这项研究的目的是比较无图像机器人和常规全膝关节置换术(TKA)的短期临床和放射学结果,并通过分析TKA后的异常值来评估两种技术的准确性。我们已经评估了200个连续的膝盖(158名患者),100个膝盖接受机器人TKA,和100个膝盖用常规TKA治疗。人口参数,如年龄,性别,身体质量指数,获得了诊断和运动范围。膝关节社会评分(KSS)和膝关节社会功能评分(KSS-F)用于临床评估。机械对准(髋-膝-踝角度),胫骨近端角(MPTA),我们分析了股骨远端角度(LDFA)和胫骨斜度的放射学结果,并比较了两组的异常值.当在最终随访射线照片上的每个放射学测量中,测量的角度与中性对齐超过±3°时,定义了异常值。最短随访时间为6个月(范围,6至18个月)。机器人组术前平均HKA角度为169.7±11.3°,常规组为169.3±7.3°。HKA有显著改善,LDFA,两组的MPTA和胫骨斜率与术前值比较(p<0.01)。HKA的数量,LDFA和胫骨坡度异常值分别为31、29和37,与机器人组的13、23和17相比(p<0.01)。两组术后KSS和KSS-F功能评分均有显著改善(p<0.01)。然而,两组术后功能评分无显著差异(p=0.08).这项研究显示了无图像机器人和传统TKA的出色改进,两组的临床结局相似。然而,与常规TKA相比,放射机器人TKA显示出更好的准确性和一致性,且异常值更少.
The aim of this study was to compare the short term clinical and radiological outcomes of imageless robotic and conventional total knee arthroplasty (TKA) and to estimate the accuracy of the two techniques by analysing the outliers after TKA. We have evaluated 200 consecutive knees (158 patients), 100 knees undergoing robotic TKA, and 100 knees treated with conventional TKA. Demographic parameters like age, gender, body mass index, diagnosis and range of motion were obtained. Knee society score (KSS) and Knee society functional score (KSS-F) were used for clinical evaluation. Mechanical alignment (Hip-knee-ankle angle), proximal tibial angle (MPTA), distal femoral angle (LDFA) and tibial slope were analysed for radiological results and outliers were compared between both groups. Outliers were defined when the measured angle exceeded ± 3° from the neutral alignment in each radiological measurement on the final follow-up radiograph.The minimum follow-up was 6 months (range, 6 to 18 months). The preoperative mean HKA angle was 169.7 ± 11.3° in robotic group and 169.3 ± 7.3° in conventional group. There was significant improvement in HKA, LDFA, MPTA and tibial slope compared to the preoperative values in both the groups (p < 0.01). The number of HKA, LDFA and tibial slope outliers were 31, 29 and 37, respectively, in the conventional group compared to 13, 23 and 17 in the robotic group (p < 0.01). There was a significant improvement in the KSS and KSS-F functional scores postoperatively in both the groups (p < 0.01). However, there was no significant difference in the functional scores between the groups postoperatively (p = 0.08). This study showed excellent improvement with both imageless robotic and conventional TKA, with similar clinical outcomes between both groups. However, radiologically robotic TKA showed better accuracy and consistency with fewer outliers compared with conventional TKA.