Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study
The objective of this study was to compare early postoperative functional outcomes and time to hospital discharge between conventional jig-based total knee arthroplasty (TKA) and robotic-arm assisted TKA. This prospective cohort study included 40 consecutive patients undergoing conventional jig-base...
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| Veröffentlicht in: | The bone & joint journal 2018-07, Vol.100-B (7), p.930-937 |
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| creator | Kayani, B Konan, S Tahmassebi, J Pietrzak, J R T Haddad, F S |
| description | The objective of this study was to compare early postoperative functional outcomes and time to hospital discharge between conventional jig-based total knee arthroplasty (TKA) and robotic-arm assisted TKA.
This prospective cohort study included 40 consecutive patients undergoing conventional jig-based TKA followed by 40 consecutive patients receiving robotic-arm assisted TKA. All surgical procedures were performed by a single surgeon using the medial parapatellar approach with identical implant designs and standardized postoperative inpatient rehabilitation. Inpatient functional outcomes and time to hospital discharge were collected in all study patients.
There were no systematic differences in baseline characteristics between the conventional jig-based TKA and robotic-arm assisted TKA treatment groups with respect to age (p = 0.32), gender (p = 0.50), body mass index (p = 0.17), American Society of Anesthesiologists score (p = 0.88), and preoperative haemoglobin level (p = 0.82). Robotic-arm assisted TKA was associated with reduced postoperative pain (p < 0.001), decreased analgesia requirements (p < 0.001), decreased reduction in postoperative haemoglobin levels (p < 0.001), shorter time to straight leg raise (p < 0.001), decreased number of physiotherapy sessions (p < 0.001) and improved maximum knee flexion at discharge (p < 0.001) compared with conventional jig-based TKA. Median time to hospital discharge in robotic-arm assisted TKA was 77 hours (interquartile range (IQR) 74 to 81) compared with 105 hours (IQR 98 to 126) in conventional jig-based TKA (p < 0.001).
Robotic-arm assisted TKA was associated with decreased pain, improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based TKA. Cite this article: Bone Joint J 2018;100-B:930-7. |
| doi_str_mv | 10.1302/0301-620X.100B7.BJJ-2017-1449.R1 |
| format | Article |
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This prospective cohort study included 40 consecutive patients undergoing conventional jig-based TKA followed by 40 consecutive patients receiving robotic-arm assisted TKA. All surgical procedures were performed by a single surgeon using the medial parapatellar approach with identical implant designs and standardized postoperative inpatient rehabilitation. Inpatient functional outcomes and time to hospital discharge were collected in all study patients.
There were no systematic differences in baseline characteristics between the conventional jig-based TKA and robotic-arm assisted TKA treatment groups with respect to age (p = 0.32), gender (p = 0.50), body mass index (p = 0.17), American Society of Anesthesiologists score (p = 0.88), and preoperative haemoglobin level (p = 0.82). Robotic-arm assisted TKA was associated with reduced postoperative pain (p < 0.001), decreased analgesia requirements (p < 0.001), decreased reduction in postoperative haemoglobin levels (p < 0.001), shorter time to straight leg raise (p < 0.001), decreased number of physiotherapy sessions (p < 0.001) and improved maximum knee flexion at discharge (p < 0.001) compared with conventional jig-based TKA. Median time to hospital discharge in robotic-arm assisted TKA was 77 hours (interquartile range (IQR) 74 to 81) compared with 105 hours (IQR 98 to 126) in conventional jig-based TKA (p < 0.001).
