Robotic arm-assisted versus manual unicompartmental knee arthroplasty

作者：Junren Zhang, Nathan Ng, Chloe E. H. Scott, Mark Blyth, Fares S. Haddad, Gavin J. Macpherson, James T. Patton, Nick D. Clement · 发表于：The Bone & Joint Journal · 年份：2022 · DOI：10.1302/0301-620x.104b5.bjj-2021-1506.r1 · 被引用次数：89 · 研究领域：Total Knee Arthroplasty Outcomes、Orthopaedic implants and arthroplasty、Orthopedic Infections and Treatments

Aims This systematic review aims to compare the precision of component positioning, patient-reported outcome measures (PROMs), complications, survivorship, cost-effectiveness, and learning curves of MAKO robotic arm-assisted unicompartmental knee arthroplasty (RAUKA) with manual medial unicompartmental knee arthroplasty (mUKA). Methods Searches of PubMed, MEDLINE, and Google Scholar were performed in November 2021 according to the Preferred Reporting Items for Systematic Review and Meta-­Analysis statement. Search terms included “robotic”, “unicompartmental”, “knee”, and “arthroplasty”. Published clinical research articles reporting the learning curves and cost-effectiveness of MAKO RAUKA, and those comparing the component precision, functional outcomes, survivorship, or complications with mUKA, were included for analysis. Results A total of 179 articles were identified from initial screening, of which 14 articles satisfied the inclusion criteria and were included for analysis. The papers analyzed include one on learning curve, five on implant positioning, six on functional outcomes, five on complications, six on survivorship, and three on cost. The learning curve was six cases for operating time and zero for precision. There was consistent evidence of more precise implant positioning with MAKO RAUKA. Meta-analysis demonstrated lower overall complication rates associated with MAKO RAUKA (OR 2.18 (95% confidence interval (CI) 1.06 to 4.49); p = 0.040) but no difference in re-i...