A comparison of gait one year post operation in an RCT of robotic UKA versus traditional Oxford UKA
| Autor: | Bryn Jones, Arman Motesharei, Angus MacLean, Philip Rowe, Mark Blyth |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Knee function medicine.medical_specialty Time Factors Knee Joint medicine.medical_treatment Biophysics Knee replacement Kinematics Post surgery law.invention 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Randomized controlled trial law TA164 Humans Medicine Orthopedics and Sports Medicine Postoperative Period Arthroplasty Replacement Knee Lead (electronics) Gait Aged 030222 orthopedics business.industry Rehabilitation 030229 sport sciences Middle Aged Osteoarthritis Knee Physical therapy Female Implant Knee Prosthesis business human activities Follow-Up Studies |
| Zdroj: | Gait & Posture. 62:41-45 |
| ISSN: | 0966-6362 |
| DOI: | 10.1016/j.gaitpost.2018.02.029 |
| Popis: | Robot-assisted unicompartmental knee surgery has been shown to improve the accuracy of implant alignment. However, little research has been conducted to ascertain if this results in a measureable improvement in knee function post operatively and a more normal gait. The kinematics of 70 OA knees were assessed using motion analysis in an RCT (31 receiving robotic-assisted surgery, and 39 receiving traditional manual surgery) and compared to healthy knees. Statistically significant kinematic differences were seen between the two surgical groups from foot-strike to mid-stance. The robotic-assisted group achieved a higher knee excursion (18.0°, SD 4.9°) compared to the manual group (15.7°, SD 4.1°). There were no significant difference between the healthy group and the robotic assisted group, however there was a significant difference between the healthy group and the manual group (p < 0.001). Hence robotically-assisted knee replacement with Mako Restoris Implants appears to lead not only to better implant alignment but also some kinematic benefits to the user during gait. |
| Databáze: | OpenAIRE |
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