First experience of using an active robotic surgical system in total knee arthroplasty

Total knee arthroplasty (TKA) is one of the most effective and technologically operations. In the United States, more than 700,000 surgical and their number continues to grow. Therefore, TKA attracts the attention of many manufacturers of robotic surgical systems (RSS). The introduction of active robotic installations into orthopedics allows you to create an individual surgical plan taking into account all the specific anatomical features of the patient, as well as ensure the accuracy of the surgeon and patient safety, improve radiographic results and reliably correct the mechanical axis of the limb, ensure high expected functional results and implant survival. The Active Robotic Surgical System (ARSS) provides complete automated bone resection and bone formation of the prosthesis of the knee joint using a special bone boron; it also uses preoperative CT planning and intraoperative registration, however, the resection takes place in full automatic mode under the visual (surgeon) and computer control.In this article, we demonstrate our experience of the first use of an active robotic surgical system for total knee replacement in the Russian Federation. We describe the features of patient selection, preoperative planning, the use of a robotic system intraoperatively, the management of patients in the postoperative period.