Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective
Background Lateral UKA is a technically more challenging procedure than medial UKA accounting for
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| Veröffentlicht in: | Indian journal of orthopaedics 2022-04, Vol.56 (4), p.655-663 |
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| container_title | Indian journal of orthopaedics |
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| creator | Mohan, Thadi Panicker, Johncy Thilak, Jai Shaji, Druvan Hari, Harsha |
| description | Background
Lateral UKA is a technically more challenging procedure than medial UKA accounting for |
| doi_str_mv | 10.1007/s43465-021-00555-7 |
| format | Article |
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Lateral UKA is a technically more challenging procedure than medial UKA accounting for < 1% of all knee arthroplasties. Robotic UKA for lateral compartment arthritis is rare and has not been reported in India.
Materials and Methods
This is a prospective single-centre clinical study of six patients (five females and one male) who underwent robotic-arm-assisted lateral UKA (RALUKA) between May 2018 and January 2020 with patient-specific 3D-CT preoperative plan. Overall satisfaction on a five-level Likert scale, clinical outcome based on the KOOS and MFJS and radiological outcomes based on the HKA axis, femorotibial angle (FTA), tibial posterior slope (PS) obtained were compared preoperatively and postoperatively.
Results
At a mean follow-up period of 23.84 months, among six patients 33.3% very satisfied, 50% satisfied and 16.7% felt neutral. The mean KOOS changed from 63.03 ± 3.52 to 93.95 ± 3.25 and the mean MFJS was 75.41 ± 10.29 postoperatively. The mean HKA axis changed from 175.81° ± 2.88 valgus to 179.99° ± 2.14 neutral alignment. The mean correction attained was from 4.19° ± 2.88 valgus deformity to 0.01° ± 2.14. The mean FTA and the mean PS changed from 7.34° ± 4.14 of valgus to 1.92° ± 1.85 of valgus and 83.44° ± 1.77 to 85.38° ± 2.10, respectively.
Conclusions
The mean preoperative and postoperative KOOS showed a statistical significance with a
p
value of < 0.001 (< 0.05), showing significant improvement with RALUKA. RALUKA is a promising surgical option for lateral compartment OA of the knee.</description><identifier>ISSN: 0019-5413</identifier><identifier>EISSN: 1998-3727</identifier><identifier>DOI: 10.1007/s43465-021-00555-7</identifier><identifier>PMID: 35342513</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Conservative Orthopedics ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Orthopedics ; Surgical Orthopedics</subject><ispartof>Indian journal of orthopaedics, 2022-04, Vol.56 (4), p.655-663</ispartof><rights>Indian Orthopaedics Association 2021</rights><rights>Indian Orthopaedics Association 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-a5e0b1d85e0a3a1e635105a1d73f010069117bac0094d0d3e22d38e163e961403</citedby><cites>FETCH-LOGICAL-c446t-a5e0b1d85e0a3a1e635105a1d73f010069117bac0094d0d3e22d38e163e961403</cites><orcidid>0000-0003-0028-3699</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921465/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921465/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35342513$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mohan, Thadi</creatorcontrib><creatorcontrib>Panicker, Johncy</creatorcontrib><creatorcontrib>Thilak, Jai</creatorcontrib><creatorcontrib>Shaji, Druvan</creatorcontrib><creatorcontrib>Hari, Harsha</creatorcontrib><title>Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective</title><title>Indian journal of orthopaedics</title><addtitle>JOIO</addtitle><addtitle>Indian J Orthop</addtitle><description>Background
Lateral UKA is a technically more challenging procedure than medial UKA accounting for < 1% of all knee arthroplasties. Robotic UKA for lateral compartment arthritis is rare and has not been reported in India.
Materials and Methods
This is a prospective single-centre clinical study of six patients (five females and one male) who underwent robotic-arm-assisted lateral UKA (RALUKA) between May 2018 and January 2020 with patient-specific 3D-CT preoperative plan. Overall satisfaction on a five-level Likert scale, clinical outcome based on the KOOS and MFJS and radiological outcomes based on the HKA axis, femorotibial angle (FTA), tibial posterior slope (PS) obtained were compared preoperatively and postoperatively.
Results
At a mean follow-up period of 23.84 months, among six patients 33.3% very satisfied, 50% satisfied and 16.7% felt neutral. The mean KOOS changed from 63.03 ± 3.52 to 93.95 ± 3.25 and the mean MFJS was 75.41 ± 10.29 postoperatively. The mean HKA axis changed from 175.81° ± 2.88 valgus to 179.99° ± 2.14 neutral alignment. The mean correction attained was from 4.19° ± 2.88 valgus deformity to 0.01° ± 2.14. The mean FTA and the mean PS changed from 7.34° ± 4.14 of valgus to 1.92° ± 1.85 of valgus and 83.44° ± 1.77 to 85.38° ± 2.10, respectively.
