Evidence map›Paper›PMID 32390119›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Is robotic-assisted unicompartmental knee arthroplasty a safe procedure? A case control study.

Guillaume Mergenthaler, Cécile Batailler, Timothy Lording, Elvire Servien, Sébastien Lustig

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  6. 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
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  11. [Comparison of early effectiveness and safety between domestic robot-assisted and conventional simultaneous unicompartmental knee arthroplasty for bilateral anteromedial compartment osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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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

5 authors.

Guillaume MergenthalerDepartment of Orthopedic Surgery and Sport Medicine, Lyon North University Hospital, Hôpital de La Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Cécile BataillerDepartment of Orthopedic Surgery and Sport Medicine, Lyon North University Hospital, Hôpital de La Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France. cecile.batailler@chu-lyon.fr.ORCID http://orcid.org/0000-0003-3990-0906
Timothy LordingMelbourne Orthopaedic Group, 33 The Avenue, Windsor, 3181, Australia.
Elvire ServienDepartment of Orthopedic Surgery and Sport Medicine, Lyon North University Hospital, Hôpital de La Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.
Sébastien LustigDepartment of Orthopedic Surgery and Sport Medicine, Lyon North University Hospital, Hôpital de La Croix Rousse, Hospices Civils de Lyon, 103 Grande Rue de la Croix Rousse, 69004, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe hypotheses were that firstly there is few early specific complications due to the use of a robotic-assisted system for unicompartimental knee arthroplasty (UKA), and secondly there are less revisions and complications after robotic-assisted UKA than after conventional UKA.

methods200 robotic-assisted UKA (175 patients) and 191 conventional UKA (179 patients) were performed between 2013 and 2018 from the same center. Revisions, intraoperative and postoperative complications, functional and radiological results were collected at the most recent follow-up.

resultsAt the most recent follow-up (≥ 1 year), revision rates were 4% (n = 8/200) for robotic-assisted UKA and 11% (n = 21/191) for conventional UKA (p = 0.014). Reoperation rates without implant removal were comparable in the robotic and conventional group (7.3% vs 8.6%). Complication rates for stiffness (4.7% vs 4.2%) and infection (1% vs 1.6%) were comparable in both groups. There was no specific complication related to the robotic-assisted system (no soft tissue or bone lesion caused by the use of the robotic-assistance and no complication related to the use of navigation pins). The KSS function scores were higher following robotic-assisted UKA (p = 0.01). Satisfaction rates and contralateral OA were comparable in the two groups.

conclusionNo complications due to the robotic-assisted system were found in this study. There was no difference in the general complications rate between both groups. Robotic-assisted UKA has a lower revision rate compared to conventional technique UKA at the short-term follow-up. LEVEL OF EVIDENCE: III. CLINICAL RELEVANCE: This is the first paper comparing revision rate and clinical outcome between UKA performed using the NAVIO robotic system and a conventional technique and searching for specific complication related to the use of the NAVIO robotic system.

Indexed as

AgedArthroplasty, Replacement, KneeCase-Control StudiesFemaleHumansIntraoperative ComplicationsMaleMiddle AgedOsteoarthritis, KneeOsteonecrosisPostoperative ComplicationsRadiographyReoperationRobotic Surgical ProceduresTreatment OutcomeComplicationRobotic-assisted surgerySurgical revisionTotal knee arthroplastyUnicompartmental knee arthroplasty

Identifiers

PMID32390119

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.