UKA with a handheld robotic device results in greater surgeon physiological stress than conventional instrumentation

Purpose Poor ergonomics and acute stress can impair surgical performance and cause work-related injuries. Robotic assistance may optimize these psychophysiological factors during UKA. This study compared surgeon physiologic stress and ergonomics during robotic-assisted UKA (rUKA) and conventional UK...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2023-03, Vol.31 (3), p.777-785
Main Authors: Haffar, Amer, Krueger, Chad A., Goh, Graham S., Lonner, Jess H.
Format: Article
Language:English
Subjects:
Energy expenditure
Ergonomics
Heart rate
Instrumentation
Knee
Mechanical ventilation
Medicine
Medicine & Public Health
Neck
Orthopedics
Respiration
Respiratory rate
Robotics
Shoulder
Spine
Spine (lumbar)
Sports Medicine
Stress
Stress (physiology)
Surgeons
Ventilation
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Summary:Purpose Poor ergonomics and acute stress can impair surgical performance and cause work-related injuries. Robotic assistance may optimize these psychophysiological factors during UKA. This study compared surgeon physiologic stress and ergonomics during robotic-assisted UKA (rUKA) and conventional UKA (cUKA). Methods Cardiorespiratory and postural data from a single surgeon were recorded during 30 UKAs, (15 rUKAs, 15 cUKAs). Heart rate (HR), HR variability, respiratory rate (RR), minute ventilation and calorie expenditure were used to measure surgical strain. Intraoperative ergonomics were assessed by measuring flexion/extension/rotation of the neck and lumbar spine, and shoulder abduction/adduction. Results Mean operative time was 32.0 ± 7 min for cUKA and 45.9 ± 9 min for rUKA ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-022-06908-5