Robotic-arm assisted TKA was associated with decreased pain, improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based TKA. Cite this article: Bone Joint J 2018;100-B:930-7.]]></description><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.100B7.BJJ-2017-1449.R1</identifier><identifier>PMID: 29954217</identifier><language>eng</language><publisher>England: British Editorial Society of Bone and Joint Surgery</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - methods ; Arthroplasty; Hospital discharge; Rehabilitation; Robotics; Knee ; Cohort Studies ; Female ; Humans ; Knee ; Knee Joint - surgery ; Knee Prosthesis - adverse effects ; Length of Stay - statistics & numerical data ; Male ; Middle Aged ; Osteoarthritis, Knee - surgery ; Patient Discharge - statistics & numerical data ; Postoperative Complications - epidemiology ; Postoperative Period ; Prospective Studies ; Range of Motion, Articular ; Recovery of Function ; Robotic Surgical Procedures - adverse effects ; Robotic Surgical Procedures - methods ; Treatment Outcome</subject><ispartof>The bone & joint journal, 2018-07, Vol.100-B (7), p.930-937</ispartof><rights>2018 Author(s) et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c316t-eca6ddd5a72fc81180553e7bd4dad4714550aa1f4c5a606c577cecc3373fa8283</citedby><cites>FETCH-LOGICAL-c316t-eca6ddd5a72fc81180553e7bd4dad4714550aa1f4c5a606c577cecc3373fa8283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29954217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kayani, B</creatorcontrib><creatorcontrib>Konan, S</creatorcontrib><creatorcontrib>Tahmassebi, J</creatorcontrib><creatorcontrib>Pietrzak, J R T</creatorcontrib><creatorcontrib>Haddad, F S</creatorcontrib><title>Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study</title><title>The bone & joint journal</title><addtitle>Bone Joint J</addtitle><description><![CDATA[The objective of this study was to compare early postoperative functional outcomes and time to hospital discharge between conventional jig-based total knee arthroplasty (TKA) and robotic-arm assisted TKA.
This prospective cohort study included 40 consecutive patients undergoing conventional jig-based TKA followed by 40 consecutive patients receiving robotic-arm assisted TKA. All surgical procedures were performed by a single surgeon using the medial parapatellar approach with identical implant designs and standardized postoperative inpatient rehabilitation. Inpatient functional outcomes and time to hospital discharge were collected in all study patients.
There were no systematic differences in baseline characteristics between the conventional jig-based TKA and robotic-arm assisted TKA treatment groups with respect to age (p = 0.32), gender (p = 0.50), body mass index (p = 0.17), American Society of Anesthesiologists score (p = 0.88), and preoperative haemoglobin level (p = 0.82). Robotic-arm assisted TKA was associated with reduced postoperative pain (p < 0.001), decreased analgesia requirements (p < 0.001), decreased reduction in postoperative haemoglobin levels (p < 0.001), shorter time to straight leg raise (p < 0.001), decreased number of physiotherapy sessions (p < 0.001) and improved maximum knee flexion at discharge (p < 0.001) compared with conventional jig-based TKA. Median time to hospital discharge in robotic-arm assisted TKA was 77 hours (interquartile range (IQR) 74 to 81) compared with 105 hours (IQR 98 to 126) in conventional jig-based TKA (p < 0.001).
Robotic-arm assisted TKA was associated with decreased pain, improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based TKA. Cite this article: Bone Joint J 2018;100-B:930-7.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Arthroplasty; Hospital discharge; Rehabilitation; Robotics; Knee</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis - adverse effects</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Treatment Outcome</subject><issn>2049-4394</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1ks1u1DAUhSMEolXpKyAvu8ngv8QJCwStSqGqhDQCiZ11x3YmLkkcbGfQvC5PUpvOVLDAG_vqHn_32DpFcUHwijBM32CGSVlT_H1FML4Uq8vb25JiIkrCebtak2fFKcW8LTnHzfPjmbX8pDgP4R6n1WBCOHlZnNC2rTgl4rT4vXYbF60qwY8IQrAhGo2iizCgH5MxCHzsvZsHCHGPbMgapyxk1S8be2TH2btdqgz4YY-6ZVLRuild90alht8jmHQq9KIy2Y4m4VHvwmzzEG2D6sFvDVJunMEfucpNOzMdUPd2W24g_N_ZWwQo-QizSdN3mdU7H1GIi96_Kl50MARzftjPim8fr79efSrvvtx8vvpwVypG6lgaBbXWugJBO9UQ0uCqYkZsNNeguSC8qjAA6biqoMa1qoRQRinGBOugoQ07K949cudlMxqtknsPg5y9HcHvpQMr_-1Mtpdbt5M1J0zUIgEuDgDvfi4mRDmmzzHDAJNxS5AU17ShLSU4Sd8_SlV6dPCmexpDsMxpkTktMqdF_kmLTGmROS0yp0WuSUK8_tvuE-CYDfYAk7PGYg</recordid><startdate>201807</startdate><enddate>201807</enddate><creator>Kayani, B</creator><creator>Konan, S</creator><creator>Tahmassebi, J</creator><creator>Pietrzak, J