Evidence map›Paper›PMID 30066017›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty.

Cécile Batailler, Nathan White, Filippo Maria Ranaldi, Philippe Neyret, Elvire Servien, Sébastien Lustig

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04525950 (Robotized Computer Navigation Versus Conventional Technique in Total Knee Replacement. A Randomized, Clinical and Radiostereometric Trial.), which is not on this map. Cited by 104 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 9 pooled it
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04525950 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

Robotized Computer Navigation Versus Conventional Technique in Total Knee Replacement. A Randomized, Clinical and Radiostereometric Trial.

TypeinterventionalSponsorHaukeland University HospitalRan2020 to 2031Enrolled214ConditionsArthritis, Degenerative, Osteo Arthritis KneeArmsNavio, Conventional
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 9 syntheses or guidelines pooled it, 171 citations in OpenAlex.

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  5. MAKO CT-based robotic arm-assisted system is a reliable procedure for total knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
  6. High survivorship rate and good clinical outcomes at mid-term follow-up for lateral UKA: a systematic literature review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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  14. Computer-Assisted Orthopedic and Trauma Surgery.Deutsches Arzteblatt international · 2020
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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Cécile BataillerOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France. cecile-batailler@hotmail.fr.ORCID http://orcid.org/0000-0003-3990-0906
Nathan WhiteOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France.
Filippo Maria RanaldiOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France.
Philippe NeyretOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France.
Elvire ServienOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France.
Sébastien LustigOrthopedic Surgery Department, Croix-Rousse Hospital, Lyon, France.
Hôpital de la Croix-Rousse · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this case-control study was to compare implant position and revision rate for UKA, performed with either a robotic-assisted system or with conventional technique.

methodsEighty UKA (57 medial, 23 lateral) were performed with robotic assistance (BlueBelt Navio system) between 2013 and 2017. These patients were matched with 80 patients undergoing UKA using the same prosthesis, implanted using conventional technique. The sagittal and coronal component position was assessed on postoperative radiographs. The revision rate was reported at last follow-up.

resultsThe mean follow-up was 19.7 months ± 9 for the robotic-assisted group, and 24.2 months ± 16 for the control group. The rate of postoperative limb alignment outliers (± 2°) was significantly higher in the control group than in the robotic-assisted group for both lateral UKA (26% in robotic group versus 61% in control group; p = 0.018) and medial UKA (16% versus 32%, resp.; p = 0.038). The coronal and sagittal tibial baseplate position had significantly less outliers (± 3°) in the robotic-assisted group, than in the control group. Revision rates were: 5% (n = 4/80) for robotic assisted UKA and 9% (n = 7/80) for conventional UKA (n.s.). The reasons for revision were different between groups, with 86% of revisions in the control group occurring in association with component malposition or limb malalignment, compared with none in the robotic-assisted group.

conclusionRobotic-assisted UKA has a lower rate of postoperative limb alignment outliers, as well as a lower revision rate, compared to conventional technique. The accuracy of implant positioning is improved by this robotic-assisted system. LEVEL OF EVIDENCE: Level of evidence III. Retrospective case-control study CLINICAL RELEVANCE: This is the first paper comparing implant position, clinical outcome, and revision rate for UKA performed using the Navio robotic system with a control group.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, KneeCase-Control StudiesFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneeRadiographyReoperationRetrospective StudiesRobotic Surgical ProceduresTibiaComplicationImplant positioningRobotic-assisted surgerySurgical revisionTotal knee arthroplastyUnicompartmental arthroplasty

Identifiers

PMID30066017
OpenAlexW2886165212

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.