Nursing considerations for patients undergoing robotic-arm assisted joint replacements
Robotic-arm assisted arthroplasty (RAA) has gained popularity over the past decade because of its ability to provide more accurate implant positioning with less surgical trauma than conventional manual arthroplasty. It has shown better early functional outcomes, less postoperative pain and shorter inpatient stays. A multidisciplinary approach is crucial in improving overall outcomes and ensuring this technology is implemented efficiently and safely, but there is limited published literature on the nursing considerations for managing patients undergoing RAA. This article aims to provide a pragmatic approach for nursing care in the pre-, intra-, and postoperative phases of RAA.
Major joint replacement surgery (arthroplasty) of the hip and knee joints is routinely carried out worldwide as an effective treatment for end-stage osteoarthritis (Haddad, 2017). Their purpose is to relieve pain and restore mobility. While arthroplasty has evolved through a number of different implants and surgical techniques, the basic principles remain the same: to replace diseased and arthritic bone surfaces with artificial implants.
Robotic technology has developed an ever-expanding range of roles within surgery as a whole, with its use in arthroplasty growing popular over the past 10 years (Coon, 2009; Kayani and Haddad, 2019; Kayani et al, 2019a; Banger et al, 2020; McDonnell et al, 2020; Vermue et al, 2020). The basic premise of this technology is that it minimises surgical trauma, improves the accuracy of implant positioning and reduces the overall systemic insult of surgery compared to conventional manual arthroplasty (Kayani et al, 2018a; 2019b; Begum et al, 2020).
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