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A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship
The aim of this systematic review was to present and assess the quality of evidence for learning curve, component positioning, functional outcomes and implant survivorship for image-free hand-held robotic-assisted knee arthroplasty. Searches of PubMed and Google Scholar were performed in line with t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Editorial Society of Bone and Joint Surgery
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265084/ https://www.ncbi.nlm.nih.gov/pubmed/32509337 http://dx.doi.org/10.1302/2058-5241.5.190065 |
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author | Clement, Nicholas D. Al-Zibari, Marwan Afzal, Irrum Deehan, David J. Kader, Deiary |
author_facet | Clement, Nicholas D. Al-Zibari, Marwan Afzal, Irrum Deehan, David J. Kader, Deiary |
author_sort | Clement, Nicholas D. |
collection | PubMed |
description | The aim of this systematic review was to present and assess the quality of evidence for learning curve, component positioning, functional outcomes and implant survivorship for image-free hand-held robotic-assisted knee arthroplasty. Searches of PubMed and Google Scholar were performed in line with the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. The criteria for inclusion was any published full-text article or abstract assessing image-free hand-held robotic knee arthroplasty and reporting learning curve, implant positioning, functional outcome or implant survival for clinical or non-clinical studies. There were 22 studies included. Five studies reported the learning curve: all were for unicompartmental knee arthroplasty (UKA) – no learning curve for accuracy, operative time was reduced after five to 10 cases and a steady surgical time was achieved after eight cases. There were 16 studies reporting accuracy: rate of outliers was halved, higher rate of joint line and mechanical axis restoration, supported by low root mean square error values. Six studies reported functional outcome: all for UKA, improvement at six to 52 weeks, no difference from manual UKA except when assessed for lateral UKA which showed improved clinical outcomes. Two studies reported survivorship: one reported an unadjusted revision rate of 7% at 20 months for medial UKA and the other found a 99% two-year survival rate for UKA. There was evidence to support more accurate implant positioning for UKA, but whether this is related to superior functional outcomes or improved implant survivorship was not clear and further studies are required. Cite this article: EFORT Open Rev 2020;5:319-326. DOI: 10.1302/2058-5241.5.190065 |
format | Online Article Text |
id | pubmed-7265084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | British Editorial Society of Bone and Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-72650842020-06-04 A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship Clement, Nicholas D. Al-Zibari, Marwan Afzal, Irrum Deehan, David J. Kader, Deiary EFORT Open Rev Knee The aim of this systematic review was to present and assess the quality of evidence for learning curve, component positioning, functional outcomes and implant survivorship for image-free hand-held robotic-assisted knee arthroplasty. Searches of PubMed and Google Scholar were performed in line with the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. The criteria for inclusion was any published full-text article or abstract assessing image-free hand-held robotic knee arthroplasty and reporting learning curve, implant positioning, functional outcome or implant survival for clinical or non-clinical studies. There were 22 studies included. Five studies reported the learning curve: all were for unicompartmental knee arthroplasty (UKA) – no learning curve for accuracy, operative time was reduced after five to 10 cases and a steady surgical time was achieved after eight cases. There were 16 studies reporting accuracy: rate of outliers was halved, higher rate of joint line and mechanical axis restoration, supported by low root mean square error values. Six studies reported functional outcome: all for UKA, improvement at six to 52 weeks, no difference from manual UKA except when assessed for lateral UKA which showed improved clinical outcomes. Two studies reported survivorship: one reported an unadjusted revision rate of 7% at 20 months for medial UKA and the other found a 99% two-year survival rate for UKA. There was evidence to support more accurate implant positioning for UKA, but whether this is related to superior functional outcomes or improved implant survivorship was not clear and further studies are required. Cite this article: EFORT Open Rev 2020;5:319-326. DOI: 10.1302/2058-5241.5.190065 British Editorial Society of Bone and Joint Surgery 2020-05-09 /pmc/articles/PMC7265084/ /pubmed/32509337 http://dx.doi.org/10.1302/2058-5241.5.190065 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed. |
spellingShingle | Knee Clement, Nicholas D. Al-Zibari, Marwan Afzal, Irrum Deehan, David J. Kader, Deiary A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title | A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title_full | A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title_fullStr | A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title_full_unstemmed | A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title_short | A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
title_sort | systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265084/ https://www.ncbi.nlm.nih.gov/pubmed/32509337 http://dx.doi.org/10.1302/2058-5241.5.190065 |
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