“Does Robotic-assisted TKA Result in Better Outcome Scores or Long-Term Survivorship Than Conventional TKA? A Randomized, Controlled Trial.”
Young-Hoo et al.
Clinical Orthopaedics and Related Research Feb 2020; 478(2): 266-275
Researchers from South Korea have published a Level 1 (the highest possible quality) study with long-term (10-year!) outcomes investigating the use of robotics for knee replacement surgery. In this study about 700 knee replacement procedures performed robotically were compared to about 700 ‘routine’ knee replacements, with patients being followed up prospectively and with clinical and radiological outcomes being evaluated.
The authors found no differences between robotic-assisted knee replacement and conventional knee replacement surgery in terms of functional outcome scores, aseptic loosening, overall survivorship and complications. The authors conclude that “Considering the additional time and expense associated with robotic-assisted TKA, we cannot recommend its widespread use.”
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ODEP is an independent panel of leading orthopedic surgeons and experts in the UK that evaluates data related to use of hip and knee implant technologies and provides a rating to indicate performance in key areas including survivorship. ODEP provides the National Health Service (NHS) with an approved list of products that meet the revision rate standard set by the National Institute for Health and Care Excellence (NICE) in the UK.
“We are pleased to have received the ODEP 5A rating,” said Mark Augusti, Chief Executive Officer and President of Conformis. “This rating provides another independent verification that our design philosophy, predicated on patient-conforming implants, results in performance where it counts the most—in patients. We hope that this 5A rating will provide more confidence to physicians that are considering offering our unique technology to their patients. In addition, we believe our results should provide an opportunity for Conformis to expand availability of our product at NHS facilities in the United Kingdom.”
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On 1st November 2019 Mr Ian McDermott presented at the Orthopaedic Product News annual Knee Conference in Leeds, describing the benefits of the use of Vivostat PRF autologous fibrin sealant for improving outcomes in knee replacement surgery.
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On Wednesday 4th September 2019 Mr Ian McDermott presented at the London KneeKG Meeting at Quebec House on Pall Mall about his use of KneeKG video gait analysis for quantifying improvements in gait after knee replacement surgery.
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On 20th June 2019 Mr Ian McDermott presented at The 2019 London Knee OA Meeting at London Bridge Hospital on the subject of “How and why to avoid (or at least delay) knee replacement surgery.” This meeting was held at The London Bridge Hospital in conjunction with London Sports Orthopaedics, Össur and Technique Physio.
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On Friday 8th February 2019 the ‘Knee Team’ from London Sports Orthopaedics attended the UK Conformis User Group Meeting at Wembley, and Mr Ian McDermott gave 2 presentations on:
- My Journey: from iUni to iTotal to iDuo to iTotal-PS, and
- Kinematics of the iTotal-PS knee.
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In this article, published in Orthopaedic Product News in January 2018, Mr Ian McDermott discusses the success rates of knee replacement surgery and how to best judge ‘survivorship’ of the prosthesis.
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Dr William Kurtz, MD, Chief of Orthopedics at St Thomas Hospital in Nashville, presents the findings of his teams research at the 2017 British Association for Surgery of the Knee (BASK) Annual Meeting, showing improved post-operative knee kinematics with the Conformis iTotal-PS custom-made knee compared to a standard off-the-shelf prosthesis.
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