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1709831 Vol 9 · Issue 1 Download Paper

Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases

Dr Rajat Kumar Das Dr Rohan Singh Parhar Dr Pubali Ghoshal

Subject area: Science,Engineering and Technology  ·  Area of research: Robotic

Abstract

Abstract- Knee osteoarthritis (OA) is a prevalent degenerative joint disease that significantly affects quality of life, especially among obese and morbidly obese individuals. The mini-subvastus approach (SA) and robotic-assisted TKA (RA-TKA) are emerging techniques that may address these challenges. This study evaluates the clinical and radiological outcomes of cruciate- retaining (CR) RA-TKA using the mini-subvastus approach. This was a single-centertered and observational study that included 100 consecutive patients who underwent TKA using the Cuvis Joint? autonomous robotic system from January 2023 to October 2024. Written informed consent was obtained from all participants were included in the study. The primary outcome measure are complications associated with active RA-TKA. The incidence of neurovascular injury, mechanism disruption, and collateral ligament and other soft tissue injuries, and pin-related injury including intra- operative fractures etc were studied and the safety features in the autonomous robotic system were analyzed. The mini-subvastus approach in RA-TKA offers several advantages, including reduced postoperative pain, faster recovery, and improved quadriceps strength, even in obese patients. The use of robotic assistance ensures accurate component positioning and alignment, mitigating the challenges typically associated with obese patients undergoing TKA

References

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[7] B. G. Stubnya et al., "Subvastus Approach Supporting Fast-Track Total Knee Arthroplasty Over the Medial Parapatellar Approach: A Systematic Review and Network Meta-Analysis," The Journal of Arthroplasty, 2023.

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[11] T. Xu et al., "Efficacy and safety of a self- developed home-based enhanced knee flexionexercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study," Journal of orthopaedic surgery and research, vol. 16, pp. 1- 8, 2021

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How to cite this paper

Dr Rajat Kumar Das, Dr Rohan Singh Parhar, Dr Pubali Ghoshal "Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases" Iconic Research And Engineering Journals Volume 9 Issue 1 2025 Page 1553-1564
Dr Rajat Kumar Das, Dr Rohan Singh Parhar, Dr Pubali Ghoshal "Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases" Iconic Research And Engineering Journals, vol. 9, no. 1, Jul. 2025
Dr Rajat Kumar Das, Dr Rohan Singh Parhar, Dr Pubali Ghoshal (2025). Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases. Iconic Research And Engineering Journals, 9(1).
Dr Rajat Kumar Das, Dr Rohan Singh Parhar, Dr Pubali Ghoshal "Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases" Iconic Research And Engineering Journals, vol. 9, no. 1, Jul. 2025.
@article{1709831,
      author = {Dr Rajat Kumar Das, Dr Rohan Singh Parhar, Dr Pubali Ghoshal},
      title = {Robotic Total Knee Replacement Without Tourniquet Via Subvastus Approach -A Single Centre Experience Of 100 Cases},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {1},
      pages = {1553-1564},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1709831.pdf},
      abstract = {Abstract- Knee osteoarthritis (OA) is a prevalent degenerative joint disease that significantly affects quality of life, especially among obese and morbidly obese individuals. The mini-subvastus approach (SA) and robotic-assisted TKA (RA-TKA) are emerging techniques that may address these challenges. This study evaluates the clinical and radiological outcomes of cruciate- retaining (CR) RA-TKA using the mini-subvastus approach. This was a single-centertered and observational study that included 100 consecutive patients who underwent TKA using the Cuvis Joint? autonomous robotic system from January 2023 to October 2024. Written informed consent was obtained from all participants were included in the study. The primary outcome measure are complications associated with active RA-TKA. The incidence of neurovascular injury, mechanism disruption, and collateral ligament and other soft tissue injuries, and pin-related injury including intra- operative fractures etc were studied and the safety features in the autonomous robotic system were analyzed. The mini-subvastus approach in RA-TKA offers several advantages, including reduced postoperative pain, faster recovery, and improved quadriceps strength, even in obese patients. The use of robotic assistance ensures accurate component positioning and alignment, mitigating the challenges typically associated with obese patients undergoing TKA},
      month = {July},
  }