イトウ　ジユンヤ   Itou Jiyun'ya   伊藤　淳哉    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Robotic-assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis.
掲載誌名	正式名：Journal of experimental orthopaedics 略　 称：J Exp Orthop ISSNコード：21971153/21971153
掲載区分	国外
巻・号・頁	10(1),pp.65
著者・共著者	Itou Junya, Kuwashima Umito, Itoh Masafumi, Okazaki Ken
担当区分	筆頭著者
発行年月	2023/06
概要	PURPOSE:Prolongation of operation time due to registration and pin insertion has been reported with robotic-assisted total knee arthroplasty (RATKA), and there has been concern about an increase in the postoperative incidence of deep vein thrombosis (DVT). In this study, we compared the incidence of DVT after RATKA with that after conventional manual TKA (mTKA).METHODS:This consecutive retrospective series included 141 knees that underwent primary TKA using the Journey II system. The CORI robot was used. There were 60 RATKAs and 81 mTKAs. Doppler ultrasound was performed in all patients on postoperative day 7 to determine whether DVT was present.RESULTS:The operation time was longer in the RATKA cohort (99.5 min vs 78.0 min, p < 0.001). The overall incidence of DTV was 43.9% (62/141 knees), all of which were asymptomatic. There was no significant difference in incidence of DVT between RATKA and mTKA (50.0% vs 39.5%, p = 0.23). Use of the robot did not affect the incidence of DVT following TKA (odds ratio 1.02, 95% confidence interval 0.40-2.60; p = 0.96).CONCLUSION:The incidence of DVT was not significantly different between RA-TKA and mTKA. Multiple logistic regression indicated that RATKA is not associated with increased risk of postoperative DVT.LEVEL OF EVIDENCE:IV.
DOI	10.1186/s40634-023-00628-6
PMID	37382867