Acta Chir Orthop Traumatol Cech. 2025; 92(4):218-225 | DOI: 10.55095/achot2024/063

There Is a Difference in Patients' Opinions and Scientific Evidence Regarding Robot Assisted Total Joint Arthroplasty: a QuestionnairePůvodní práce

KADIR UZEL1, NESRULLAH AZBOY2, KEREM EDIP BAŞARIR3, ALP EREN KILIÇKAP4, SÜHA BERKHAN BAYIN5, İBRAHIM AZBOY1
1 Medipol Mega University Hospital, Department of Orthopaedics and Traumatology, Bağcilar/İstanbul, Turkey
2 Iskenderun district health directorate, Hatay, Turkey
3 Bayrampasa State Hospital, İstanbul, Turkey
4 Şile State Hospital, İstanbul Turkey
5 Mimar Sinan State Hospital, İstanbul, Turkey

Purpose of the study: This study aimed to evaluate patients' knowledge and opinions about robotic total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Material and methods: In order to assess patients' knowledge and opinions about robotic THA and TKA surgery, a descriptive questionnaire consisting of a total of 17 questions assessing patients' demographic information (age, gender, education level, occupation, income level, marital status) and their knowledge and opinions about robotic surgery was designed and applied to 200 participants by face-to-face interviews.

Results: The mean age of participants was 62.6 ± 7.1 years (range: 43-82), with 53% female. Among participants, 39% were university graduates, 9% were healthcare professionals, and 61.5% had an income between 10,000-20,000 Turkish lira. 60% (n = 120) had information about robotic surgeries, primarily sourced from newspapers, TV (35%), and social media (33%). 68.3% believed robotic surgery positively impacts surgical outcomes, and 77.5% preferred robotic surgery for knee and hip procedures. Those informed via social media had a mean age of 57.6 ± 6.5 years, while those informed through patient recommendations had a mean age of 64.0 ± 6.9 years (p = 0.001). Higher education levels correlated with increased knowledge of robotic surgery (p = 0.001), as did private-sector employment and higher income (p = 0.001, p = 0.001).

Conclusions: This study is an important step to understand the awareness and attitudes of robotic surgery among patients. There is a difference between the level of knowledge of the participants about robotic surgery and real scientific facts. Lack of knowledge and misconceptions about robotic surgery may affect patients' decision-making processes. Orthopaedic surgeons has responsibility to evaluate the new technological products in the light of strong scientific evidence when recommending to their patients. Also, media sources and social media platforms should maintain accurate information on emerging technologies.

Klíčová slova: robotics surgery, total knee arthroplasty, total hip arthroplasty, patient's perspectives.

Vloženo: 17. říjen 2024; Revidováno: 17. říjen 2024; Přijato: 28. říjen 2024; Zveřejněno: 1. srpen 2025  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
UZEL K, AZBOY N, BAŞARIR KE, KILIÇKAP AE, BAYIN SB, AZBOY İ. There Is a Difference in Patients' Opinions and Scientific Evidence Regarding Robot Assisted Total Joint Arthroplasty: a Questionnaire. Acta Chir Orthop Traumatol Cech. 2025;92(4):218-225. doi: 10.55095/achot2024/063. PubMed PMID: 40878453.
Stáhnout citaci

