目的:全膝关节置换术(TKA)是一种常见的骨科手术,然而,术后不满持续存在约20%的病例。机器人全膝关节置换术(rTKA)有望提高精度,但与传统TKA相比,其对患者满意度的影响仍存在争议(cTKA)。本系统评价旨在评估rTKA后患者的满意度,并将结果与cTKA进行比较。
方法:确定并审查了来自以下数据库的论文:PubMed,Scopus,WebofScience,和Cochrane在线图书馆,使用诸如“膝关节置换”之类的关键词,全膝关节置换术,\"\"机器人,\"和\"患者满意度。“提取的数据包括患者满意度测量,膝盖社会得分,牛津膝盖得分,被遗忘的联合得分,SF-36、HSS、还有KOOS.统计分析,包括比值比和95%CI使用R软件进行.使用Cochrane的Q检验评估异质性。
结果:系统综述包括17篇文章,涉及1148名患者(rTKA组571名,cTKA组577名),评估rTKA后患者的满意度。比例分析显示rTKA满意率为95%,而对于cTKA,是91%。比较rTKA和cTKA的荟萃分析发现,患者满意度无统计学差异。此外,检查了各种患者报告的结果指标(PROM),在不同的研究和随访期间显示混合的结果。
结论:这项研究的结果发现,与常规方法相比,rTKA在短期至中期的患者满意度结果没有差异。这项研究没有断言机器人方法的优越性,强调需要仔细考虑影响膝关节置换术结果的各种因素。
OBJECTIVE: Total knee arthroplasty (TKA) is a common orthopedic surgery, yet postoperative dissatisfaction persists in around 20% of cases. Robotic total knee arthroplasty (rTKA) promises enhanced precision, but its impact on patient satisfaction compared to conventional TKA remains controversial (cTKA). This systematic
review aims to evaluate patient satisfaction post-rTKA and compare outcomes with cTKA.
METHODS: Papers from the following databases were identified and reviewed: PubMed, Scopus, Web of Science, and the Cochrane Online Library, using keywords like \"Knee replacement,\" \"Total knee arthroplasty,\" \"Robotic,\" and \"Patient satisfaction.\" Extracted data included patient satisfaction measures, Knee Society Score, Oxford Knee Score, Forgotten Joint Score, SF-36, HSS, and KOOS. Statistical analysis, including odds ratio and 95% CI was performed using R software. Heterogeneity was assessed using Cochrane\'s Q test.
RESULTS: The systematic
review included 17 articles, involving 1148 patients (571 in the rTKA group and 577 in the cTKA group) assessing patient satisfaction following rTKA. An analysis of proportions reveals rTKA satisfaction rate was 95%, while for cTKA, it was 91%. A meta-analysis comparing rTKA and cTKA found no statistically significant difference in patient satisfaction. Additionally, various patient-reported outcome measures (PROMs) were examined, showing mixed results across different studies and follow-up periods.
CONCLUSIONS: The results of this study found no difference in patient satisfaction outcomes in the short to mid-term for rTKA compared to conventional methods. This study does not assert superiority for the robotic approach, highlighting the need for careful consideration of various factors influencing outcomes in knee arthroplasty.