Comparison of the efficacy and safety of MAKO robot-assisted total knee arthroplasty versus conventional manual total knee arthroplasty in uncomplicated unilateral total knee arthroplasty a single-centre retrospective analysis.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI:10.1007/s00264-024-06234-0

Nanshan Ma, Pengfei Sun, Pengfei Xin, Sheng Zhong, Jun Xie, Lianbo Xiao

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Abstract

Purpose: To compare the efficacy and safety of MAKO robot-assisted total knee arthroplasty (MA-TKA) with conventional manual total knee arthroplasty (CM-TKA) in patients with end-stage knee osteoarthritis (KOA) during the early postoperative period.

Method: A retrospective analysis was conducted on 22 patients with KOA who underwent MA-TKA and 26 patients who underwent CM-TKA from April 2023 to July 2023. Hip-knee-ankle angle (HKA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), American Knee Society Score (AKSS), Forgotten Joint Score-12 (FJS-12), visual analogue scale (VAS), and postoperative complications were recorded and compared between the two groups.

Result: Both groups successfully completed the surgeries. In terms of radiographic parameters, postoperative one month LDFA and HKA in the MA-TKA group were significantly lower than those in the CM-TKA group (P < 0.05). At the one month follow-up, 19 patients (86.4%) in the MA-TKA group had an HKA less than 3°, compared to 20 patients (76.9%) in the CM-TKA group. Clinically, VAS scores at 24 h, 48 h, and 72 h postoperatively were lower in the MA-TKA group both at rest and during activity. At one month and three months postoperatively, AKSS Function Scores and FJS-12 scores in the MA-TKA group were significantly higher than those in the CM-TKA group (P < 0.05). Regarding postoperative complications, no complications occurred in the MA-TKA group, while one patient in the CM-TKA group experienced postoperative knee stiffness, which resolved after physical therapy, with no statistically significant difference (P > 0.05).

Conclusion: Compared with conventional manual total knee arthroplasty, MAKO robot-assisted TKA demonstrates better short-term clinical efficacy, achieves better alignment planning, and maintains good safety.

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在无并发症的单侧全膝关节置换术中，MAKO 机器人辅助全膝关节置换术与传统人工全膝关节置换术的疗效和安全性比较，单中心回顾性分析。

目的：比较MAKO机器人辅助全膝关节置换术（MAKO-TKA）与传统人工全膝关节置换术（CM-TKA）在终末期膝骨关节炎（KOA）患者术后早期的疗效和安全性：对2023年4月至2023年7月期间接受MA-TKA的22例KOA患者和接受CM-TKA的26例患者进行了回顾性分析。记录并比较两组患者的髋膝踝角度（HKA）、股骨外侧远端角度（LDFA）、胫骨内侧近端角度（MPTA）、美国膝关节学会评分（AKSS）、FJS-12（Forgotten Joint Score-12）、视觉模拟评分（VAS）和术后并发症：结果：两组患者均顺利完成手术。结果：两组均顺利完成手术，在影像学参数方面，MA-TKA 组术后一个月的 LDFA 和 HKA 明显低于 CM-TKA 组（P 0.05）：结论：与传统的人工全膝关节置换术相比，MAKO机器人辅助全膝关节置换术具有更好的短期临床疗效、更好的对位规划以及良好的安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.