Abdelfadeel W. CT planning studies for robotic total knee arthroplasty. Bone Joint J.. 2020; 102-B:(6)79-84

Banger MS, Johnston WD, Razii N Robotic arm-assisted bi-unicompartmental knee arthroplasty maintains natural knee joint anatomy compared with total knee arthroplasty: a prospective randomized controlled trial. Bone Joint J.. 2020; 102-B:(11)1511-1518

Bautista M, Manrique J, Hozack WJ. Robotics in total knee arthroplasty. J Knee Surg.. 2019; 32:(07)600-606

Begum FA, Kayani B, Morgan SDJ, Ahmed SS, Singh S, Haddad FS. Robotic technology: current concepts, operative techniques and emerging uses in unicompartmental knee arthroplasty. EFORT Open Rev.. 2020; 5:(5)312-318

Burger JA, Kleeblad LJ, Laas N, Pearle AD. Mid-term survivorship and patient-reported outcomes of robotic-arm assisted partial knee arthroplasty. Bone Joint J.. 2020; 102-B:(1)108-116

Calatayud J, Casaña J, Ezzatvar Y, Jakobsen MD, Sundstrup E, Andersen LL. High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc.. 2017; 25:(9)2864-2872

Coon TM. Integrating robotic technology into the operating room. Am J Orthop (Belle Mead NJ).. 2009; 38:(2)7-9

Fortin PR, Clarke AE, Joseph L Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum.. 1999; 42:(8)1722-1728<1722::AID-ANR22>3.0.CO;2-R

Grau L, Lingamfelter M, Ponzio D Robotic arm assisted total knee arthroplasty workflow optimization, operative times and learning curve. Arthroplast Today.. 2019; 5:(4)465-470

Gwynne-Jones DP, Martin G, Crane C. Enhanced recovery after surgery for hip and knee replacements. Orthop Nurs.. 2017; 36:(3)203-210

Haddad FS. What is the optimal level of expectation?. Bone Joint J. 2017; 99-B:(9)1121-1122

Haddad FS, Horriat S. Robotic and other enhanced technologies. Bone Joint J.. 2019; 101-B:(12)1469-1471

Jacofsky DJ, Allen M. Robotics in arthroplasty: a comprehensive review. J Arthroplasty.. 2016; 31:(10)2353-2363

Kayani B, Haddad FS. Robotic total knee arthroplasty: clinical outcomes and directions for future research. Bone Joint Res.. 2019; 8:(10)438-442

Kayani B, Konan S, Pietrzak JRT, Haddad FS. Iatrogenic bone and soft tissue trauma in robotic-arm assisted total knee arthroplasty compared with conventional jig-based total knee arthroplasty: a prospective cohort and validation of a new classification System. J Arthroplasty.. 2018a; 33:(8)2496-2501

Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty. Bone Joint J.. 2018b; 100-B:(7)930-937

Kayani B, Konan S, Ayuob A, Onochie E, Al-Jabri T, Haddad FS. Robotic technology in total knee arthroplasty: a systematic review. EFORT Open Rev.. 2019a; 4:(10)611-617

Kayani B, Konan S, Tahmassebi J, Rowan FE, Haddad FS. An assessment of early functional rehabilitation and hospital discharge in conventional versus robotic-arm assisted unicompartmental knee arthroplasty. Bone Joint J.. 2019b; 101-B:(1)24-33

Kayani B, Konan S, Thakrar RR Assuring the long-term total joint arthroplasty: a triad of variables. Bone Joint J.. 2019; 101-B:(1)11-18

Kayani B, Konan S, Huq SS Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning. Knee Surg Sports Traumatol Arthrosc.. 2019d; 27:(4)1132-1141

Kayani B, Konan S, Tahmassebi J, Rowan FE, Haddad FS. Infographic: robotics are guiding arthroplasties to less pain and faster recovery. Bone Joint J.. 2019e; 101-B:(1)22-23

Kayani B, Konan S, Horriat S, Ibrahim MS, Haddad FS. Posterior cruciate ligament resection in total knee arthroplasty: the effect on flexion-extension gaps, mediolateral laxity, and fixed flexion deformity. Bone Joint J.. 2019f; 101-B:(10)1230-1237

Kayani B, Konan S, Tahmassebi J, Oussedik S, Moriarty PD, Haddad FS. A prospective double-blinded randomised control trial comparing robotic arm-assisted functionally aligned total knee arthroplasty versus robotic arm-assisted mechanically aligned total knee arthroplasty. Trials.. 2020a; 21:(1)

Kayani B, Konan S, Tahmassebi J, Ayuob A, Haddad FS. Computerised tomography-based planning with conventional total hip arthroplasty versus robotic-arm assisted total hip arthroplasty: study protocol for a prospective randomised controlled trial. Trials.. 2020b; 21:(1)

Kayani B, Konan S, Tahmassebi J, Ayuob A, Moriarty PD, Haddad FS. Robotic-arm assisted medial unicondylar knee arthroplasty versus jig-based unicompartmental knee arthroplasty with navigation control: study protocol for a prospective randomised controlled trial. Trials.. 2020c; 21:(1)

