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Archives of Orthopaedic and Trauma Surgery

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01-12-2018 | Knee Arthroplasty

Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study

Authors: R. Canetti, C. Batailler, C. Bankhead, P. Neyret, E. Servien, S. Lustig

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2018

Abstract

Introduction

Unicompartmental knee arthroplasty (UKA) is frequently performed on active patients with symptomatic osteoarthritis who desire a quick return to sports. The aim of this study was to compare return to sport after lateral UKA performed by robotic-assisted and conventional techniques.

Materials and methods

This retrospective study has assessed 28 lateral UKA (25 patients), 11 performed with robotic-assisted technique and 17 with conventional technique, between 2012 and 2016. The mean age was 65.5 and 59.5 years, with a mean follow-up of 34.4 months (range 15–50) and 39.3 months (range 22–68). Both groups were comparable pre-operatively. Sport habits and the details of the return to sports were assessed using University of California, Los Angeles Scale (UCLA) and direct questioning.

Results

Robotic-assisted surgical technique provided significantly quicker return to sports than conventional technique (4.2 ±1.8 months; range 1–6 vs 10.5 ± 6.7 months; range 3–24; p < 0.01), with a comparable rate of return to sports (100% vs 94%). The practiced sports after lateral UKA were similar to those done preoperatively, with mainly low- and mid-impact sports (hiking, cycling, swimming, and skiing).

Conclusion

Robotic-assisted lateral UKA reduces the time to return to sports at pre-symptomatic levels when compared with conventional surgical technique. The return to sports rate after surgery is high in both groups. A long-term study would provide data on the prothesis wear in this active population.

Level of evidence

Comparative retrospective study, Level III.

Lutzner J, Kasten P, Gunther KP, Kirschner S (2009) Surgical options for patients with osteoarthritis of the knee. Nat Rev Rheumatol 5(6):309–316. https://doi.org/10.1038/nrrheum.2009.88 CrossRefPubMed

Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY (2004) Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am 86-A(5):963–974CrossRef

Heyse TJ, Tibesku CO (2010) Lateral unicompartmental knee arthroplasty: a review. Arch Orthop Trauma Surg 130(12):1539–1548. https://doi.org/10.1007/s00402-010-1137-9 CrossRefPubMed

Dalury DF, Fisher DA, Adams MJ, Gonzales RA (2009) Unicompartmental knee arthroplasty compares favorably to total knee arthroplasty in the same patient. Orthopedics 32(4):253–257CrossRef

Lustig S, Lording T, Frank F, Debette C, Servien E, Neyret P (2014) Progression of medial osteoarthritis and long term results of lateral unicompartmental arthroplasty: 10 to 18 year follow-up of 54 consecutive implants. Knee 21(Suppl 1S):26–32. https://doi.org/10.1016/S0968-0160(14)50006-3 CrossRef

Hawi N, Plutat J, Kendoff D, Suero EM, Cross MB, Gehrke T et al (2016) Midterm results after unicompartmental knee replacement with all-polyethylene tibial component: a single surgeon experience. Arch Orthop Trauma Surg 136(9):1303–1307. https://doi.org/10.1007/s00402-016-2515-8 CrossRefPubMed

Witjes S, Gouttebarge V, Kuijer PP, van Geenen RC, Poolman RW, Kerkhoffs GM (2016) Return to sports and physical activity after total and unicondylar knee arthroplasty: a systematic review and meta-analysis. Sports Med 46(2):269–292. https://doi.org/10.1007/s40279-015-0421-9 CrossRefPubMedPubMedCentral

van der List JP, Chawla H, Zuiderbaan HA, Pearle AD (2016) Patients with isolated lateral osteoarthritis: unicompartmental or total knee arthroplasty? Knee 23(6):968–974. https://doi.org/10.1016/j.knee.2016.06.007 CrossRefPubMed

Servien E, Ait Si Selmi T, Neyret P, Verdonk P (2008) How to select candidates for lateral unicompartmental prosthesis. Curr Orthop Pract 19(4):451–458CrossRef

10.

Herry Y, Batailler C, Lording T, Servien E, Neyret P, Lustig S (2017) Improved joint-line restitution in unicompartmental knee arthroplasty using a robotic-assisted surgical technique. Int Orthop 41(11):2265–2271. https://doi.org/10.1007/s00264-017-3633-9 CrossRefPubMed

11.

