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Robotic-assisted Unicompartmental Knee Arthroplasty (UKA) improves clinical outcomes and reduces surgical errors. This study shows satisfactory results and a low complication rate after a 3-year experience with the Mako Robotic Arm.

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Area of Science:

  • Orthopedic Surgery
  • Robotic Surgery
  • Arthroplasty

Background:

  • Unicompartmental Knee Arthroplasty (UKA) is effective but limited by component positioning and alignment inaccuracies.
  • Robotic surgery aims to minimize technical errors in UKA.
  • This paper evaluates a 3-year experience with robotic-assisted UKA using the Mako Robotic Arm.

Purpose of the Study:

  • To assess clinical and surgical outcomes of robotic-assisted UKA.
  • To evaluate the effectiveness of the Mako Robotic Arm in UKA procedures.

Main Methods:

  • Seventy-three patients underwent robotic UKA (65 medial, 8 lateral).
  • Clinical evaluation included KOOS, FJS-12, and SF-12 pre- and post-operatively.
  • Post-operative HKA angle and surgical time were recorded.

Main Results:

  • Mean post-operative KOOS: 81.32, FJS-12: 75.51, SF-12 Physical: 42.25.
  • 91%-88% of results were satisfactory; only 1.3% UKA failure (infection).
  • Surgical time decreased from 83.2 to 70.0 minutes with experience.

Conclusions:

  • Robotic UKA demonstrates improved clinical and technical results.
  • Satisfactory outcomes and a low complication rate were achieved.
  • Robotic assistance enhances precision in UKA procedures.