TY - JOUR
T1 - Short-Term Benefits of Robotic Assisted Total Knee Arthroplasty Over Computer Navigated Total Knee Arthroplasty Are Not Sustained With No Difference in Postoperative Patient-Reported Outcome Measures
AU - Clark, Gavin
AU - Steer, Richard
AU - Tippett, Bethany
AU - Wood, David
PY - 2022/4/1
Y1 - 2022/4/1
N2 - Background: The purpose of this study was to compare early clinical and patient-reported outcomes between robotic assisted (RA) and computer navigation (CN) total knee arthroplasty (TKA). Methods: One hundred and fifty patients were enrolled in this prospective, single-surgeon, cohort study, with 75 patients each receiving CN-TKA or RA-TKA in a consecutive series. There were no differences in patient age (P = .34) or body mass index (P = .09), but a higher proportion of males underwent RA-TKA (P = .03). We recorded hospital knee pain, analgesic usage, length of hospital stay, range of motion, and patient-reported outcome measures postoperatively for both patient cohorts. Results: Hospital length of stay was shorter for the RA-TKA patients (P < .001). RA-TKA patients showed improved range of motion (P < .001) and decreased pain scores (P = .006) on day 1. Subsequent days showed no significant differences. Narcotic usage was lower for the RA-TKA group on day 2 postoperatively (P = .03) and onwards. Total morphine equivalent dose was also significantly lower for the RA-TKA than for the CN-TKA group (P < .001). There was no difference in Forgotten Joint Score (P = .24) or Oxford Knee Score (P = .51) between groups at 2 years postoperatively. Conclusion: The use of RA-TKA demonstrated reduced postoperative analgesia usage and length of stay. There were no differences seen between CN-TKA and RA-TKA with respect to clinical outcomes at 2 years after surgery.
AB - Background: The purpose of this study was to compare early clinical and patient-reported outcomes between robotic assisted (RA) and computer navigation (CN) total knee arthroplasty (TKA). Methods: One hundred and fifty patients were enrolled in this prospective, single-surgeon, cohort study, with 75 patients each receiving CN-TKA or RA-TKA in a consecutive series. There were no differences in patient age (P = .34) or body mass index (P = .09), but a higher proportion of males underwent RA-TKA (P = .03). We recorded hospital knee pain, analgesic usage, length of hospital stay, range of motion, and patient-reported outcome measures postoperatively for both patient cohorts. Results: Hospital length of stay was shorter for the RA-TKA patients (P < .001). RA-TKA patients showed improved range of motion (P < .001) and decreased pain scores (P = .006) on day 1. Subsequent days showed no significant differences. Narcotic usage was lower for the RA-TKA group on day 2 postoperatively (P = .03) and onwards. Total morphine equivalent dose was also significantly lower for the RA-TKA than for the CN-TKA group (P < .001). There was no difference in Forgotten Joint Score (P = .24) or Oxford Knee Score (P = .51) between groups at 2 years postoperatively. Conclusion: The use of RA-TKA demonstrated reduced postoperative analgesia usage and length of stay. There were no differences seen between CN-TKA and RA-TKA with respect to clinical outcomes at 2 years after surgery.
KW - Clinical outcomes
KW - Computer navigation
KW - Length of stay
KW - Robotic arm assisted
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85122680924&partnerID=8YFLogxK
U2 - 10.1016/j.artd.2021.11.014
DO - 10.1016/j.artd.2021.11.014
M3 - Article
C2 - 35510065
AN - SCOPUS:85122680924
SN - 2352-3441
VL - 14
SP - 210-215.e0
JO - Arthroplasty Today
JF - Arthroplasty Today
ER -