Batailler C, White N, Ranaldi FM, Neyret P, Servien E, Lustig S (2018) Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-5081-5 CrossRefPubMed

12.

Waldstein W, Kolbitsch P, Koller U, Boettner F, Windhager R (2017) Sport and physical activity following unicompartmental knee arthroplasty: a systematic review. Knee Surg Sports Traumatol Arthrosc 25(3):717–728. https://doi.org/10.1007/s00167-016-4167-1 CrossRefPubMed

13.

Walker T, Gotterbarm T, Bruckner T, Merle C, Streit MR (2015) Return to sports, recreational activity and patient-reported outcomes after lateral unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 23(11):3281–3287. https://doi.org/10.1007/s00167-014-3111-5 CrossRefPubMed

14.

Lonner JH, Smith JR, Picard F, Hamlin B, Rowe PJ, Riches PE (2015) High degree of accuracy of a novel image-free handheld robot for unicondylar knee arthroplasty in a cadaveric study. Clin Orthop Relat Res 473(1):206–212. https://doi.org/10.1007/s11999-014-3764-x CrossRefPubMed

15.

Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res (248):13–14

16.

Swanenburg J, Koch PP, Meier N, Wirth B (2014) Function and activity in patients with knee arthroplasty: validity and reliability of a German version of the Lysholm Score and the Tegner Activity Scale. Swiss Med Wkly 144w13976. https://doi.org/10.4414/smw.2014.13976

17.

Thienpont E, Opsomer G, Koninckx A, Houssiau F (2014) Joint awareness in different types of knee arthroplasty evaluated with the Forgotten Joint score. J Arthroplasty 29(1):48–51. https://doi.org/10.1016/j.arth.2013.04.024 CrossRefPubMed

18.

Zahiri CA, Schmalzried TP, Szuszczewicz ES, Amstutz HC (1998) Assessing activity in joint replacement patients. J Arthroplasty 13(8):890–895CrossRef

19.

Thienpont E, Schwab PE, Cornu O, Bellemans J, Victor J (2017) Bone morphotypes of the varus and valgus knee. Arch Orthop Trauma Surg 137(3):393–400. https://doi.org/10.1007/s00402-017-2626-x CrossRefPubMed

20.

Pietschmann MF, Wohlleb L, Weber P, Schmidutz F, Ficklscherer A, Gulecyuz MF et al (2013) Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect? Int Orthop 37(1):31–37. https://doi.org/10.1007/s00264-012-1710-7 CrossRefPubMed

21.

Fisher N, Agarwal M, Reuben SF, Johnson DS, Turner PG (2006) Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty. Knee 13(4):296–300. https://doi.org/10.1016/j.knee.2006.03.004 CrossRefPubMed

22.

Hopper GP, Leach WJ (2008) Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc 16(10):973–979. https://doi.org/10.1007/s00167-008-0596-9 CrossRefPubMed

23.

Naal FD, Fischer M, Preuss A, Goldhahn J, von Knoch F, Preiss S et al (2007) Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med 35(10):1688–1695. https://doi.org/10.1177/0363546507303562 CrossRefPubMed

24.

Marmor L (1984) Lateral compartment arthroplasty of the knee. Clin Orthop Relat Res (186):115–121

25.

Argenson JN, Blanc G, Aubaniac JM, Parratte S (2013) Modern unicompartmental knee arthroplasty with cement: a concise follow-up, at a mean of twenty years, of a previous report. J Bone Joint Surg Am 95(10):905–909. https://doi.org/10.2106/JBJS.L.00963 CrossRefPubMed

26.

Lustig S, Parratte S, Magnussen RA, Argenson JN, Neyret P (2012) Lateral unicompartmental knee arthroplasty relieves pain and improves function in posttraumatic osteoarthritis. Clin Orthop Relat Res 470(1):69–76. https://doi.org/10.1007/s11999-011-1963-2 CrossRefPubMed

Title: Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study
Authors: R. Canetti
C. Batailler
C. Bankhead
P. Neyret
E. Servien
S. Lustig
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-3042-6

At a glance: The STEP trials

Springer Medicine

Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

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