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New Technology for Total Knee Arthroplasty Provides Excellent Patient-Reported Outcomes: A Minimum Two-Year Analysis
Arthur L Malkani1, Martin W Roche2, Frank R Kolisek3
1Department of Orthopaedic Surgery University of Louisville Louisville, Kentucky.
Robotic-assisted total knee arthroplasty shows excellent patient-reported outcomes (PROMs) at two-year follow-up. This study supports the use of robotic technology for improved knee replacement results.
Area of Science:
- Orthopedic Surgery
- Medical Technology
- Biomechanical Engineering
Background:
- Robotic-assisted total knee arthroplasty (TKA) shows promise for improving patient-reported outcome measures (PROMs).
- Limited data exists on PROMs for robotic TKA beyond one year.
- This study addresses the need for longer-term outcome data in robotic TKA.
Purpose of the Study:
- To report multicenter patient-reported outcomes using multiple metrics for robotic-assisted TKA.
- To report postoperative surgeon-specific outcomes at a minimum two-year follow-up.
Main Methods:
- 188 robotic-assisted TKAs performed by five surgeons.
- Patients evaluated using Short Form-12 (SF-12), Forgotten Joint Score (FJS), and Knee Society Scores (KSS).
- Minimum two-year follow-up for all patients.
Main Results:
- Excellent postoperative outcomes reported across all PROMs.
- Mean SF-12 scores (MCS and PCS) were 57, exceeding the norm-based threshold of 50.
- Mean FJS was 75, mean KSS functional score was 84, and mean Knee Score was 92.
- Low aseptic revision rate (1.06%) and few complications (3.7%).
Conclusions:
- Robotic-assisted TKA demonstrates excellent patient outcomes across multiple metrics at two years.
- Results support the continued use of robotic technology in total knee arthroplasty.
- Future research should focus on larger cohorts and extended follow-up intervals.
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