Patient Perspective on Robotic-Assisted Total Joint Arthroplasty

Background: Robotic-assisted total joint arthroplasty (TJA) has gained popularity in recent years. Despite mixed patient and surgeon perceptions, conflicting evidence regarding efficacy and cost-effectiveness in comparison to manual TJA exists. Patients' beliefs surrounding robotic-assisted TJA...

Full description

Saved in:
Bibliographic Details
Main Authors: Siddhartha Dandamudi, BBA, Kyleen Jan, MD, Madelyn Malvitz, BS, Anne DeBenedetti, MSc, Omar Behery, MD, MPH, Brett R. Levine, MD, MS
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344124002838
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861220056236032
author Siddhartha Dandamudi, BBA
Kyleen Jan, MD
Madelyn Malvitz, BS
Anne DeBenedetti, MSc
Omar Behery, MD, MPH
Brett R. Levine, MD, MS
author_facet Siddhartha Dandamudi, BBA
Kyleen Jan, MD
Madelyn Malvitz, BS
Anne DeBenedetti, MSc
Omar Behery, MD, MPH
Brett R. Levine, MD, MS
author_sort Siddhartha Dandamudi, BBA
collection DOAJ
description Background: Robotic-assisted total joint arthroplasty (TJA) has gained popularity in recent years. Despite mixed patient and surgeon perceptions, conflicting evidence regarding efficacy and cost-effectiveness in comparison to manual TJA exists. Patients' beliefs surrounding robotic-assisted TJA remain unclear. This study aims to assess patients' expectations on robotic technology in TJA. Methods: A 9-question survey assessing patient understanding and expectations of the use of robotics in TJA was distributed to preoperative and postoperative hip and knee patients of five surgeons at a high-volume academic center. Responses were descriptively analyzed. Results: A total of 498 responses were collected. Of all respondents, 69.1% are aware of robotic usage in TJA, 68.5% are interested but unsure of the benefits, and only 19.5% feel it is superior to manual surgery. Most patients did not consider robotic TJA as minimally invasive surgery, with 61.7% stating they are not the same. In addition, 52.3% were not comfortable with extra or longer incisions for robotic procedures. Regarding surgeon choice, 94.9% did not consider if the surgeon is able to perform robotic TJA, 74.4% wanted their surgeon proficient in manual TJA, and 72.4% felt that surgeons who use robotic technology are not more capable than manual surgeons. Conclusions: Awareness and curiosity of robotic-assisted TJA exists; however, most patients did not appear to acknowledge superiority or benefits over manual surgery. Furthermore, patients appear to prefer surgeon proficiency in manual techniques, which may influence training programs in the future. Surgeons should weigh patient goals, expectations, outcomes, and costs when choosing to perform robotic TJA.
format Article
id doaj-art-e614eb3d47694c8c9d6b6cd88b74925f
institution Kabale University
issn 2352-3441
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Arthroplasty Today
spelling doaj-art-e614eb3d47694c8c9d6b6cd88b74925f2025-02-10T04:34:30ZengElsevierArthroplasty Today2352-34412025-02-0131101598Patient Perspective on Robotic-Assisted Total Joint ArthroplastySiddhartha Dandamudi, BBA0Kyleen Jan, MD1Madelyn Malvitz, BS2Anne DeBenedetti, MSc3Omar Behery, MD, MPH4Brett R. Levine, MD, MS5Department of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USAGeorgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, D.C, USA; Corresponding author. Department of Orthopaedics, Georgetown University School of Medicine, Medstar Georgetown University Hospital, 3800 Reservoir Rd, NW G-PHC, Washington, DC 20007, USA. Tel.: +1 202 444 8766.Background: Robotic-assisted total joint arthroplasty (TJA) has gained popularity in recent years. Despite mixed patient and surgeon perceptions, conflicting evidence regarding efficacy and cost-effectiveness in comparison to manual TJA exists. Patients' beliefs surrounding robotic-assisted TJA remain unclear. This study aims to assess patients' expectations on robotic technology in TJA. Methods: A 9-question survey assessing patient understanding and expectations of the use of robotics in TJA was distributed to preoperative and postoperative hip and knee patients of five surgeons at a high-volume academic center. Responses were descriptively analyzed. Results: A total of 498 responses were collected. Of all respondents, 69.1% are aware of robotic usage in TJA, 68.5% are interested but unsure of the benefits, and only 19.5% feel it is superior to manual surgery. Most patients did not consider robotic TJA as minimally invasive surgery, with 61.7% stating they are not the same. In addition, 52.3% were not comfortable with extra or longer incisions for robotic procedures. Regarding surgeon choice, 94.9% did not consider if the surgeon is able to perform robotic TJA, 74.4% wanted their surgeon proficient in manual TJA, and 72.4% felt that surgeons who use robotic technology are not more capable than manual surgeons. Conclusions: Awareness and curiosity of robotic-assisted TJA exists; however, most patients did not appear to acknowledge superiority or benefits over manual surgery. Furthermore, patients appear to prefer surgeon proficiency in manual techniques, which may influence training programs in the future. Surgeons should weigh patient goals, expectations, outcomes, and costs when choosing to perform robotic TJA.http://www.sciencedirect.com/science/article/pii/S2352344124002838ArthroplastyRobotic surgeryPatient expectations
spellingShingle Siddhartha Dandamudi, BBA
Kyleen Jan, MD
Madelyn Malvitz, BS
Anne DeBenedetti, MSc
Omar Behery, MD, MPH
Brett R. Levine, MD, MS
Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
Arthroplasty Today
Arthroplasty
Robotic surgery
Patient expectations
title Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
title_full Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
title_fullStr Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
title_full_unstemmed Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
title_short Patient Perspective on Robotic-Assisted Total Joint Arthroplasty
title_sort patient perspective on robotic assisted total joint arthroplasty
topic Arthroplasty
Robotic surgery
Patient expectations
url http://www.sciencedirect.com/science/article/pii/S2352344124002838
work_keys_str_mv AT siddharthadandamudibba patientperspectiveonroboticassistedtotaljointarthroplasty
AT kyleenjanmd patientperspectiveonroboticassistedtotaljointarthroplasty
AT madelynmalvitzbs patientperspectiveonroboticassistedtotaljointarthroplasty
AT annedebenedettimsc patientperspectiveonroboticassistedtotaljointarthroplasty
AT omarbeherymdmph patientperspectiveonroboticassistedtotaljointarthroplasty
AT brettrlevinemdms patientperspectiveonroboticassistedtotaljointarthroplasty