No difference of gait parameters in patients with image-free robotic-assisted medial unicompartmental knee arthroplasty compared to a conventional technique : early results of a randomized controlled trial
© 2021. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA)..
PURPOSE: In recent studies, robotic-assisted surgical techniques for unicompartmental knee arthroplasty (UKA) have demonstrated superior implant positioning and limb alignment compared to a conventional technique. However, the impact of the robotic-assisted technique on clinical and functional outcomes is less clear. The aim of this study was to compare the gait parameters of UKA performed with conventional and image-free robotic-assisted techniques.
METHODS: This prospective, single-center study included 66 medial UKA, randomized to a robotic-assisted (n = 33) or conventional technique (n = 33). Gait knee kinematics was assessed on a treadmill at 6 months to identify changes in gait characteristics (walking speed, each degree-of-freedom: flexion-extension, abduction-adduction, internal-external rotation, and anterior-posterior displacement). Clinical results were assessed at 6 months using the IKS score and the Forgotten Joint Score. Implants position was assessed on post-operative radiographs.
RESULTS: Post-operatively, the whole gait cycle was not significantly different between groups. In both groups, there was a significant improvement in varus deformity between the pre- and post-operative gait cycle. There was no significant difference between the two groups in clinical scores, implant position, revision, and complication rates.
CONCLUSION: No difference of gait parameters could be identified between medial UKA performed with image-free robotic-assisted technique or with conventional technique.
LEVEL OF EVIDENCE: Prospective randomized controlled trial.
LEVEL OF EVIDENCE I:.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA - 31(2023), 3 vom: 10. März, Seite 803-813 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Batailler, Cécile [VerfasserIn] |
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| Links: |
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| Themen: |
Forgotten joint score |
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| Anmerkungen: |
Date Completed 28.02.2023 Date Revised 28.02.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00167-021-06560-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM32394874X |
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| 245 | 1 | 0 | |a No difference of gait parameters in patients with image-free robotic-assisted medial unicompartmental knee arthroplasty compared to a conventional technique |b early results of a randomized controlled trial |
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| 500 | |a Date Completed 28.02.2023 | ||
| 500 | |a Date Revised 28.02.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). | ||
| 520 | |a PURPOSE: In recent studies, robotic-assisted surgical techniques for unicompartmental knee arthroplasty (UKA) have demonstrated superior implant positioning and limb alignment compared to a conventional technique. However, the impact of the robotic-assisted technique on clinical and functional outcomes is less clear. The aim of this study was to compare the gait parameters of UKA performed with conventional and image-free robotic-assisted techniques | ||
| 520 | |a METHODS: This prospective, single-center study included 66 medial UKA, randomized to a robotic-assisted (n = 33) or conventional technique (n = 33). Gait knee kinematics was assessed on a treadmill at 6 months to identify changes in gait characteristics (walking speed, each degree-of-freedom: flexion-extension, abduction-adduction, internal-external rotation, and anterior-posterior displacement). Clinical results were assessed at 6 months using the IKS score and the Forgotten Joint Score. Implants position was assessed on post-operative radiographs | ||
| 520 | |a RESULTS: Post-operatively, the whole gait cycle was not significantly different between groups. In both groups, there was a significant improvement in varus deformity between the pre- and post-operative gait cycle. There was no significant difference between the two groups in clinical scores, implant position, revision, and complication rates | ||
| 520 | |a CONCLUSION: No difference of gait parameters could be identified between medial UKA performed with image-free robotic-assisted technique or with conventional technique | ||
| 520 | |a LEVEL OF EVIDENCE: Prospective randomized controlled trial | ||
| 520 | |a LEVEL OF EVIDENCE I: | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Forgotten joint score | |
| 650 | 4 | |a Gait knee kinematics | |
| 650 | 4 | |a KneeKG | |
| 650 | 4 | |a Robotic-assisted surgery | |
| 650 | 4 | |a Unicompartmental knee arthroplasty | |
| 700 | 1 | |a Lording, Timothy |e verfasserin |4 aut | |
| 700 | 1 | |a Naaim, Alexandre |e verfasserin |4 aut | |
| 700 | 1 | |a Servien, Elvire |e verfasserin |4 aut | |
| 700 | 1 | |a Cheze, Laurence |e verfasserin |4 aut | |
| 700 | 1 | |a Lustig, Sébastien |e verfasserin |4 aut | |
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