Department of Orthopaedics, Lokmanya Hospital for Special Surgery, Senapati Bapat Road, Gokhalenagar, Pune, 411016, India.
J Robot Surg. 2023 Aug;17(4):1599-1607. doi: 10.1007/s11701-023-01564-4. Epub 2023 Mar 16.
Robotic UKA is one of the recent advancement in surgical management for medial compartment knee osteoarthritis. Over the years, there have been many studies which have showed results of various conventional UKA, high tibial osteotomy and even robotic uka for medial OA of knee all over the world. But still there is very less work on long-term outcome-based analysis of functional outcomes of robotic assisted medial UKA using mid-vastus approach, which was the aim of the study. A total of 680 patients with medial OA knee that were undergone robotic assisted UKA. The study was done at tertiary teaching institute and hospital from November 2016 to October 2022. The assessment of pain, clinical-functional assessment, walking ability, range of motion were assessed by KSS, SF-12 at pre-operatively, mid-term follow-ups and at final follow-up -5.03(± 0.52) years after surgery. 680 patients suited for medial UKA in our study with mean age of 65 ± 10.6 years. Average operating time was 42 ± 4.7 min. The mean postoperative KSS was 93 ± 4.3, the mean SF-12 was 49 ± 9.1, 55 ± 8.7 for PS and MS, respectively. The patient had better KSS and SF-12 when compared pre-operatively and final follow-up (p -0.012 and -9.320, p -0.017 and -7.475, p -0.014 and -5.196, p -0.021 and -7.418, respectively). Complications were also very less. Robotic UKA using mid-vastus approach is effective treatment for medial compartmental OA knee. On short/long-term follow-up of patients, functional and radiological outcomes were good with few complications rates.
机器人辅助 UKA 是内侧间室膝关节骨关节炎手术治疗的最新进展之一。多年来，世界各地已有许多研究表明各种传统 UKA、胫骨高位截骨术甚至机器人辅助 UKA 治疗膝关节内侧 OA 的结果。但对于使用中股外侧 approach 的机器人辅助内侧 UKA 的基于长期结果的功能结果的分析仍然很少，这就是本研究的目的。共有 680 例内侧 OA 膝关节患者接受了机器人辅助 UKA 治疗。该研究在 2016 年 11 月至 2022 年 10 月期间在三级教学研究所和医院进行。在术前、中期随访和最终随访时（术后 5.03±0.52 年），使用 KSS、SF-12 评估疼痛、临床-功能评估、行走能力和运动范围。我们的研究中，680 例患者适合进行内侧 UKA，平均年龄为 65±10.6 岁。平均手术时间为 42±4.7 分钟。术后平均 KSS 为 93±4.3，平均 SF-12 为 49±9.1，PS 和 MS 分别为 55±8.7。与术前和最终随访相比，患者的 KSS 和 SF-12 更好（p-0.012 和-9.320，p-0.017 和-7.475，p-0.014 和-5.196，p-0.021 和-7.418）。并发症也很少。使用中股外侧 approach 的机器人辅助 UKA 是内侧间室 OA 膝关节的有效治疗方法。在患者的短期/长期随访中，功能和放射学结果良好，并发症发生率低。
