Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty
Objective We investigated the advantages of robotic arm‐assisted total knee arthroplasty (raTKA) over conventional manual TKA (cmTKA) by comprehensively comparing patients who received raTKA and cmTKA in terms of postoperative pain, function, imaging assessment, and trauma to the body. This study in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-04-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.14008 |
| _version_ | 1797231075464839168 |
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| author | Mingcheng Yuan Tingxian Ling Qiang Su Xufeng Wan Yahao Lai Zongke Zhou |
| author_facet | Mingcheng Yuan Tingxian Ling Qiang Su Xufeng Wan Yahao Lai Zongke Zhou |
| author_sort | Mingcheng Yuan |
| collection | DOAJ |
| description | Objective We investigated the advantages of robotic arm‐assisted total knee arthroplasty (raTKA) over conventional manual TKA (cmTKA) by comprehensively comparing patients who received raTKA and cmTKA in terms of postoperative pain, function, imaging assessment, and trauma to the body. This study investigated the efficacy and safety of raTKA in patients using the YUANHUA‐TKA system. Methods In a prospective, randomized single‐blind trial, 60 patients undergoing primary unilateral TKA from October 2020 to December 2020 were randomly assigned to either raTKA or cmTKA. Clinical evaluation, including the time of osteotomy and prosthesis model testing, the total operation time, the visual analogue scale at rest, VAS in motion, opioid consumption, white blood cell count, neutrophil ratio, erythrocyte sedimentation rate, C‐reactive protein (CRP), passive and active range of motion (pROM, aROM), Western Ontario and McMaster Universities Arthritis Index (WOMAC [stiffness, pain, and function]) score, gait analysis, keen society score (KSS), adverse events, and blood loss were collected by the project nurse, as well as the imaging evaluation, including the lateral tibia component angle (LTC), frontal femoral component angle, frontal tibia component angle (FTC), lateral femoral component angl, and hip–knee–ankle angle (HKA). The student t‐test (or the Wilcoxon signed‐rank test) and the χ2‐test (or the Fisher exact test) were used to determine differences in categorical variables. Results No significant difference was found between the two groups in pain throughout the whole follow‐up period. On the third day postoperatively, the erythrocyte sedimentation rate in the cmTKA group was significantly higher (p = 0.02), as well as the CRP (p = 0.04). No significant difference was found in the WOMAC stiffnes score or pROM. However, the aROM and the flexion range when walking (FRW) were significantly better in the raTKA group throughout the trial (p < 0.05). The KSS at the 1‐month follow‐up and the WOMAC function score at the 1‐year follow‐up were both significantly better in the raTKA group (p < 0.05). The HKA and the LTC in the raTKA group closer to the ideal angle, and the difference between the groups was significant (p < 0.05). The total operation time of the raTKA group was significantly longer (p = 0.001). The intraoperative blood loss had no significant difference in the two groups. Conclusion Compared with cmTKA, raTKA with the YUANHUA robot not only avoids extra pain and trauma in patients but promises better functional recovery and improves the accuracy of the prosthesis position and axial alignment reconstruction. |
| first_indexed | 2024-04-24T15:38:37Z |
| format | Article |
| id | doaj.art-3ec2a3bb7c0a465aba9b438398809e5f |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-24T15:38:37Z |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-3ec2a3bb7c0a465aba9b438398809e5f2024-04-02T01:03:25ZengWileyOrthopaedic Surgery1757-78531757-78612024-04-0116488289310.1111/os.14008Safety and Effectiveness of Robotic‐Arm Assisted Total Knee ArthroplastyMingcheng Yuan0Tingxian Ling1Qiang Su2Xufeng Wan3Yahao Lai4Zongke Zhou5Department of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaDepartment of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaDepartment of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaDepartment of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaDepartment of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaDepartment of Orthopedics West China Hospital of Sichuan University/West China School of Medicine, Sichuan University Chengdu ChinaObjective We investigated the advantages of robotic arm‐assisted total knee arthroplasty (raTKA) over conventional manual TKA (cmTKA) by comprehensively comparing patients who received raTKA and cmTKA in terms of postoperative pain, function, imaging assessment, and trauma to the body. This study investigated the efficacy and safety of raTKA in patients using the YUANHUA‐TKA system. Methods In a prospective, randomized single‐blind trial, 60 patients undergoing primary unilateral TKA from October 2020 to December 2020 were randomly assigned to either raTKA or cmTKA. Clinical evaluation, including the time of osteotomy and prosthesis model testing, the total operation time, the visual analogue scale at rest, VAS in motion, opioid consumption, white blood cell count, neutrophil ratio, erythrocyte sedimentation rate, C‐reactive protein (CRP), passive and active range of motion (pROM, aROM), Western Ontario and McMaster Universities Arthritis Index (WOMAC [stiffness, pain, and function]) score, gait analysis, keen society score (KSS), adverse events, and blood loss were collected by the project nurse, as well as the imaging evaluation, including the lateral tibia component angle (LTC), frontal femoral component angle, frontal tibia component angle (FTC), lateral femoral component angl, and hip–knee–ankle angle (HKA). The student t‐test (or the Wilcoxon signed‐rank test) and the χ2‐test (or the Fisher exact test) were used to determine differences in categorical variables. Results No significant difference was found between the two groups in pain throughout the whole follow‐up period. On the third day postoperatively, the erythrocyte sedimentation rate in the cmTKA group was significantly higher (p = 0.02), as well as the CRP (p = 0.04). No significant difference was found in the WOMAC stiffnes score or pROM. However, the aROM and the flexion range when walking (FRW) were significantly better in the raTKA group throughout the trial (p < 0.05). The KSS at the 1‐month follow‐up and the WOMAC function score at the 1‐year follow‐up were both significantly better in the raTKA group (p < 0.05). The HKA and the LTC in the raTKA group closer to the ideal angle, and the difference between the groups was significant (p < 0.05). The total operation time of the raTKA group was significantly longer (p = 0.001). The intraoperative blood loss had no significant difference in the two groups. Conclusion Compared with cmTKA, raTKA with the YUANHUA robot not only avoids extra pain and trauma in patients but promises better functional recovery and improves the accuracy of the prosthesis position and axial alignment reconstruction.https://doi.org/10.1111/os.14008AsianefficacyRobotic arm‐assisted total knee arthroplastysafetyYUANHUA‐TKA system |
| spellingShingle | Mingcheng Yuan Tingxian Ling Qiang Su Xufeng Wan Yahao Lai Zongke Zhou Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty Orthopaedic Surgery Asian efficacy Robotic arm‐assisted total knee arthroplasty safety YUANHUA‐TKA system |
| title | Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty |
| title_full | Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty |
| title_fullStr | Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty |
| title_full_unstemmed | Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty |
| title_short | Safety and Effectiveness of Robotic‐Arm Assisted Total Knee Arthroplasty |
| title_sort | safety and effectiveness of robotic arm assisted total knee arthroplasty |
| topic | Asian efficacy Robotic arm‐assisted total knee arthroplasty safety YUANHUA‐TKA system |
| url | https://doi.org/10.1111/os.14008 |
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