1-Year Patient Outcomes for Robotic-Arm Assisted vs. Manual Total Knee Arthroplasty

5 pages•Published: October 26, 2019

Robert Marchand, Nipun Sodhi, Hiba Anis, Joseph Ehiorobo, Jared Newman, Kevin Marchand, Kelly Taylor, Caitlin Condrey, Matthew Hepinstall and Michael Mont

Abstract

Introduction:
Robotic-arm assisted (RAA) total knee arthroplasty (TKA) has been shown to potentially have certain pre- and intra-operative advantages over manual techniques. Although there are many studies on the alignment advantages when using the robotic-arm assisted (RAA) system for total knee arthroplasty (TKA), there have been questions regarding patient-reported outcomes. Therefore, the purpose of this study was to use this index to compare: 1) total; 2) physical function; and 3) pain scores for manual vs. RAA patients.

Methods:
We compared 53 consecutive robotic-arm assisted to 53 consecutive manual TKAs. No differences in pre-operative scores were found between the cohorts. Patients were administered a modified WOMAC satisfaction survey pre-operatively, and at 1-year post-operatively. Univariate analyses and multivariate models with stepwise backward linear regression were utilized to evaluate the associations between outcome scores and surgical technique, age, sex, as well as body mass index (BMI).

Results:
The RAA cohort had significantly improved mean total (6±6 vs. 9±8 points, p=0.03) and physical function scores (4±4 vs. 6±5 points, p=0.02) when compared to the manual cohort. The mean pain score for the RAA cohort [2±3 points (range, 0 to 14 points)], was also lower than that for the manual cohort [3±4 points (range, 0 to 11 points) (p=0.06)].
On backward linear regression analyses, RAA was found to be significantly associated with more improved total (beta coefficient [β]-0.208, SE [standard error] 1.401, p<0.05), function (β=0.216, SE=0.829, p<0.05), and pain scores (β-0.181, SE=0.623, p=0.063). The RAA technique was found to have the strongest association with improved scores.

Conclusion:
With newer surgical technologies constantly being introduced, it is imperative to continue to evaluate these new modalities, particularly in their abilities to improve patient satisfaction outcomes. This study suggests that RAA patients may have short term improvements at minimum 1-year post-operative. However, longer-term follow up with greater sample sizes are needed to further validate these findings.

Keyphrases: operative technologies, robotic arm assisted tka, robotic technology, tka

In: Patrick Meere and Ferdinando Rodriguez Y Baena (editors). CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 3, pages 241-245.

Links:	https://easychair.org/publications/paper/8R7C
	https://doi.org/10.29007/nrl3

BibTeX entry

@inproceedings{CAOS2019:1_Year_Patient_Outcomes,
  author    = {Robert Marchand and Nipun Sodhi and Hiba Anis and Joseph Ehiorobo and Jared Newman and Kevin Marchand and Kelly Taylor and Caitlin Condrey and Matthew Hepinstall and Michael Mont},
  title     = {1-Year Patient Outcomes for Robotic-Arm Assisted vs. Manual Total Knee Arthroplasty},
  booktitle = {CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Patrick Meere and Ferdinando Rodriguez Y Baena},
  series    = {EPiC Series in Health Sciences},
  volume    = {3},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/8R7C},
  doi       = {10.29007/nrl3},
  pages     = {241-245},
  year      = {2019}}

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