Rehabilitation approach in robot assisted total knee arthroplasty: an observational study
Abstract Background The purpose of this study is to evaluate the impact of total knee arthroplasty (TKA) with the aid of Navio Robot, comparing it with standard prosthetic surgery on the functional outcomes of patients after an intensive rehabilitation program. Method A case–control observational st...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06230-2 |
| _version_ | 1827985450723180544 |
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| author | Dalila Scaturro Fabio Vitagliani Dario Caracappa Sofia Tomasello Rita Chiaramonte Michele Vecchio Lawrence Camarda Giulia Letizia Mauro |
| author_facet | Dalila Scaturro Fabio Vitagliani Dario Caracappa Sofia Tomasello Rita Chiaramonte Michele Vecchio Lawrence Camarda Giulia Letizia Mauro |
| author_sort | Dalila Scaturro |
| collection | DOAJ |
| description | Abstract Background The purpose of this study is to evaluate the impact of total knee arthroplasty (TKA) with the aid of Navio Robot, comparing it with standard prosthetic surgery on the functional outcomes of patients after an intensive rehabilitation program. Method A case–control observational study was conducted on patients undergoing TKA for severe KOA. All patients underwent the same intensive hospital rehabilitation program of 14 daily sessions lasting 3 h. The following rating scales were administered: Numeric Rating Scale (NRS), Knee Society Score (KSS) and 12-Item Short Form Survey scale. Patient assessments were performed 1 week post-surgery (T0), 1 month post-surgery (T2), and 3 months post-surgery (T3). The primary outcomes were active knee extension and flexion and pain severity. The secondary outcomes were functional capacity and quality of life. Results Using repeated measures ANOVA, we observed at T1 a statistically different difference for the treatment group compared to the control group about KSS (p < 0.05), pain (p < 0.05), and knee flexion (p < 0.05). No statistically significant difference between the two groups was observed for knee extension (p = 0.09) and the SF-12 scale (p = 0.52). At T2 instead, we observed a statistically significant difference for the treatment group compared to the control group as regards KSS (p < 0.05) and knee flexion (p < 0.05), while no statistically significant difference was observed for pain (p = 0.83), knee extension (p = 0.60), and the SF-12 scale (0.44). Conclusions Our study has demonstrated that robot-NAVIO assisted knee prosthesis surgery, associated with a specific intensive rehabilitation treatment, in the short and medium term, determines good pain control, better flexion recovery and a improvement of functional capacity. |
| first_indexed | 2024-04-09T23:15:10Z |
| format | Article |
| id | doaj.art-37312e9021e6455c801af2d92e08516c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T23:15:10Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-37312e9021e6455c801af2d92e08516c2023-03-22T10:02:20ZengBMCBMC Musculoskeletal Disorders1471-24742023-02-012411710.1186/s12891-023-06230-2Rehabilitation approach in robot assisted total knee arthroplasty: an observational studyDalila Scaturro0Fabio Vitagliani1Dario Caracappa2Sofia Tomasello3Rita Chiaramonte4Michele Vecchio5Lawrence Camarda6Giulia Letizia Mauro7Department of Surgery, Oncology and Stomatology, University of PalermoUniversity of CataniaUniversity of CataniaUniversity of PalermoDepartment of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, 95124, Italy, University of CataniaRehabilitation Unit, AOU Policlinico Vittorio EmanueleDepartment of Surgery, Oncology and Stomatology, University of PalermoDepartment of Surgery, Oncology and Stomatology, University of PalermoAbstract Background The purpose of this study is to evaluate the impact of total knee arthroplasty (TKA) with the aid of Navio Robot, comparing it with standard prosthetic surgery on the functional outcomes of patients after an intensive rehabilitation program. Method A case–control observational study was conducted on patients undergoing TKA for severe KOA. All patients underwent the same intensive hospital rehabilitation program of 14 daily sessions lasting 3 h. The following rating scales were administered: Numeric Rating Scale (NRS), Knee Society Score (KSS) and 12-Item Short Form Survey scale. Patient assessments were performed 1 week post-surgery (T0), 1 month post-surgery (T2), and 3 months post-surgery (T3). The primary outcomes were active knee extension and flexion and pain severity. The secondary outcomes were functional capacity and quality of life. Results Using repeated measures ANOVA, we observed at T1 a statistically different difference for the treatment group compared to the control group about KSS (p < 0.05), pain (p < 0.05), and knee flexion (p < 0.05). No statistically significant difference between the two groups was observed for knee extension (p = 0.09) and the SF-12 scale (p = 0.52). At T2 instead, we observed a statistically significant difference for the treatment group compared to the control group as regards KSS (p < 0.05) and knee flexion (p < 0.05), while no statistically significant difference was observed for pain (p = 0.83), knee extension (p = 0.60), and the SF-12 scale (0.44). Conclusions Our study has demonstrated that robot-NAVIO assisted knee prosthesis surgery, associated with a specific intensive rehabilitation treatment, in the short and medium term, determines good pain control, better flexion recovery and a improvement of functional capacity.https://doi.org/10.1186/s12891-023-06230-2Knee arthroplastyRehabilitationKnee osteoarthritisNAVIOOutcomes |
| spellingShingle | Dalila Scaturro Fabio Vitagliani Dario Caracappa Sofia Tomasello Rita Chiaramonte Michele Vecchio Lawrence Camarda Giulia Letizia Mauro Rehabilitation approach in robot assisted total knee arthroplasty: an observational study BMC Musculoskeletal Disorders Knee arthroplasty Rehabilitation Knee osteoarthritis NAVIO Outcomes |
| title | Rehabilitation approach in robot assisted total knee arthroplasty: an observational study |
| title_full | Rehabilitation approach in robot assisted total knee arthroplasty: an observational study |
| title_fullStr | Rehabilitation approach in robot assisted total knee arthroplasty: an observational study |
| title_full_unstemmed | Rehabilitation approach in robot assisted total knee arthroplasty: an observational study |
| title_short | Rehabilitation approach in robot assisted total knee arthroplasty: an observational study |
| title_sort | rehabilitation approach in robot assisted total knee arthroplasty an observational study |
| topic | Knee arthroplasty Rehabilitation Knee osteoarthritis NAVIO Outcomes |
| url | https://doi.org/10.1186/s12891-023-06230-2 |
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