Early Clinical and Economic Outcomes for the VELYS Robotic-Assisted Solution Compared with Manual Instrumentation for Total Knee Arthroplasty.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: P.H. and M.C. are consultants for Depuy Synthes. A.G., D.I., J.R. and D.H. are employees of Johnson & Johnson. 20. J Robot Surg. 2025 Apr 14;19(1):155. doi: 10.1007/s11701-025-02313-5. Trends of robotic total joint arthroplasty utilization in the United States from 2010 to 2022: a nationwide assessment. Gordon AM(1)(2), Nian P(3)(4), Baidya J(3)(4), Mont MA(5). Author information: (1)Questrom School of Business, Boston University, Boston, MA, USA. agordon55@gmail.com. (2)Maimonides Medical Center, Department of Orthopaedic Surgery and Rehabilitation, 927 49th Street, Brooklyn, NY, 11219, USA. agordon55@gmail.com. (3)Maimonides Medical Center, Department of Orthopaedic Surgery and Rehabilitation, 927 49th Street, Brooklyn, NY, 11219, USA. (4)College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA. (5)The Rubin Institute for Advanced Orthopedics, Baltimore, MD, USA. The adoption of robotic assistance in total knee arthroplasty (TKA) and total hip arthroplasty (THA) is growing rapidly worldwide. This study aims to evaluate recent trends in the utilization of robotic-assisted TKA and THA across the United States spanning a 12-year period. This retrospective analysis utilized the PearlDiver All Payer Claims Database to identify patients who underwent primary, elective primary TKA or THA between 2010 and 2022. Procedures were categorized as conventional or robot assisted based on International Classification of Diseases (ICD-9), ICD-10, and Current Procedural Technology (CPT) codes. Patient demographics were captured including age, sex, and comorbidities. Annual usage trends for each modality were analyzed. Simple linear regressions were utilized to evaluate changes in the proportion of annual robot-assisted TJA performed over time relative to total procedures. P values