R T</creator><creator>Haddad, F S</creator><general>British Editorial Society of Bone and Joint Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201807</creationdate><title>Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study</title><author>Kayani, B ; Konan, S ; Tahmassebi, J ; Pietrzak, J R T ; Haddad, F S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-eca6ddd5a72fc81180553e7bd4dad4714550aa1f4c5a606c577cecc3373fa8283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Arthroplasty; Hospital discharge; Rehabilitation; Robotics; Knee</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis - adverse effects</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Patient Discharge - statistics & numerical data</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kayani, B</creatorcontrib><creatorcontrib>Konan, S</creatorcontrib><creatorcontrib>Tahmassebi, J</creatorcontrib><creatorcontrib>Pietrzak, J R T</creatorcontrib><creatorcontrib>Haddad, F S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The bone & joint journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kayani, B</au><au>Konan, S</au><au>Tahmassebi, J</au><au>Pietrzak, J R T</au><au>Haddad, F S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study</atitle><jtitle>The bone & joint journal</jtitle><addtitle>Bone Joint J</addtitle><date>2018-07</date><risdate>2018</risdate><volume>100-B</volume><issue>7</issue><spage>930</spage><epage>937</epage><pages>930-937</pages><issn>2049-4394</issn><eissn>2049-4408</eissn><abstract><![CDATA[The objective of this study was to compare early postoperative functional outcomes and time to hospital discharge between conventional jig-based total knee arthroplasty (TKA) and robotic-arm assisted TKA.
This prospective cohort study included 40 consecutive patients undergoing conventional jig-based TKA followed by 40 consecutive patients receiving robotic-arm assisted TKA. All surgical procedures were performed by a single surgeon using the medial parapatellar approach with identical implant designs and standardized postoperative inpatient rehabilitation. Inpatient functional outcomes and time to hospital discharge were collected in all study patients.
There were no systematic differences in baseline characteristics between the conventional jig-based TKA and robotic-arm assisted TKA treatment groups with respect to age (p = 0.32), gender (p = 0.50), body mass index (p = 0.17), American Society of Anesthesiologists score (p = 0.88), and preoperative haemoglobin level (p = 0.82). Robotic-arm assisted TKA was associated with reduced postoperative pain (p < 0.001), decreased analgesia requirements (p < 0.001), decreased reduction in postoperative haemoglobin levels (p < 0.001), shorter time to straight leg raise (p < 0.001), decreased number of physiotherapy sessions (p < 0.001) and improved maximum knee flexion at discharge (p < 0.001) compared with conventional jig-based TKA. Median time to hospital discharge in robotic-arm assisted TKA was 77 hours (interquartile range (IQR) 74 to 81) compared with 105 hours (IQR 98 to 126) in conventional jig-based TKA (p < 0.001).
Robotic-arm assisted TKA was associated with decreased pain, improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based TKA. Cite this article: Bone Joint J 2018;100-B:930-7.]]></abstract><cop>England</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>29954217</pmid><doi>10.1302/0301-620X.100B7.BJJ-2017-1449.R1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods Arthroplasty Hospital discharge Rehabilitation Robotics Knee Cohort Studies Female Humans Knee Knee Joint - surgery Knee Prosthesis - adverse effects Length of Stay - statistics & numerical data Male Middle Aged Osteoarthritis, Knee - surgery Patient Discharge - statistics & numerical data Postoperative Complications - epidemiology Postoperative Period Prospective Studies Range of Motion, Articular Recovery of Function Robotic Surgical Procedures - adverse effects Robotic Surgical Procedures - methods Treatment Outcome |
| title | Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study |
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