Evaluating surgical outcomes: robotic-assisted vs. conventional total knee arthroplasty.

Purpose: This study aims to systematically assess the surgical outcomes and postoperative recovery discrepancies between Robotic-Assisted Total Knee Arthroplasty (RA-TKA) and Conventional Total Knee Arthroplasty (C-TKA) using machine learning algorithms. The objective is to analyze the advantages an...

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Publicado en:Journal of Orthopaedic Surgery & Research Vol. 20; no. 1; pp. 1 - 12
Autores principales: Guo, Jiarong, Jin, Zhe, Xia, Maosheng
Formato: research tables/charts Journal Article
Publicado: BioMed Central 2/15/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/15/2025
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      pub: BioMed Central
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        10.1186/s13018-025-05518-4
        183072443
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        atl: Evaluating surgical outcomes: robotic-assisted vs. conventional total knee arthroplasty.
      aug:
        au:
          Guo, Jiarong
          Jin, Zhe
          Xia, Maosheng
        affil: https://ror.org/04wjghj95 Orthopedics Department of the First Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, 110001, Shenyang, Liaoning Province, China
      sug:
        subj:
          Arthroplasty, Replacement, Knee Methods
          Treatment Outcomes
          Robotic Surgical Procedures
          Human
          Prediction Models
          Descriptive Statistics
          Validation Studies
          Postoperative Period
          Recovery
          Functional Status
          Postoperative Complications Prevention and Control
          Scales
          Comparative Studies
      ab: Purpose: This study aims to systematically assess the surgical outcomes and postoperative recovery discrepancies between Robotic-Assisted Total Knee Arthroplasty (RA-TKA) and Conventional Total Knee Arthroplasty (C-TKA) using machine learning algorithms. The objective is to analyze the advantages and disadvantages of both techniques across various parameters and propose optimization recommendations. Methods: Data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) clinical database were collected and underwent thorough cleaning and standardization. Key variables such as operative time, Length of Stay (LOS), and postoperative functional status were extracted for analysis. A predictive model was developed and trained using the random forest machine learning algorithm based on postoperative recovery data. The model's performance was validated using a test dataset, and statistical analyses were conducted to compare the surgical outcomes and postoperative recovery between RA-TKA and C-TKA. Results: The machine learning model's predictions indicate that RA-TKA surpasses C-TKA in all surgical outcome metrics, exhibiting superior means and variances. Furthermore, RA-TKA demonstrates better postoperative functional status, lower Complication Rate (CR), and a higher modified frailty index (mFI), suggesting enhanced and quicker recovery for RA-TKA patients. Conclusion: The evaluation results derived from machine learning algorithms suggest that RA-TKA may offer advantages over C-TKA in several crucial metrics. These findings provide valuable insights that could inform future efforts to optimize surgical procedures and postoperative care in clinical practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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