Incidental findings on CT scans for robot‐assisted total joint arthroplasty

Author:

Qadiri Qudratullah S.1ORCID,Ponzio Danielle Y.1ORCID,Thalody Hope S.1ORCID,Clark Sean C.1ORCID,Post Zachary D.1ORCID,Orozco Fabio R.2ORCID,Ong Alvin C.1ORCID

Affiliation:

1. Rothman Orthopaedic Institute 2500 English Creek Ave bldg. 1300, Egg Harbor Township New Jersey 08234 USA

2. Orozco Orthopaedics 1999 New Rd. Suite B Linwood New Jersey 08221 USA

Abstract

AbstractIntroductionThis study documented the incidence of incidental findings from preoperative computerized‐tomography (CT) scans obtained for robotic‐arm‐assisted total joint arthroplasty (TJA) and its effect on patient management.MethodsA retrospective review was conducted for patients who underwent robotic‐arm assisted primary total hip arthroplasty (THA) or total knee arthroplasty (TKA) from 2016 to 2020. All patients obtained preoperative CT scans which were formally read by fellowship‐trained musculoskeletal radiologists. CT's were flagged with incidental findings and those requiring physician follow‐up were identified as significant.ResultsA total of 1519 patients (mean age, 66 years ±9; 849 females) were evaluated. Seventy‐three (4.81%) patients had incidental CT scan findings, and 25 (1.65%) patients had significant incidental findings. Four patients required additional imaging and two patients required intervention.ConclusionThis study found a 4.81% incidence of incidental findings from preoperative CT scans for robotic‐arm‐assisted THA and TKA. Of these findings, less than 2% required physician follow‐up and less than 1% required intervention. With the increasing popularity of robotic‐arm assisted total joint arthroplasty, it is important to consider the necessity of detection and management of associated incidental findings from preoperative CT scans.

Publisher

Wiley

Subject

General Medicine,Surgery

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