Evidence map›Paper›PMID 38874668›Full record

ArticleInternational orthopaedics2024

Comparison of the efficacy and safety of MAKO robot-assisted total knee arthroplasty versus conventional manual total knee arthroplasty in uncomplicated unilateral total knee arthroplasty a single-centre retrospective analysis.

Nanshan Ma, Pengfei Sun, Pengfei Xin, Sheng Zhong, Jun Xie, Lianbo Xiao

Abstract readComparative Study
In one paragraph

Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
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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.

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3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Nanshan MaShanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Pengfei SunShanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Pengfei XinShanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Sheng ZhongDepartment of Orthopedic Surgery, Shanghai Guanghua Hospital of Integrative Medicine, Shanghai, People's Republic of China.
Jun XieDepartment of Orthopedic Surgery, Shanghai Guanghua Hospital of Integrative Medicine, Shanghai, People's Republic of China.
Lianbo XiaoDepartment of Orthopedic Surgery, Shanghai Guanghua Hospital of Integrative Medicine, Shanghai, People's Republic of China. xiao_lianbo@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the efficacy and safety of MAKO robot-assisted total knee arthroplasty (MA-TKA) with conventional manual total knee arthroplasty (CM-TKA) in patients with end-stage knee osteoarthritis (KOA) during the early postoperative period.

methodA retrospective analysis was conducted on 22 patients with KOA who underwent MA-TKA and 26 patients who underwent CM-TKA from April 2023 to July 2023. Hip-knee-ankle angle (HKA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), American Knee Society Score (AKSS), Forgotten Joint Score-12 (FJS-12), visual analogue scale (VAS), and postoperative complications were recorded and compared between the two groups.

resultBoth groups successfully completed the surgeries. In terms of radiographic parameters, postoperative one month LDFA and HKA in the MA-TKA group were significantly lower than those in the CM-TKA group (P < 0.05). At the one month follow-up, 19 patients (86.4%) in the MA-TKA group had an HKA less than 3°, compared to 20 patients (76.9%) in the CM-TKA group. Clinically, VAS scores at 24 h, 48 h, and 72 h postoperatively were lower in the MA-TKA group both at rest and during activity. At one month and three months postoperatively, AKSS Function Scores and FJS-12 scores in the MA-TKA group were significantly higher than those in the CM-TKA group (P < 0.05). Regarding postoperative complications, no complications occurred in the MA-TKA group, while one patient in the CM-TKA group experienced postoperative knee stiffness, which resolved after physical therapy, with no statistically significant difference (P > 0.05).

conclusionCompared with conventional manual total knee arthroplasty, MAKO robot-assisted TKA demonstrates better short-term clinical efficacy, achieves better alignment planning, and maintains good safety.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeRobotic Surgical ProceduresAgedFemaleHumansKnee JointMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeEfficacyMAKORobot-AssistedSafetyTotal Knee Arthroplasty

Identifiers

PMID38874668
PMCPMC11347482

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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.