Alshatwi Razan, Alfadhel Shoog, Alrasheed Mohammed, Alhakbani Abdulaziz, AlShaya Osama
Orthopedic Surgery, King Fahad Medical City, Riyadh, SAU.
Orthopaedic Surgery, King Fahad Medical City, Riyadh, SAU.
Cureus. 2023 Mar 17;15(3):e36285. doi: 10.7759/cureus.36285. eCollection 2023 Mar.
Background Total knee arthroplasty (TKA) is the definitive surgical treatment for end-stage osteoarthritis and has been proven to relieve pain and improve function. With the rise in demand and the number of TKA procedures every year, more studies have been conducted on robotic TKA. Objective The objective of this study is to compare the postoperative pain between robotic and conventional TKA and the postoperative functional level between robotic and conventional TKA. Method This is a quantitative, observational, prospective study conducted from February 2022 to August 2022 amongst patients in the orthopaedic department of King Fahad Medical City, Riyadh, Saudi Arabia, who have undergone primary TKA for end-stage osteoarthritis using robotic TKA and conventional TKA. After applying the exclusion and inclusion criteria, a total of 26 patients (12 robotic and 14 conventional) were included in the study. The patients were assessed at three time points: two weeks, six weeks, and three months post-op. They were assessed using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score and the visual analogue scores (VAS) used to assess pain. Result A total of 26 patients were included in this research. The patients were divided into two groups: 12 robotic TKA patients and 14 conventional TKA patients. In this study, while comparing patients who underwent robotic TKA with those who underwent conventional TKA, no statistical significance was found regarding pain and function at all stages postoperatively. Conclusion There was no short-term difference between robotic and conventional TKA regarding pain and function. There is a need for further extensive research on robotic TKA in terms of cost-effectiveness, complications, implant survivorship, and long-term outcomes.
背景 全膝关节置换术（TKA）是终末期骨关节炎的确定性手术治疗方法，已被证明可缓解疼痛并改善功能。随着每年TKA手术需求和数量的增加，关于机器人辅助TKA的研究也越来越多。目的 本研究的目的是比较机器人辅助TKA与传统TKA术后的疼痛情况以及术后功能水平。方法 这是一项定量、观察性、前瞻性研究，于2022年2月至2022年8月在沙特阿拉伯利雅得法赫德国王医疗城骨科接受终末期骨关节炎初次TKA手术的患者中进行，采用机器人辅助TKA和传统TKA。应用排除和纳入标准后，共有26例患者（12例机器人辅助组和14例传统组）纳入研究。在术后两周、六周和三个月三个时间点对患者进行评估。使用西安大略和麦克马斯特大学关节炎指数（WOMAC）评分以及用于评估疼痛的视觉模拟评分（VAS）进行评估。结果 本研究共纳入26例患者。患者分为两组：12例机器人辅助TKA患者和14例传统TKA患者。在本研究中，比较接受机器人辅助TKA的患者与接受传统TKA的患者时，术后各阶段的疼痛和功能均未发现统计学差异。结论 机器人辅助TKA与传统TKA在疼痛和功能方面无短期差异。需要在成本效益、并发症、植入物生存率和长期结果方面对机器人辅助TKA进行进一步广泛研究。
