Enhanced recovery after surgery day surgery for MAKO® robotic-arm assisted TKA; better outcome for patients, improved efficiency for hospitals.

Autor: Ng EC; Lee Kong Chian School of Medicine, Singapore., Xu S; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Liu XE; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Lim JBT; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Liow MHL; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Pang HN; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Tay DKJ; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Yeo SJ; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore., Chen JY; Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.; Alps Orthopaedic Centre, Singapore.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2024 May 11; Vol. 56, pp. 77-81. Date of Electronic Publication: 2024 May 11 (Print Publication: 2024).
DOI: 10.1016/j.jor.2024.05.013
Abstrakt: Introduction: Robotic-assisted Total Knee Arthroplasty (TKA) was designed to improve implant position accuracy by providing surgeons with real-time intra-operative data to tailor the operation to the patient. Proponents of robotic-assisted TKA believe that this translates into meaningful improvements in outcomes. However, there are concerns that the longer surgical duration associated with robotic-assisted TKA leads to longer length of stay (LOS). In this study, the authors investigated the outcome of MAKO® Robotic-arm Assisted TKA combined with ERAS protocol to assess its effect on LOS and short-term outcomes.
Methods: All patients who had undergone unilateral MAKO® ERAS Day Surgery TKA from August 2020 to July 2021 were prospectively followed up and matched to patients who underwent conventional ERAS Day Surgery TKA in the same time period. Factors such as surgical duration, LOS, immediate reduction in pain, 30-days complications, and 6-month PROMs and knee ROM were compared between the two groups.
Results: 42 patients underwent MAKO® ERAS Day surgery TKA and were matched to 42 patients who underwent conventional ERAS Day surgery TKA. The study found that despite the longer surgical duration, LOS was comparable between both groups (1.1 ± 0.9days in the MAKO® group vs 1.0 ± 0.3days in the conventional group, p = 0.755) with successful 24-hour discharge in 88.1 % of patients in the MAKO® group. The MAKO® group achieved significantly better ROM compared to the conventional group 6-months post operatively. Post-operative PROMs were comparable between both groups.
Conclusion: ERAS Day Surgery protocol can significantly reduce the LOS of patient undergoing MAKO® Robotic-arm Assisted TKA, conferring cost savings and making it a valid option for patients.
Competing Interests: Ng Ee Chern has no financial or non-financial interests to disclose. Dr Xu Sheng has no financial or non-financial interests to disclose. Dr Liu Xuan Eric has no financial or non-financial interests to disclose. Dr Lim Jason Beng Teck has no financial or non-financial interests to disclose. A/Prof Liow Ming Han Lincoln has no financial or non-financial interests to disclose. A/Prof Pang Hee Nee is a paid consultant for Stryker Singapore and Zimmer Biomet. A/Prof Tay Darren Keng Jin is a paid consultant for Stryker Singapore. Prof Yeo Seng Jin is a paid consultant for DepuySynthes and Johnson & Johnson. A/Prof Chen Jerry Yongqiang is a paid consultant for Zimmer Biomet and DepuySynthes.
(© 2024 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.)
Databáze: MEDLINE
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