New technology-based assistive techniques in total knee arthroplasty: A Bayesian network meta-analysis and systematic review.

Gao, J; Dong, S; Li, JJ; Ge, L; Xing, D; Lin, J

New technology-based assistive techniques in total knee arthroplasty: A Bayesian network meta-analysis and systematic review.

Gao, J Dong, S Li, JJ Ge, L Xing, D Lin, J

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: The international journal of medical robotics + computer assisted surgery : MRCAS, 2020, 17, (2), pp. e2189
Issue Date:: 2020-10-27

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Field	Value	Language
dc.contributor.author	Gao, J
dc.contributor.author	Dong, S
dc.contributor.author	Li, JJ
dc.contributor.author	Ge, L
dc.contributor.author	Xing, D
dc.contributor.author	Lin, J
dc.date.accessioned	2021-03-19T00:23:07Z
dc.date.available	2020-10-22
dc.date.available	2021-03-19T00:23:07Z
dc.date.issued	2020-10-27
dc.identifier.citation	The international journal of medical robotics + computer assisted surgery : MRCAS, 2020, 17, (2), pp. e2189
dc.identifier.issn	1478-5951
dc.identifier.issn	1478-596X
dc.identifier.uri	http://hdl.handle.net/10453/147364
dc.description.abstract	<h4>Background</h4>The radiological and clinical efficiency among robot-assisted surgery (RAS), computer-assisted navigation system (CAS) and conventional (CON) total knee arthroplasty (TKA) remains controversial.<h4>Methods</h4>Bayesian network meta-analysis (NMA) and systematic review were performed to investigate radiological and clinical efficiency respectively. The certainty of the evidence was evaluated using GRADE and CERQual tool.<h4>Results</h4>Thirty-four RCTs (7289 patients and 7424 knees) were included. The NMA showed that RAS-TKA had the highest probability for mechanical axis restoration (odds ratio for RAS vs. CAS 3.79, CrI 1.14 to 20.54, very low certainty), followed by CAS-TKA (odds ratio for CAS vs. CON 2.55, CrI 1.67 to 4.01, very low certainty) and then CON-TKA, without significant differences in other radiological parameters. No differences were found in clinical outcomes after qualitative systematic review (overall low certainty).<h4>Conclusions</h4>Technology-based assistive techniques (CAS and RAS) may surpass the CON-TKA, when considering higher radiological accuracy and comparable clinical outcomes. This article is protected by copyright. All rights reserved.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation	http://purl.org/au-research/grants/nhmrc/1120249
dc.relation.ispartof	The international journal of medical robotics + computer assisted surgery : MRCAS
dc.relation.isbasedon	10.1002/rcs.2189
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Surgery
dc.title	New technology-based assistive techniques in total knee arthroplasty: A Bayesian network meta-analysis and systematic review.
dc.type	Journal Article
utslib.citation.volume	17
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology/School of Biomedical Engineering
utslib.copyright.status	closed_access	*
dc.date.updated	2021-03-19T00:23:04Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	17
utslib.citation.issue	2

Abstract:

Background

The radiological and clinical efficiency among robot-assisted surgery (RAS), computer-assisted navigation system (CAS) and conventional (CON) total knee arthroplasty (TKA) remains controversial.

Methods

Bayesian network meta-analysis (NMA) and systematic review were performed to investigate radiological and clinical efficiency respectively. The certainty of the evidence was evaluated using GRADE and CERQual tool.

Results

Thirty-four RCTs (7289 patients and 7424 knees) were included. The NMA showed that RAS-TKA had the highest probability for mechanical axis restoration (odds ratio for RAS vs. CAS 3.79, CrI 1.14 to 20.54, very low certainty), followed by CAS-TKA (odds ratio for CAS vs. CON 2.55, CrI 1.67 to 4.01, very low certainty) and then CON-TKA, without significant differences in other radiological parameters. No differences were found in clinical outcomes after qualitative systematic review (overall low certainty).

Conclusions

Technology-based assistive techniques (CAS and RAS) may surpass the CON-TKA, when considering higher radiological accuracy and comparable clinical outcomes. This article is protected by copyright. All rights reserved.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/147364