Yuksek İhtisas University Medical School Orthopedics and Traumatology Department, Ankara, Turkey.
Department of Orthopedics and Traumatology, Etlik City Hospital, Ankara, Turkey.
Medicine (Baltimore). 2023 Oct 20;102(42):e35710. doi: 10.1097/MD.0000000000035710.
Total knee arthroplasty is a successful procedure in the treatment of knee osteoarthritis. Searches in surgical technique have focused surgeons in particular on implant alignment. For this purpose, the use of robot-assisted total knee arthroplasty has become increasingly common in the last 10 years.
A total of 46 patients (66 knees) who were operated for knee osteoarthritis with Robotic Surgical Assistant (ROSA, Zimmer-Biomet, Warshaw, Indiana, USA) between 2021 and 2023 were included in the study. Preoperative planning and intraoperative incision time, total surgical time, range of motion and follow-up time recorded. Oxford knee scores and knee society scores (KSS) of the patients were compared before and after surgery. At the last follow-up Forgotten Joint Score and the sagittal and coronal plane alignments were evaluated.
Preoperative mean Oxford score of the right knee of the patients was 18.5 ± 3.2, post-surgery mean Oxford score progressed to 43.5 ± 2.2. While the preoperative left knee Oxford score of the patients was 16.9 ± 2.3, the mean left knee Oxford score improved to 43.4 ± 2.2 postoperatively. The mean KSS score of the patients' right knee preoperatively was 49.7 ± 3.5, and progressed to 89.2 ± 4.7 postoperatively. While the preoperative mean left knee KSS score of the patients was 46.5 ± 4.3, the mean KSS score improved to 89.8 ± 3.2 postoperatively. The mean Forgotten Joint Score of the left knee at the last follow-up of the patients was 77.4 ± 3.8, while the mean Forgotten Joint Score of the right knee was 75.4 ± 5.9.
The results of ROSA-supported knee arthroplasty found to be functionally successful.
全膝关节置换术是治疗膝关节骨关节炎的一种成功方法。在手术技术的研究中,外科医生特别关注植入物的对准。为此,机器人辅助全膝关节置换术在过去 10 年中越来越普遍。
本研究共纳入 2021 年至 2023 年期间使用机器人手术助手(ROSA,Zimmer-Biomet,Warshaw,印第安纳州,美国)治疗膝关节骨关节炎的 46 名患者(66 膝)。记录术前规划和术中切口时间、总手术时间、关节活动度和随访时间。比较患者术前和术后的牛津膝关节评分和膝关节学会评分(KSS)。在最后一次随访时,评估遗忘关节评分以及矢状面和冠状面的对准情况。
患者右膝术前平均牛津评分 18.5±3.2,术后平均牛津评分提高至 43.5±2.2。术前左膝牛津评分 16.9±2.3,术后左膝平均牛津评分提高至 43.4±2.2。患者右膝术前 KSS 评分为 49.7±3.5,术后提高至 89.2±4.7。术前左膝 KSS 评分为 46.5±4.3,术后提高至 89.8±3.2。患者最后一次随访时左膝平均遗忘关节评分为 77.4±3.8,右膝平均遗忘关节评分为 75.4±5.9。
ROSA 支持的膝关节置换术结果功能成功。