Piergiuseppe Perazzini, Paolo Sembenini, Francesco Alberton, Andrea Cochetti, Bernardo Innocenti, Edoardo Bori
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引用次数: 0
Abstract
Purpose: Robotic surgery has emerged as an advanced technique for facilitating knee prosthesis implantation, especially in cases requiring high precision. However, due to the recent introduction and implementation of this approach, long-term data on its outcomes remain limited in the literature. This study aims to assess implant survival, complications and reoperation rates resulting from robotic arm-assisted partial knee arthroplasties, with a long-term follow-up period.
Methods: A retrospective analysis was conducted on 236 patients who underwent robotic arm-assisted partial knee arthroplasty, with a minimum follow-up of 10 years. Clinical outcomes were evaluated, focusing on implant survival, complications, reoperation rates, and overall patient satisfaction. The study primarily examined medial unicompartmental knee arthroplasty (UKA), with Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Society Score (KSS) Part 1 and KSS Function scores assessed preoperatively and at the last follow-up.
Results: Among the 236 patients, 212 were available at the last follow-up; satisfaction rates were overall positive, with 210 patients reporting being 'satisfied' or 'very satisfied'. Both WOMAC score and KSS showed statistically significant improvement postoperatively, both globally and in UKA patients specifically.
Conclusions: The study demonstrates excellent long-term satisfaction rates, improved clinical outcomes and implant survival with minimal surgical morbidity. These findings offer valuable insights into the effectiveness of robotic arm-assisted knee arthroplasty.
Level of evidence: Level III, retrospective comparative study.
期刊介绍：
Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication.
The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance.
Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards.
Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).
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