Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique

An isolated polyethylene exchange (IPE) is a revision procedure with mixed results in the literature, typically indicated for well-aligned total knee arthroplasties with instability. Surgeons often rely on subjective feedback and experience to determine whether an IPE or a more involved revision pro...

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Main Authors: Liam Cleary, MD, Alec McCann, MD, Jake Peterson, MS, Caleb Pawl, MD, Matthew Brown, MD, Alex Caughran, MD, David Markel, MD, Matthew Bullock, DO, MPT
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Arthroplasty Today
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352344125001785
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author Liam Cleary, MD
Alec McCann, MD
Jake Peterson, MS
Caleb Pawl, MD
Matthew Brown, MD
Alex Caughran, MD
David Markel, MD
Matthew Bullock, DO, MPT
author_facet Liam Cleary, MD
Alec McCann, MD
Jake Peterson, MS
Caleb Pawl, MD
Matthew Brown, MD
Alex Caughran, MD
David Markel, MD
Matthew Bullock, DO, MPT
author_sort Liam Cleary, MD
collection DOAJ
description An isolated polyethylene exchange (IPE) is a revision procedure with mixed results in the literature, typically indicated for well-aligned total knee arthroplasties with instability. Surgeons often rely on subjective feedback and experience to determine whether an IPE or a more involved revision procedure is necessary. The technique of robotic-assisted IPE offers the potential for more precise decision-making in revision knee arthroplasty. Robotic systems can provide intraoperative data that may help identify ideal candidates for IPE and guide the selection of the appropriate PE component to address instability. Future studies comparing robotic-assisted IPE with traditional methods are needed to investigate patient-reported outcomes and functional results.
format Article
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institution Kabale University
issn 2352-3441
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publishDate 2025-08-01
publisher Elsevier
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series Arthroplasty Today
spelling doaj-art-14bc41b8ac6e440d98a5f2a8d13f94402025-08-20T03:45:03ZengElsevierArthroplasty Today2352-34412025-08-013410179110.1016/j.artd.2025.101791Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical TechniqueLiam Cleary, MD0Alec McCann, MD1Jake Peterson, MS2Caleb Pawl, MD3Matthew Brown, MD4Alex Caughran, MD5David Markel, MD6Matthew Bullock, DO, MPT7Department of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USADepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USAMarshall University, Joan C. Edwards School of Medicine, Huntington, WV, USADepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USACooper University HealthCare, Camden, NJ, USADepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USAThe Core Institute, Novi, MI, USADepartment of Orthopaedic Surgery, Marshall University, Joan C. Edwards School of Medicine, Huntington, WV, USA; Corresponding author. 1600 Medical Center Drive – Suite G500, Huntington, WV 25701, USA. Tel.: +1 304 691 1262.An isolated polyethylene exchange (IPE) is a revision procedure with mixed results in the literature, typically indicated for well-aligned total knee arthroplasties with instability. Surgeons often rely on subjective feedback and experience to determine whether an IPE or a more involved revision procedure is necessary. The technique of robotic-assisted IPE offers the potential for more precise decision-making in revision knee arthroplasty. Robotic systems can provide intraoperative data that may help identify ideal candidates for IPE and guide the selection of the appropriate PE component to address instability. Future studies comparing robotic-assisted IPE with traditional methods are needed to investigate patient-reported outcomes and functional results.http://www.sciencedirect.com/science/article/pii/S2352344125001785Robotic revisionPolyethylene exchangeRevision total knee arthroplastyLigament tensionInstability
spellingShingle Liam Cleary, MD
Alec McCann, MD
Jake Peterson, MS
Caleb Pawl, MD
Matthew Brown, MD
Alex Caughran, MD
David Markel, MD
Matthew Bullock, DO, MPT
Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
Arthroplasty Today
Robotic revision
Polyethylene exchange
Revision total knee arthroplasty
Ligament tension
Instability
title Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
title_full Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
title_fullStr Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
title_full_unstemmed Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
title_short Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique
title_sort robotic assisted isolated polyethylene exchange a novel surgical technique
topic Robotic revision
Polyethylene exchange
Revision total knee arthroplasty
Ligament tension
Instability
url http://www.sciencedirect.com/science/article/pii/S2352344125001785
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