Literature DB >> 32952328

Accuracy of tibial component positioning in the robotic arm assisted versus conventional unicompartmental knee arthroplasty.

Jai Thilak1, Mohan Thadi1, Prajwal P Mane1, Anubhav Sharma1, Vipin Mohan1, Balu C Babu1.   

Abstract

BACKGROUND: Our study aims to determine the planned accuracy of the tibial component placement in robotic arm assisted unicompartmental knee arthroplasty (UKA) versus the conventional jig based UKA of the initial cases done in India for the first time with this particular robotic system.Materials &
Methods: Study group 1 consisted of patients who underwent robotic arm (MAKO, Stryker, USA) assisted UKA. Group 2 consists of patients who underwent a standard conventional jig based (Oxford knee, Biomet, UK). Post-operative radiographs were taken to determine the Tibial Implant position and orientation which were compared to their preoperative plan respectively by two independent observers. The mean error value was obtained for both study groups respectively and compared to determine the accuracy of the post-operative tibial implant placement.
RESULTS: In the Robotic arm assisted UKA, the deviation of post-operative varus angle from preoperative planned angle was about 0.43° and post-operative Tibial slope alignment differed from preoperative plan was 0.41°. In the Conventional UKA group post-operative varus angle differed from preoperative planned angle by about 2.12° and post-operative Tibial slope alignment deviation from preoperative plan was 2.47°.
CONCLUSIONS: Robotic arm assisted system was more accurate compared to the conventional jig-based technique in achieving the planned orientation and alignment of the tibial implant in the initial learning phase of this particular Robotic System used for the first time in India. MESH TERMS: partial knee replacement, robotic assisted surgery.
© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Haptic guidance; Osteoarthritis; Partial knee arthroplasty; Robotic-assisted surgery; Unicompartmental

Year:  2020        PMID: 32952328      PMCID: PMC7486415          DOI: 10.1016/j.jor.2020.08.022

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  29 in total

1.  Posterior slope of the tibial implant and the outcome of unicompartmental knee arthroplasty.

Authors:  Philippe Hernigou; Gerard Deschamps
Journal:  J Bone Joint Surg Am       Date:  2004-03       Impact factor: 5.284

Review 2.  Why Do Medial Unicompartmental Knee Arthroplasties Fail Today?

Authors:  Jelle P van der List; Hendrik A Zuiderbaan; Andrew D Pearle
Journal:  J Arthroplasty       Date:  2015-12-07       Impact factor: 4.757

3.  Failure mechanisms after unicompartmental and tricompartmental primary knee replacement with cement.

Authors:  O Furnes; B Espehaug; S A Lie; S E Vollset; L B Engesaeter; L I Havelin
Journal:  J Bone Joint Surg Am       Date:  2007-03       Impact factor: 5.284

4.  Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis.

Authors:  Nicholas M Brown; Neil P Sheth; Kenneth Davis; Mike E Berend; Adolph V Lombardi; Keith R Berend; Craig J Della Valle
Journal:  J Arthroplasty       Date:  2012-05-04       Impact factor: 4.757

5.  10-year survivorship of metal-backed, unicompartmental arthroplasty.

Authors:  J M Bert
Journal:  J Arthroplasty       Date:  1998-12       Impact factor: 4.757

6.  Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement.

Authors:  F H Gunston
Journal:  J Bone Joint Surg Br       Date:  1971-05

7.  Minimally invasive implantation and computer navigation for a unicondylar knee system.

Authors:  Klaus Buckup; Lars-Christoph Linke; Volker Hahne
Journal:  Orthopedics       Date:  2007-08       Impact factor: 1.390

8.  Posterior tibial slope measurement on lateral knee radiographs as a risk factor of anterior cruciate ligament injury: A cross-sectional study.

Authors:  V Kızılgöz; A K Sivrioğlu; G R Ulusoy; K Yıldız; H Aydın; T Çetin
Journal:  Radiography (Lond)       Date:  2018-08-16

9.  Higher revision risk for unicompartmental knee arthroplasty in low-volume hospitals.

Authors:  Mona Badawy; Birgitte Espehaug; Kari Indrekvam; Leif I Havelin; Ove Furnes
Journal:  Acta Orthop       Date:  2014-05-21       Impact factor: 3.717

10.  Update on unicompartmental knee arthroplasty: Current indications and failure modes.

Authors:  Michele Vasso; Alexander Antoniadis; Naeder Helmy
Journal:  EFORT Open Rev       Date:  2018-08-01
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  2 in total

1.  Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective.

Authors:  Thadi Mohan; Johncy Panicker; Jai Thilak; Druvan Shaji; Harsha Hari
Journal:  Indian J Orthop       Date:  2021-11-12       Impact factor: 1.251

2.  Accuracy in the Execution of Pre-operative Plan for Limb Alignment and Implant Positioning in Robotic-arm Assisted Total Knee Arthroplasty and Manual Total Knee Arthroplasty: A Prospective Observational Study.

Authors:  Jai Thilak; Balu C Babu; Mohan Thadi; Vipin Mohan; T Arun Kumar; Prajwal P Mane; Greeshma C Ravindran
Journal:  Indian J Orthop       Date:  2021-01-04       Impact factor: 1.251

  2 in total

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