Intelligent Orthopaedics
A single rate meta-analysis of postoperative complications in robot arm-assisted unicompartmental knee arthroplasty
Yang Meiping, Chen Bojian, Xu Shuchai, Lyu Yang, Liu Hongliang, Huang Zexin
Published 2022-10-15
Cite as Chin J Orthop Trauma, 2022, 24(10): 862-868. DOI: 10.3760/cma.j.cn115530-20220824-00442
Abstract
ObjectiveTo observe the postoperative complications and revision rates of robot arm-assisted unicompartment arthroplasty by means of a meta-analysis.
MethodsRelevant databases including Cochrane Library, PubMed, EMBASE, Wanfang, VIP, CNKI, and Web of Science were searched by computer for high-quality studies on complications and revision rates after robot arm-assisted unicompartment arthroplasty in both English and Chinese from the database establishment date to March 2021. The quality of the studies retrieved was evaluated. Relevant data including postoperative complications, infection, pain, prosthesis loosening, and revision were extracted for a meta-analysis using STATA 15.0 software.
ResultsA total of 16 studies were included, including one randomized controlled study, 6 case-control studies and 9 cohort studies. By the methodological index for non-randomized studies (MINORS), 7 studies scored 14 points, 3 studies 13 points, one study 12 points, 4 studies 11 points, and one study 10 points. Meta analysis showed that the total rate of complications was 2% (95% CI: 1%to 4%) . Three studies used NAVIO robot, 7 studies MAKO robot, one study NAVIO and MAKO robots, and one study Acrobot robot. Since just one study used Acrobot robot, only MAKO and NAVIO robots were included for the subgroup analysis which showed that the postoperative complication rates for NAVIO and MAKO robots were 4.0% (95% CI: -2% to 10%) and 3% (95% CI: 1% to 5%) , respectively. The incidence of postoperative pain was 0.2% (95% CI: 0.1% to 0.3%), the incidence of postoperative infection 0.5% (95% CI: 0.3% to 0.8%), the incidence of postoperative prosthesis loosening 0.5% (95% CI: 0.3% to 0.8%), and the revision rate 2% (95% CI: 1% to 2%). According to the subgroup analysis of NAVIO and MAKO robots, their revision rates were 4% (95% CI: 2% to 7%) and 2% (95% CI: 1% to 2%), respectively.
ConclusionThe clinical efficacy of robot arm-assisted unicompartment arthroplasty is good, for the complications in the patients are limited and the long-term survival rate of the prosthesis is excellent.
Key words:
Robot; Knee; Unicompartment knee arthroplasty; Aarthritis; Complications; Meta-analysis; Single rate
Contributor Information
Yang Meiping
The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China
Chen Bojian
Department of Orthopaedics, The Second Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou 520105, China
Xu Shuchai
Department of Orthopaedics, The Second Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou 520105, China
Lyu Yang
Department of Orthopaedics, The Second Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou 520105, China
Liu Hongliang
The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, China
Huang Zexin
Department of Orthopaedics, The Second Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangzhou 520105, China
