From: Robotic-assisted unicompartmental knee arthroplasty: a review
Studies | System | Level of evidence | Main findings |
---|---|---|---|
Kwon et al. [62] 2019 | Mako | III | During passive flexion, the mean values both before and after insertion of the implant were lower in goniometer group than in robot group. |
Batailler et al. [40] 2019 | Navio | III | rUKA has a lower rate of postoperative limb alignment outliers both in lateral and medial UKA, compared to conventional technique. |
Iñiguez et al. [63] 2019 | Navio | IV | MDFA and MPTA were significant difference with median of 1.07° vs. 0.12° and 1.28° vs. 1.3° respectively |
Deese et al. [12] 2018 | Mako | III | Robotic-arm assisted surgery is reported to improve the accuracy of implant placement. |
Motesharei et al. [50] 2018 | Mako | II | rUKA achieved a higher knee excursion (18.0° ± 4.9°) compared to the manual group (15.7° ± 4.1°), leading to not only better implant alignment but also some kinematic benefits to the user during walk. |
Khare et al. [64] 2018 | Navio | IV | rUKA system offers significant improvement in the femoral and tibial implant placement compared with conventional UKA system. |
kayani et al. [49] 2018 | Mako | III | rUKA improved accuracy of femoral (p < 0.001) and tibial (p < 0.001) implant positioning. |
Gaudiani et al. [39] 2017 | Mako | III | Posterior tibial slope was lower after rUKA compared to the native knee (4.91° vs. 2.28°, p < 0.0001). |
Herry et al. [40] 2017 | Navio | III | Restitution of joint-line height was improved with robotic-assisted group compared to the control group. |
MacCallum et al. [46] 2016 | Mako | III | Tibial coronal positioning was more accurate with robotic-arm-assisted (2.6° ± 1.5° vs. 3.9° ± 2.4°, p < 0.0001). |
Bell et al. [38] 2016 | Mako | II | MAKO-assisted UKA lead to improved accuracy of femoral and tibial component positioning, except for tibial coronal position. |
Lonner et al. [36] 2015 | Navio | IV | The image-free robotic devices achieved accurate implementation of the surgical plan with small errors in implant placement. |
Mofidi et al. [31] 2014 | Mako | III | Robotic-assisted medial UKA results in an average difference of 2.2° ± 1.7° to 3.6° ± 3.3°, inaccuracy may be attributed to suboptimal cementing technique. |
Citak et al. [65] 2013 | Mako | IV | UKA was more precise using a semi-active robotic system with dynamic bone tracking technology compared to the manual technique. |
Plate et al. [44] 2013 | Mako | III | rUKA allows ligament balancing with an accuracy of up to 0.53 mm, being 1 mm in 83% of cases. |
Smith et al. [31] 2013 | Navio | IV | The freehand sculpting tool was shown to produce accurate implant placement with small errors which are comparable to those reported by other robotic assistive devices on the market for UKA. |
Karia et al. [66] 2013 | Mako | IV | Robotic assistance enabled surgeons to achieve better precision and accuracy when positioning UKA components irrespective of their experience. |
Becker et al. [67] 2012 | KUKA | IV | The natural knee stability in antero-posterior translation and rotation can be preserved in rUKA. |
Dunbar et al. [68] 2012 | Mako | III | Implant placement errors were comparable between tactile robotics and rigid stereotactic fixation. |
Pearle et al. [69] 2010 | Mako | III | Haptic guidance in combination with a navigation module allows the planned and intraoperative tibio-femoral angle was within 1° and postoperative long leg axis radiographs were within 1.6° in UKA. |
Lonner et al. [37] 2010 | Mako | III | Tibial component alignment is more accurate and less variable using robotic arm assistance than manual instrumentation. |
Cobb et al. [6] 2006 | Acrobot | II | All the Acrobot cases have limb alignment in the coronal plane within 2° of the planned position, while only 40% of the conventional group achieved this level of accuracy. |
Rodriguez et al. [70] 2005 | Acrobot | II | All of robotic cases were implanted with tibio-femoral alignment on the coronal plane within ±2° of the planned position. |