In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty

Watanabe, Toshifumi; Abbasi, Ali; Conditt, Michael A.; Christopher, Jennifer; Kreuzer, Stefan; Otto, Jason K.; Banks, Scott A.

doi:10.1007/s00776-014-0578-3

Cited by 35 publications

(19 citation statements)

References 20 publications

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“…Both designs should allow the ligaments to be restored to normal function [2,32], but the roboticassisted system gives feedback to the surgeon to aid this process.…”

Section: Discussionmentioning

confidence: 99%

A comparison of gait one year post operation in an RCT of robotic UKA versus traditional Oxford UKA

et al. 2018

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Robot-assisted unicompartmental knee surgery has been shown to improve the accuracy of implant alignment. However, little research has been conducted to ascertain if this results in a measureable improvement in knee function post operatively and a more normal gait. The kinematics of 70 OA knees were assessed using motion analysis in an RCT (31 receiving robotic-assisted surgery, and 39 receiving traditional manual surgery) and compared to healthy knees. Statistically significant kinematic differences were seen between the two surgical groups from foot-strike to mid-stance. The robotic-assisted group achieved a higher knee excursion (18.0°, SD 4.9°) compared to the manual group (15.7°, SD 4.1°). There were no significant difference between the healthy group and the robotic assisted group, however there was a significant difference between the healthy group and the manual group (p < 0.001). Hence robotically-assisted knee replacement with Mako Restoris Implants appears to lead not only to better implant alignment but also some kinematic benefits to the user during gait.

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“…Both designs should allow the ligaments to be restored to normal function [2,32], but the roboticassisted system gives feedback to the surgeon to aid this process.…”

Section: Discussionmentioning

confidence: 99%

A comparison of gait one year post operation in an RCT of robotic UKA versus traditional Oxford UKA

et al. 2018

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“…Many distinct advantages of UKA compared to total knee arthroplasty (TKA) have been reported including lower perioperative morbidity [2,3], lower risk for infection [4], less blood loss [5], accelerated recovery [6,7] and improved range of motion [2,7]. A recent cost-effectiveness study demonstrated that medial UKA is preferable to TKA with decreased lifetime costs and improved quality of life in patients over 65 years of age [8].…”

Section: Introductionmentioning

confidence: 99%

Survivorship and patient satisfaction of robotic-assisted medial unicompartmental knee arthroplasty at a minimum two-year follow-up

et al. 2017

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“…UKA assumes the preservation of both cruciate ligaments whereby, in contrast to TKA, only medial or lateral femur and tibia compartments are replaced. Several in vitro and in vivo studies based on fluoroscopic investigations reported that UKA succeeds at restoring normal joint kinematics during kneeling tasks [13–15]. Preservation of the anterior cruciate ligament (ACL), however, seems to be a major reason for the normal movement pattern of the replaced condyles.…”

Section: Introductionmentioning

confidence: 99%

Non-Sagittal Knee Joint Kinematics and Kinetics during Gait on Level and Sloped Grounds with Unicompartmental and Total Knee Arthroplasty Patients

et al. 2016

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After knee arthroplasty (KA) surgery, patients experience abnormal kinematics and kinetics during numerous activities of daily living. Biomechanical investigations have focused primarily on level walking, whereas walking on sloped surfaces, which is stated to affect knee kinematics and kinetics considerably, has been neglected to this day. This study aimed to analyze over-ground walking on level and sloped surfaces with a special focus on transverse and frontal plane knee kinematics and kinetics in patients with KA. A three-dimensional (3D) motion analysis was performed by means of optoelectronic stereophogrammetry 1.8 ± 0.4 years following total knee arthroplasty (TKA) and unicompartmental arthroplasty surgery (UKA). AnyBody™ Modeling System was used to conduct inverse dynamics. The TKA group negotiated the decline walking task with reduced peak knee internal rotation angles compared with a healthy control group (CG). First-peak knee adduction moments were diminished by 27% (TKA group) and 22% (UKA group) compared with the CG during decline walking. No significant differences were detected between the TKA and UKA groups, regardless of the locomotion task. Decline walking exposed apparently more abnormal knee frontal and transverse plane adjustments in KA patients than level walking compared with the CG. Hence, walking on sloped surfaces should be included in further motion analysis studies investigating KA patients in order to detect potential deficits that might be not obvious during level walking.

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In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty

Cited by 35 publications

References 20 publications

A comparison of gait one year post operation in an RCT of robotic UKA versus traditional Oxford UKA

A comparison of gait one year post operation in an RCT of robotic UKA versus traditional Oxford UKA

Survivorship and patient satisfaction of robotic-assisted medial unicompartmental knee arthroplasty at a minimum two-year follow-up

Non-Sagittal Knee Joint Kinematics and Kinetics during Gait on Level and Sloped Grounds with Unicompartmental and Total Knee Arthroplasty Patients

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