Patient satisfaction following robotic unicompartmental knee arthroplasty: A systematic review and meta-analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-01 DOI:10.3233/THC-231216

Amir Human Hoveidaei, Sina Esmaeili, Amirhossein Ghaseminejad-Raeini, Seyed Kasra Pirahesh, Armin Hoveidaei, Nemandra A Sandiford, Nina Lahner, Mustafa Citak

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Abstract

Background: Unicompartmental knee arthroplasty (UKA) is a viable alternative to total knee arthroplasty (TKA) for osteoarthritis patients with single-compartment involvement, with advantages including accelerated recovery, reduced pain, and improved function. Robotic-assisted UKA (rUKA) is a promising development that ensures precise implant positioning and limb alignment. However, concerns about complications remain.

Objective: This study looks at patient satisfaction as a key metric for determining the efficacy of rUKA versus manual UKA (mUKA).

Methods: The search strategy for this study followed PRISMA. Using precise keywords, PubMed, Scopus, Web of Science, and the Cochrane library were searched. English articles were searched until August 2, 2023. Selection criteria included mUKA and rUKA patient satisfaction studies. The NOS scale evaluated study quality. Meta-analysis was done with R and heterogeneity analysis.

Results: This systematic review examined 5 studies with 1060 UKAs (532 robotic-assisted and 528 manual). Variable satisfaction assessment methods were used. Three studies found no difference in patient satisfaction after robotic-assisted UKA, but two found a higher satisfaction. Meta-analysis showed robotic-assisted UKA improved patient satisfaction (OR = 1.72 [1.25-2.37]). Overall, most studies showed low risk of bias, except one with higher bias.

Conclusion: This review suggests that robotic assistance may enhance patient satisfaction in UKA procedures.

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机器人单室膝关节置换术后的患者满意度：系统回顾和荟萃分析。

背景：对于单间室受累的骨关节炎患者来说，单间室膝关节置换术（UKA）是全膝关节置换术（TKA）的可行替代方案，其优势包括加快康复、减少疼痛和改善功能。机器人辅助膝关节置换术（rUKA）可确保植入物的精确定位和肢体对齐，是一项前景广阔的新技术。然而，人们对并发症的担忧依然存在：本研究将患者满意度作为一个关键指标，以确定 rUKA 与手动 UKA（mUKA）的疗效：本研究的搜索策略遵循 PRISMA。使用精确的关键词，对 PubMed、Scopus、Web of Science 和 Cochrane 图书馆进行了检索。英文文章的检索截止到 2023 年 8 月 2 日。选择标准包括 mUKA 和 rUKA 患者满意度研究。NOS量表评估了研究质量。使用R和异质性分析进行了元分析：该系统性综述对5项研究的1060例UKA（532例机器人辅助UKA和528例人工UKA）进行了检查。采用了不同的满意度评估方法。三项研究发现机器人辅助 UKA 术后患者满意度无差异，但两项研究发现满意度较高。Meta分析显示，机器人辅助UKA提高了患者满意度（OR = 1.72 [1.25-2.37]）。总体而言，大多数研究的偏倚风险较低，只有一项研究的偏倚风险较高：本综述表明，机器人辅助可提高UKA手术的患者满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.