Study on the correlation between early three-dimensional gait analysis and clinical efficacy after robot-assisted total knee arthroplasty

He, Rui; Xiong, Rong; Sun, Maolin; Yang, Junjun; Chen, Hao; Yang, Pengfei; Yang, Liu

doi:10.1016/j.cjtee.2022.05.003

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…However, not all studies reported superior patient-reported outcome measures (PROMs) of function following raTKR [14][15][16][17]. These discrepancies raised questions regarding the utility of subjective PROMs in the full evaluation of the potential functional benefits associated with increased raTKR accuracy [18]. For example, Williams et al demonstrated a lack of correlation between PROMs and physical function [19], and Nilsdotter et al reported a significant proportion of patients' physical activity expectations (i.e., ability to dance or golf ) were not met, yet patients reported high satisfaction with regard to both pain relief and physical function on PROMs [20].…”

Section: Introductionmentioning

confidence: 99%

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Fary,

Cholewa,

Ren

et al. 2023

Arthroplasty

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Background Range of motion (ROM) following total knee replacement (TKR) has been associated with patient satisfaction and knee function, and is also an early indicator of a successful procedure. Robotic-assisted TKR (raTKR) is considered to reproduce more precise resections, and, as a result, may be associated with improved early patient satisfaction compared to manual TKR (mTKR). The purpose of this study was to evaluate the early postoperative active ROM (aROM) between raTKR and mTKR. Methods A total of 216 mTKR patients were propensity-matched, in terms of age, gender, comorbidities, and BMI, to 216 raTKR cases. Intraoperative and immediate postoperative adverse events were collected. Knee flexion and extension aROM were measured preoperatively and at one- and three months after operation. Results Changes in flexion aROM were significantly greater in raTKR vs. mTKR at one- (6.9°, 95% CI: 3.5, 10.4°) and three months (4.9°, 95% CI: 2.1, 7.7°). Flexion aROM was greater at three postoperative months compared to preoperative aROM only in the raTKR group, and raTKR patients had higher odds of achieving ≥ 90° of flexion at one month after operation (OR: 2.15, 95% CI: 1.16, 3.99). There were no significant differences between groups in intraoperative (P > 0.999) or postoperative adverse events. Conclusions Compared with mTKR, raTKR resulted in less loss of aROM immediately after operation and a faster recovery of aROM within three months after operation. Trial registration Clinicaltrials.gov (NCT# 03737149).

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Section: Introductionmentioning

confidence: 99%

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Fary,

Cholewa,

Ren

et al. 2023

Arthroplasty

View full text Add to dashboard Cite

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Robotic-arm assisted versus manual total knee arthroplasty: Functional gait analysis from a randomised controlled trial

Ajekigbe,

Ramaskandhan,

Clement

et al. 2024

Journal of Biomechanics

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Evaluation of the efficacy after Total Knee Arthroplasty by Gait analysis in patients with Knee Osteoarthritis: a meta-analysis

Yu,

Zhuang,

Jin

2024

J Orthop Surg Res

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Background Total knee replacement (TKA) is a frequent modality performed in patients with knee osteoarthritis (OA). The aim of this study was to perform a meta-analysis and systematic review to evaluate the efficacy after TKA by gait analysis in patients with OA. Methods PubMed, EMBASE, the Cochrane library, and Web of Science were searched for relevant studies from inception to July 2024. STATA SE 14.0 software was used for statistical analysis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. Results A total of 2525 reports were identified with 24 studies meeting pre-designed inclusion criteria. Several gait parameters were investigated. In patients with knee OA after TKA, there existed an increase in the Max knee flexion (WMD, 3.12; 95% CI, 0.93 to 5.32; I 2 = 73.9%, P < 0.001), the Cadence (WMD, 4.05; 95% CI, 2.28 to 5.82; I 2 = 48.9%, P = 0.068), the stride length (WMD, 0.05; 95% CI, 0.01 to 0.09; I 2 = 77.1%, P < 0.001), the walking speed (WMD, 0.08; 95% CI, 0.02 to 0.14; I 2 = 93.3%, P < 0.001), and the step length (WMD, 0.04; 95% CI, 0.00 to 0.07; I 2 = 89.3%, P < 0.001) while a decrease in the double support time (WMD, -0.04; 95% CI, − 0.08 to -0.01; I 2 = 0.0%, P = 0.585). Besides, no statistically significant differences were observed in the Knee range of motion (ROM), the Max knee rotation at stance phase, the Max knee extension, the step width, the stride time and the step time. Sensitivity analysis showed that all the results were robust. Conclusions In summary, the study found that, in patients with knee OA undergoing TKA may have great effects on improving gait parameters. If there are more high-quality studies in the future, we should make a more comprehensive evaluation of walking function by gait analysis together with other evaluation systems such as muscle strength and proprioception measurement. Supplementary Information The online version contains supplementary material available at 10.1186/s13018-024-05091-2.

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Study on the correlation between early three-dimensional gait analysis and clinical efficacy after robot-assisted total knee arthroplasty

Cited by 3 publications

References 32 publications

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation

Robotic-arm assisted versus manual total knee arthroplasty: Functional gait analysis from a randomised controlled trial

Evaluation of the efficacy after Total Knee Arthroplasty by Gait analysis in patients with Knee Osteoarthritis: a meta-analysis

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