov, Peter and Pagano, Stefano and Bieger, Ralf and Gollwitzer, Hans (2024) Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region. ORTHOPADIE, 53 (12). pp. 935-944. ISSN 2731-7145, 2731-7153
Full text not available from this repository. (Request a copy)Abstract
Background: Digital tools are being increasingly used worldwide in primary knee arthroplasty. This study aimed to analyze the utilization density of digital tools, the preferred alignment strategies, and the obstacles and benefits of implementing these technologies in German-speaking countries. Materials and methods: An online survey with 57 questions about digital tools in primary knee arthroplasty and their usage was conducted among members of the Arthroplasty Working Group (AE). The survey included questions on navigation, robotics, patient-specific instruments, individualized implants, and augmented reality. Results: The survey revealed that 18% of hospitals use navigation and 17% use robotic systems in primary total knee arthroplasty surgery. The main reasons for not implementing supportive technologies were high acquisition and ongoing costs, as well as longer surgical duration. Patient-specific instruments and individualized implants currently play a minor role. Patient-specific alignment strategies, such as kinematic (navigation: 35%; robotics: 44%) and functional alignment (navigation: 15%; robotics: 35%), are preferred in this context. With conventional instrumentation predominantly mechanical alignment was applied (79%). Discussion: The results indicate a relatively high utilization density of digital tools, which are mainly used to perform personalized alignment strategies in primary knee arthroplasty in German-speaking countries. This was particularly evident in high-volume hospitals. Economic aspects were the main reasons for not using these technologies. Future developments should aim to simplify the systems and thus achieve improved cost efficiency.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; Augmented reality; Computer-assisted surgery; Robotics; Surgical navigation systems; Total knee replacement; Augmented reality; Computer-assisted surgery; Robotics; Surgical navigation systems; Total knee replacement |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Aug 2025 07:46 |
| Last Modified: | 20 Aug 2025 07:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65593 |
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