Reliability of pre-resection ligament tension assessment in imageless robotic assisted total knee replacement.

Autor: Yee DKH; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Leung JTC; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Chu V; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Man G; Office of Research and Knowledge Transfer Services, Chinese University of Hong Kong, Hong Kong SAR, China., Lam GYT; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Lau JKY; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Choi TL; Department of Orthopaedics & Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China., Chau WW; Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong SAR, China., Ng JP; Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Hong Kong SAR, China., Ong MT; Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong SAR, China. michael.ong@cuhk.edu.hk., Ho KK; Department of Orthopaedics and Traumatology, CUHK Medical Centre, Hong Kong SAR, China., Yung PS; Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong SAR, China.
Jazyk: angličtina
Zdroj: Arthroplasty (London, England) [Arthroplasty] 2024 Sep 02; Vol. 6 (1), pp. 44. Date of Electronic Publication: 2024 Sep 02.
DOI: 10.1186/s42836-024-00266-y
Abstrakt: Background: Ligament tension balance is a major determinant for the success of total knee replacement (TKR). The present study aimed at determining the inter-rater and intra-rater reliability in performing ligament tension assessment using an imageless robotic-assisted TKR.
Methods: Twenty-four knees in 21 patients who received robotic-assisted TKR for end-stage varus osteoarthritis were examined. Three orthopedic specialists and six orthopedic trainees participated in the operations. Data from the ligament tension assessment were collected during the operations.
Results: For the inter-rater reliability, "extension medial" and "flexion medial" had excellent reliability whilst "extension lateral" and "flexion lateral" had good-to-excellent reliability. For the intra-rater reliability, "extension medial" showed excellent reliability, "extension lateral" and "flexion medial" showed good-to-excellent reliability, and "flexion lateral" showed moderate-to-excellent reliability.
Conclusions: Robotic-assisted technology provides a reliable solution to improve ligament tension assessment. All ligament tension assessments with the use of the technology could demonstrate at least good-to-excellent reliability except for the intra-rater reliability of "flexion lateral".
(© 2024. The Author(s).)
Databáze: MEDLINE
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