Conclusions
The mean preoperative and postoperative KOOS showed a statistical significance with a
p
value of < 0.001 (< 0.05), showing significant improvement with RALUKA. RALUKA is a promising surgical option for lateral compartment OA of the knee.</description><subject>Conservative Orthopedics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Surgical Orthopedics</subject><issn>0019-5413</issn><issn>1998-3727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UU1P3DAQtVBRWWj_AIfKx15cPP5K0kOlFWoLYiUqCmfXm8yyQYmd2g4S_76Gpahcehpp3ps3b-YRcgz8E3BenSQlldGMC2Cca61ZtUcW0DQ1k5Wo3pAF59AwrUAekMOU7gpJVMK8JQdSSyU0yAX59XMbYmbXGEd6Oec2jJho2NCrsA65b-nKZYxuoDe-L9jkYh7R59K48Ih0GfM2hmlwKT98pktPz33XO09_YEwTtrm_x3dkf-OGhO-f6xG5-fb1-vSMrS6_n58uV6xVymTmNPI1dHUpTjpAIzVw7aCr5IaXa00DUK1dy3mjOt5JFKKTNYKR2BhQXB6RLzvdaV6P2LXFZfFtp9iPLj7Y4Hr7GvH91t6Ge1s3Asobi8DHZ4EYfs-Ysh371OIwOI9hTlYYpaQBqB-pYkdtY0gp4uZlDXD7GI3dRWNLNPYpGluVoQ__GnwZ-ZtFIcgdIRXI32K0d2GOvjztf7J_AOY3mrU</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Mohan, Thadi</creator><creator>Panicker, Johncy</creator><creator>Thilak, Jai</creator><creator>Shaji, Druvan</creator><creator>Hari, Harsha</creator><general>Springer India</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0028-3699</orcidid></search><sort><creationdate>20220401</creationdate><title>Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective</title><author>Mohan, Thadi ; Panicker, Johncy ; Thilak, Jai ; Shaji, Druvan ; Hari, Harsha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-a5e0b1d85e0a3a1e635105a1d73f010069117bac0094d0d3e22d38e163e961403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Conservative Orthopedics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mohan, Thadi</creatorcontrib><creatorcontrib>Panicker, Johncy</creatorcontrib><creatorcontrib>Thilak, Jai</creatorcontrib><creatorcontrib>Shaji, Druvan</creatorcontrib><creatorcontrib>Hari, Harsha</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mohan, Thadi</au><au>Panicker, Johncy</au><au>Thilak, Jai</au><au>Shaji, Druvan</au><au>Hari, Harsha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective</atitle><jtitle>Indian journal of orthopaedics</jtitle><stitle>JOIO</stitle><addtitle>Indian J Orthop</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>56</volume><issue>4</issue><spage>655</spage><epage>663</epage><pages>655-663</pages><issn>0019-5413</issn><eissn>1998-3727</eissn><abstract>Background
Lateral UKA is a technically more challenging procedure than medial UKA accounting for < 1% of all knee arthroplasties. Robotic UKA for lateral compartment arthritis is rare and has not been reported in India.
Materials and Methods
This is a prospective single-centre clinical study of six patients (five females and one male) who underwent robotic-arm-assisted lateral UKA (RALUKA) between May 2018 and January 2020 with patient-specific 3D-CT preoperative plan. Overall satisfaction on a five-level Likert scale, clinical outcome based on the KOOS and MFJS and radiological outcomes based on the HKA axis, femorotibial angle (FTA), tibial posterior slope (PS) obtained were compared preoperatively and postoperatively.
Results
At a mean follow-up period of 23.84 months, among six patients 33.3% very satisfied, 50% satisfied and 16.7% felt neutral. The mean KOOS changed from 63.03 ± 3.52 to 93.95 ± 3.25 and the mean MFJS was 75.41 ± 10.29 postoperatively. The mean HKA axis changed from 175.81° ± 2.88 valgus to 179.99° ± 2.14 neutral alignment. The mean correction attained was from 4.19° ± 2.88 valgus deformity to 0.01° ± 2.14. The mean FTA and the mean PS changed from 7.34° ± 4.14 of valgus to 1.92° ± 1.85 of valgus and 83.44° ± 1.77 to 85.38° ± 2.10, respectively.
Conclusions
The mean preoperative and postoperative KOOS showed a statistical significance with a
p
value of < 0.001 (< 0.05), showing significant improvement with RALUKA. RALUKA is a promising surgical option for lateral compartment OA of the knee.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>35342513</pmid><doi>10.1007/s43465-021-00555-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0028-3699</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 0019-5413 1998-3727 |
| language | eng |
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| source | EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Conservative Orthopedics Medicine Medicine & Public Health Original Original Article Orthopedics Surgical Orthopedics |
| title | Short-Term Outcomes of Robotic Lateral Unicompartmental Knee Arthroplasty: An Indian Perspective |
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