Orthopedic research and reviews · 2025
First Clinical Experience with Robotic-Assisted Total Knee Arthroplasty in Indonesia: Early Results and Comparison with Global Evidence.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Yanuar Andre
Аннотация
OBJECTIVE: This study evaluated early clinical and radiographic outcomes of robotic-assisted total knee arthroplasty (RA-TKA) in Indonesia using the ROSA® Knee System, hypothesizing that outcomes would be comparable to high-income countries.
METHODS: A retrospective observational study was conducted including patients undergoing primary RA-TKA between July 2024 and July 2025. Perioperative variables, radiographic alignment, postoperative mobilization, and patient satisfaction were assessed. Outcomes were compared qualitatively with published benchmarks. All procedures were performed by a single surgeon.
RESULTS: A total of 40 patients (44 knees) were included. Median operative time was 110 minutes. Standing long-leg radiographs demonstrated mechanical alignment within ±3° of neutral in all knees. Median time to ambulation was 6 hours (unilateral) and 19.5 hours (bilateral). No intraoperative complications occurred. Overall satisfaction was 95%. Outcomes were consistent with reports from high-income countries.
CONCLUSION: RA-TKA can be safely and effectively implemented within a developing healthcare system, achieving alignment accuracy, mobilization times, and satisfaction rates comparable to global benchmarks.
METHODS: A retrospective observational study was conducted including patients undergoing primary RA-TKA between July 2024 and July 2025. Perioperative variables, radiographic alignment, postoperative mobilization, and patient satisfaction were assessed. Outcomes were compared qualitatively with published benchmarks. All procedures were performed by a single surgeon.
RESULTS: A total of 40 patients (44 knees) were included. Median operative time was 110 minutes. Standing long-leg radiographs demonstrated mechanical alignment within ±3° of neutral in all knees. Median time to ambulation was 6 hours (unilateral) and 19.5 hours (bilateral). No intraoperative complications occurred. Overall satisfaction was 95%. Outcomes were consistent with reports from high-income countries.
CONCLUSION: RA-TKA can be safely and effectively implemented within a developing healthcare system, achieving alignment accuracy, mobilization times, and satisfaction rates comparable to global benchmarks.