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Surgical accuracy and clinical outcomes of image-free robotic-assisted total knee arthroplasty
Authors:Cyrus Tsun-Kit Lau  Wai-Wang Chau  Lawrence Chun-Man Lau  Kevin Ki-Wai Ho  Michael Tim-Yun Ong  Patrick Shu-Hang Yung
Affiliation:1. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Hong Kong, Hong Kong;2. Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong
Abstract:

Background

The development of total knee arthroplasty (TKA) for knee osteoarthritis (OA) has a good reputation for its effectiveness in reducing joint pain and improving range of motion. We aimed to review our early results using the image-free robotic-assisted technology in knee arthroplasty.

Methods

A total of 71 patients suffering from end-stage OA knee receiving TKA operated by robotic-assisted surgery between the years 2018 and mid-2021 were recruited. Clinical and radiological outcomes were compared with age and sex-matched control group (conventional TKA).

Results

The radiological outcome showed significantly more postoperative lower limb alignment outliers in conventional side than robotic-assisted sides. Postoperative knee scores were similar among both groups. Robotic-assisted TKA required a longer implantation time but a shorter hospital stay.

Conclusion

Robotic-assisted TKA achieved a lower rate of mechanical axis Outlier in the coronal and sagittal plane with a shorter hospital stay. Yet both methods achieve a similar functional outcome.
Keywords:arthroplasty  joints  knee  knee arthroplasty  orthopaedic  robotic assisted surgery
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