%0 Journal Article
%T Robotic-assisted knee replacement surgery & infection: A historical foundation, systematic review and meta-analysis.
%A Raj S
%A Bola H
%A York T
%J J Orthop
%V 40
%N 0
%D 2023 Jun
%M 37159822
暂无%R 10.1016/j.jor.2023.04.007
%X <B>UNASSIGNED: </B>An increasing proportion of Knee arthroplasty is performed using robotic-assisted surgical techniques. This study sought to use a meta-analytical approach to establish summary rates of surgical site infection in robotic-assisted procedures and compare the rate of deep infections to those seen in conventional knee arthroplasty.<BR><B>UNASSIGNED: </B>This study performed a literature search across four online databases to establish a summary rate of surgical site infection across two categories: deep infection and superficial and pin-site infections. This was processed with the aid of a bespoke data-extraction tool. Risk of Bias analysis was performed using the Cochrane RoB2 tool. Meta-analysis was then performed with tests for heterogeneity and a DerSimonian-Laird random effects model.<BR><B>UNASSIGNED: </B>A total of 17 studies were identified as appropriate for inclusion in the meta-analysis. The summary rate of overall surgical site infections within one year of robotic knee arthroplasty was found to be 0.568% (SE = 0.183, 95% CI = 0.209-0.927). Deep infections fell to 0.154% (SE = 0.069, 95% CI = 0.018-0.290) and to 0.347% (SE = 0.109, 95% CI = 0.133-0.561) in superficial and pin-site infections.<BR><B>UNASSIGNED: </B>The surgical site infection rates were found to be low across robotic knee arthroplasty. Further research is required to prove its superiority compared to the conventional, non-robotic technique.