Reference

  1. Abdelaal MS, Wiafe BM, Khan IA, Magnuson JA, Saxena A, Smith EB, Lonner JH, Star AM, Good RP, Sharkey PF. Robotic-assisted total knee arthroplasty: what are patients' perspectives, understanding and expectations? J Arthroplasty. 2023;38:1726-1733.e4. doi: 10.1016/j.arth.2023.03.020. Přejít k původnímu zdroji... Přejít na PubMed...
  2. Azboy I, Barrack R, Thomas AM, Haddad FS, Parvizi J. Aspirin and the prevention of venous thromboembolism following total joint arthroplasty: commonly asked questions. Bone Joint J. 2017;99-B:1420-1430. doi: 10.1302/0301-620X.99B11.BJJ-2017-0337.R2. Přejít k původnímu zdroji... Přejít na PubMed...
  3. Bautista M, Manrique J, Hozack WJ. Robotics in total knee arthroplasty. J Knee Surg. 2019;32:600-606. doi: 10.1055/s-0039-1681053. Přejít k původnímu zdroji... Přejít na PubMed...
  4. Boys JA, Alicuben ET, DeMeester MJ, Worrell SG, Oh DS, Hagen JA, DeMeester SR. Public perceptions on robotic surgery, hospitals with robots, and surgeons that use them. Surg Endosc. 2016;30:1310-1316. doi: 10.1007/s00464-015-4368-6. Přejít k původnímu zdroji... Přejít na PubMed...
  5. Burnett RS, Barrack RL. Computer-assisted total knee arthroplasty is currently of no proven clinical benefit: a systematic review. Clin Orthop Relat Res. 2013;471:264-276. doi: 10.1007/s11999-012-2528-8. Přejít k původnímu zdroji... Přejít na PubMed...
  6. DeFrance MJ, Yayac MF, Courtney PM, Squire MW. The impact of author financial conflicts on robotic-assisted joint arthroplasty research. J Arthroplasty. 2021;36:146-149. doi: 10.1016/j.arth.2020.10.033. Přejít k původnímu zdroji... Přejít na PubMed...
  7. Domb BG, El Bitar YF, Sadik AY, Stake CE, Botser IB. Comparison of robotic-assisted and conventional acetabular cup placement in THA: a matched-pair controlled study. Clin Orthop Relat Res. 2014;472:329-336. doi: 10.1007/s11999-013-3253-7. Přejít k původnímu zdroji... Přejít na PubMed...
  8. Duymus TM, Karadeniz H, Çaçan MA, Kömür B, Demirtaş A, Zehir S, Azboy İ. Internet and social media usage of orthopaedic patients: a questionnaire-based survey. World J Orthop. 2017;8:178-186. doi: 10.5312/wjo.v8.i2.178. Přejít k původnímu zdroji... Přejít na PubMed...
  9. Emara AK, Samuel LT, Acuña AJ, Kuo A, Khlopas A, Kamath AF. Robotic-arm assisted versus manual total hip arthroplasty: systematic review and meta-analysis of radiographic accuracy. Int J Med Robot. 2021;17:e2332. doi: 10.1002/rcs.2332. Přejít k původnímu zdroji... Přejít na PubMed...
  10. Grau L, Lingamfelter M, Ponzio D, Post Z, Ong A, Le D, Orozco F. Robotic arm assisted total knee arthroplasty workflow optimization, operative times and learning curve. Arthroplast Today. 2019;5:465-470. doi: 10.1016/j.artd.2019.04.007. Přejít k původnímu zdroji... Přejít na PubMed...
  11. Held MB, Gazgalis A, Neuwirth AL, Shah RP, Cooper HJ, Geller JA. Imageless robotic-assisted total knee arthroplasty leads to similar 24-month WOMAC scores as compared to conventional total knee arthroplasty: a retrospective cohort study. Knee Surg Sports Traumatol Arthrosc. 2022;30:2631-2638. doi: 10.1007/s00167-021-06599-4. Přejít k původnímu zdroji... Přejít na PubMed...
  12. Jassim SS, Benjamin-Laing H, Douglas SL, Haddad FS. Robotic and navigation systems in orthopaedic surgery: how much do our patients understand?. Clin Orthop Surg. 2014;6:462-467. doi: 10.4055/cios.2014.6.4.462. Přejít k původnímu zdroji... Přejít na PubMed...
  13. Kirchner GJ, Stambough JB, Jimenez E, Nikkel LE. Robotic-assisted TKA is not associated with decreased odds of early revision: an analysis of the American Joint Replacement Registry. Clin Orthop Relat Res. 2024;482:303-310. doi: 10.1007/s00167-022-07031-1. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Lang JE, Mannava S, Floyd AJ, Goddard MS, Smith BP, Mofidi A, Seyler TM, Jinnah RH. Robotic systems in orthopaedic surgery. J Bone Joint Surg Br. 2011;93:1296-1299. doi: 10.1302/0301-620X. 93B10.27418. Erratum in: J Bone Joint Surg Br. 2011;93:1679. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Martina K, Hunter DJ, Salmon LJ, Roe JP, Dowsey MM. Surgery for osteoarthritis: total joint arthroplasty, realistic expectations of rehabilitation and surgical outcomes: a narrative review. Clin Geriatr Med. 2022;38:385-396. doi:10.1016/j.cger.2021.11.009. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Nogalo C, Meena A, Abermann E, Fink C. Complications and downsides of the robotic total knee arthroplasty: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2023;31:736-750. doi: 10.1007/s00167-022-07031-1. Přejít k původnímu zdroji... Přejít na PubMed...
  17. Samuel LT, Acuña AJ, Mahmood B, Emara AK, Kamath AF. Comparing early and mid-term outcomes between robotic-arm assisted and manual total hip arthroplasty: a systematic review. J Robot Surg. 2022;16:735-748. doi: 10.1007/s11701-021-01299-0. Přejít k původnímu zdroji... Přejít na PubMed...
  18. Sherman WF, Wu VJ. Robotic surgery in total joint arthroplasty: a survey of the AAHKS membership to understand the utilization, motivations, and perceptions of total joint surgeons. J Arthroplasty. 2020;35:3474-3481.e2. doi: 10.1016/j.arth.2020.06.072. Přejít k původnímu zdroji... Přejít na PubMed...
  19. Siebert W, Mai S, Kober R, Heeckt PF. Technique and first clinical results of robot-assisted total knee replacement. Knee. 2002;9:173-180. doi: 10.1016/s0968-0160(02)00015-7. Přejít k původnímu zdroji... Přejít na PubMed...
  20. Sloan M, Premkumar A, Sheth NP. Projected volume of primary total joint arthroplasty in the U.S., 2014 to 2030. J Bone Joint Surg Am. 2018;100:1455-1460. doi:10.2106/JBJS.17.01617. Přejít k původnímu zdroji... Přejít na PubMed...
  21. Smith TJ, Siddiqi A, Forte SA, Judice A, Sculco PK, Vigdorchik JM, Schwarzkopf R, Springer BD. Periprosthetic fractures through tracking pin sites following computer navigated and robotic total and unicompartmental knee arthroplasty: a systematic review. JBJS Rev. 2021;9:e20.00091. doi: 10.2106/JBJS.RVW.20.00091. Přejít k původnímu zdroji... Přejít na PubMed...
  22. Tilbury C, Haanstra TM, Verdegaal SHM, Nelissen RGHH, de Vet HCW, Vliet Vlieland TPM, Ostelo RW. Patients' pre-operative general and specific outcome expectations predict postoperative pain and function after total knee and total hip arthroplasties. Scand J Pain. 2018;18:457-466. doi: 10.1515/sjpain-2018-0022. Přejít k původnímu zdroji... Přejít na PubMed...