Kaye AD, Urman RD, Cornett EM Enhanced recovery pathways in orthopedic surgery. J Anaesthesiol Clin Pharmacol.. 2019; 35:S35-S39

Khamiso R., Momin S, Panjwani N. Involvement of preoperative nurse: a strategy for optimization of risk factors before hospitalization for elective orthopedic surgeries at a tertiary care hospital in Karachi, Pakistan. i-manager's Journal on Nursing.. 2019; 9:(1)

Lang JE, Mannava S, Floyd AJ Robotic systems in orthopaedic surgery. J Bone Joint Surg Br.. 2011; 93:(10)1296-1299

Liow MHL, Chin PL, Pang HN, Tay DKJ, Yeo SJ. THINK surgical TSolution-One ® (Robodoc) total knee arthroplasty. SICOT J.. 2017a; 3

Liow MHL, Goh GSH, Wong MK, Chin PL, Tay DKJ, Yeo SJ. Robotic-assisted total knee arthroplasty may lead to improvement in quality-of-life measures: a 2-year follow-up of a prospective randomized trial. Knee Surg Sports Traumatol Arthrosc.. 2017b; 25:(9)2942-2951

Lonner JH, Fillingham YA. Pros and cons: a balanced view of robotics in knee arthroplasty. J Arthroplasty.. 2018; 33:(7)2007-2013

McDonnell JM, Ahern DP, Ó Doinn T Surgeon proficiency in robot-assisted spine surgery. Bone Joint J.. 2020; 102-B:(5)568-572

Mont MA, Cool C, Gregory D, Coppolecchia A, Sodhi N, Jacofsky DJ. Health care utilization and payer cost analysis of robotic arm assisted total knee arthroplasty at 30, 60, and 90 days. J Knee Surg.. 2021; 34:(3)328-337

Moschetti WE, Konopka JF, Rubash HE, Genuario JW. Can robot-assisted unicompartmental knee arthroplasty be cost-effective? A Markov Decision Analysis. J Arthroplasty.. 2016; 31:(4)759-765

Moyer R, Ikert K, Long K, Marsh J. The value of preoperative exercise and education for patients undergoing total hip and knee arthroplasty. JBJS Rev.. 2017; 5:(12)

Oussedik S, Abdel MP, Cross MB, Haddad FS. Alignment and fixation in total knee arthroplasty. Bone Joint J.. 2015; 97-B:(10)16-19

Oussedik S, Abdel MP, Victor J, Pagnano MW, Haddad FS. Alignment in total knee arthroplasty. Bone Joint J.. 2020; 102-B:(3)276-279

Robinson PG, Clement ND, Hamilton D, Blyth MJG, Haddad FS, Patton JT. A systematic review of robotic-assisted unicompartmental knee arthroplasty. Bone Joint J.. 2019; 101-B:(7)838-847

Sau-Man Conny C, Wan-Yim I. The effectiveness of nurse-led preoperative assessment clinics for patients receiving elective orthopaedic surgery: A Systematic Review. J Perianesth Nurs.. 2016; 31:(6)465-474

St Mart JP, de Steiger RN, Cuthbert A, Donnelly W. The three-year survivorship of robotically assisted versus non-robotically assisted unicompartmental knee arthroplasty. Bone Joint J.. 2020; 102-B:(3)319-328

Stambough JB, Nunley RM, Curry MC, Steger-May K, Clohisy JC. Rapid recovery protocols for primary total hip arthroplasty can safely reduce length of stay without increasing readmissions. J Arthroplasty.. 2015; 30:(4)521-526

Swank ML, Alkire M, Conditt M, Lonner JH. Technology and cost-effectiveness in knee arthroplasty: computer navigation and robotics. Am J Orthop (Belle Mead NJ). 2009; 38:32-36

University Hospital, Grenoble. Total knee arthroplasty robot assisted with MAKO™ robotic system compared to the conventional total knee arthroplasty by mechanical ancillary (TKA-MAKO). Identifier: NCT03566875. 2020. (accessed 14 May 2021)

Vermue H, Lambrechts J, Tampere T, Arnout N, Auvinet E, Victor J. How should we evaluate robotics in the operating theatre?. Bone Joint J.. 2020; 102-B:(4)407-413

Zambianchi F, Franceschi G, Rivi E, Banchelli F, Marcovigi A, Nardacchione R, Ensini A, Catani F. Does component placement affect short-term clinical outcome in robotic-arm assisted unicompartmental knee arthroplasty?. Bone Joint J.. 2019; 101-B:(4)435-442

Zhu S, Qian W, Jiang C, Ye C, Chen X. Enhanced recovery after surgery for hip and knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J.. 2017; 93:(1106)736-742

Nursing considerations for patients undergoing robotic-arm assisted joint replacements

27 May 2021
Volume 30 · Issue 10


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).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content