Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation
Abstract Background Range of motion (ROM) following total knee replacement (TKR) has been associated with patient satisfaction and knee function, and is also an early indicator of a successful procedure. Robotic-assisted TKR (raTKR) is considered to reproduce more precise resections, and, as a resul...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Arthroplasty |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42836-023-00216-0 |
| _version_ | 1797398174474698752 |
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| author | Camdon Fary Jason Cholewa Anna N. Ren Scott Abshagen Mike B. Anderson Krishna Tripuraneni |
| author_facet | Camdon Fary Jason Cholewa Anna N. Ren Scott Abshagen Mike B. Anderson Krishna Tripuraneni |
| author_sort | Camdon Fary |
| collection | DOAJ |
| description | Abstract Background Range of motion (ROM) following total knee replacement (TKR) has been associated with patient satisfaction and knee function, and is also an early indicator of a successful procedure. Robotic-assisted TKR (raTKR) is considered to reproduce more precise resections, and, as a result, may be associated with improved early patient satisfaction compared to manual TKR (mTKR). The purpose of this study was to evaluate the early postoperative active ROM (aROM) between raTKR and mTKR. Methods A total of 216 mTKR patients were propensity-matched, in terms of age, gender, comorbidities, and BMI, to 216 raTKR cases. Intraoperative and immediate postoperative adverse events were collected. Knee flexion and extension aROM were measured preoperatively and at one- and three months after operation. Results Changes in flexion aROM were significantly greater in raTKR vs. mTKR at one- (6.9°, 95% CI: 3.5, 10.4°) and three months (4.9°, 95% CI: 2.1, 7.7°). Flexion aROM was greater at three postoperative months compared to preoperative aROM only in the raTKR group, and raTKR patients had higher odds of achieving ≥ 90° of flexion at one month after operation (OR: 2.15, 95% CI: 1.16, 3.99). There were no significant differences between groups in intraoperative (P > 0.999) or postoperative adverse events. Conclusions Compared with mTKR, raTKR resulted in less loss of aROM immediately after operation and a faster recovery of aROM within three months after operation. Trial registration Clinicaltrials.gov (NCT# 03737149). |
| first_indexed | 2024-03-09T01:21:57Z |
| format | Article |
| id | doaj.art-e4aa90d4bfd649118dd47d59a9600c3e |
| institution | Directory Open Access Journal |
| issn | 2524-7948 |
| language | English |
| last_indexed | 2024-03-09T01:21:57Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Arthroplasty |
| spelling | doaj.art-e4aa90d4bfd649118dd47d59a9600c3e2023-12-10T12:07:35ZengBMCArthroplasty2524-79482023-12-015111210.1186/s42836-023-00216-0Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentationCamdon Fary0Jason Cholewa1Anna N. Ren2Scott Abshagen3Mike B. Anderson4Krishna Tripuraneni5Epworth FoundationZimmer BiometZimmer BiometZimmer BiometZimmer BiometNew Mexico Orthopaedic AssociatesAbstract Background Range of motion (ROM) following total knee replacement (TKR) has been associated with patient satisfaction and knee function, and is also an early indicator of a successful procedure. Robotic-assisted TKR (raTKR) is considered to reproduce more precise resections, and, as a result, may be associated with improved early patient satisfaction compared to manual TKR (mTKR). The purpose of this study was to evaluate the early postoperative active ROM (aROM) between raTKR and mTKR. Methods A total of 216 mTKR patients were propensity-matched, in terms of age, gender, comorbidities, and BMI, to 216 raTKR cases. Intraoperative and immediate postoperative adverse events were collected. Knee flexion and extension aROM were measured preoperatively and at one- and three months after operation. Results Changes in flexion aROM were significantly greater in raTKR vs. mTKR at one- (6.9°, 95% CI: 3.5, 10.4°) and three months (4.9°, 95% CI: 2.1, 7.7°). Flexion aROM was greater at three postoperative months compared to preoperative aROM only in the raTKR group, and raTKR patients had higher odds of achieving ≥ 90° of flexion at one month after operation (OR: 2.15, 95% CI: 1.16, 3.99). There were no significant differences between groups in intraoperative (P > 0.999) or postoperative adverse events. Conclusions Compared with mTKR, raTKR resulted in less loss of aROM immediately after operation and a faster recovery of aROM within three months after operation. Trial registration Clinicaltrials.gov (NCT# 03737149).https://doi.org/10.1186/s42836-023-00216-0Total knee arthroplastyPatient-reported outcome measuresKnee osteoarthritisRobotic-assisted surgery |
| spellingShingle | Camdon Fary Jason Cholewa Anna N. Ren Scott Abshagen Mike B. Anderson Krishna Tripuraneni Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation Arthroplasty Total knee arthroplasty Patient-reported outcome measures Knee osteoarthritis Robotic-assisted surgery |
| title | Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation |
| title_full | Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation |
| title_fullStr | Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation |
| title_full_unstemmed | Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation |
| title_short | Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation |
| title_sort | multicenter prospective cohort study immediate postoperative gains in active range of motion following robotic assisted total knee replacement compared to a propensity matched control using manual instrumentation |
| topic | Total knee arthroplasty Patient-reported outcome measures Knee osteoarthritis Robotic-assisted surgery |
| url | https://doi.org/10.1186/s42836-023-00216-0 |
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