Ashish Singh¹*, Kartheek Telagareddy², Purushotam Kumar³, Sushil Singh⁴, Rabindra Narain Singh⁵ and Pankaj Kumar Singh⁶

¹Department of Orthopedics, Anup Institute of Orthopedics and Rehabilitation, Kankarbagh, Patna, Bihar, India

*Corresponding Author: Ashish Singh, Department of Orthopedics, Anup Institute of Orthopedics and Rehabilitation, Kankarbagh, Patna, Bihar, India.

Received: June 10, 2022; Published: August 25, 2022

Abstract

Background: The purpose of this case study is to present three cases in which the robotic assisted TKA device was used to correct a severe post traumatic osteoarthritis. Routine conventional TKA in complex PTOA can be challenging and difficult to execute precisely due to articular distorted anatomy.

Patients and Methods: A single centre retrospective series collated the records of three patients (mean age, 46.3 years) who underwent TKR for post-traumatic osteoarthritis of the knee associated with intra-articular malunion. Mean trauma-to-TKR interval was 8.2 years (range 1 to 6.9 years). Patients were assessed clinically and radiologically at last follow-up, using the Knee Society score and WOMAC score at a mean of 16.3 months.

Results: At a mean overall follow-up of 16.3 months (range 12 to 19 months), mean knee society score improved from 67 to 144.3 and WOMAC score 53.6 to 4.6. Mean flexion gain was 6◦: mean preoperative flexion, 103◦ (0◦ to 110◦), vs. 115◦ (0◦ to 115◦) at final follow-up. No complications were observed in this series.

Conclusion: Robot-assisted surgery allows the surgeon to restore alignment even in patients with severe deformities. In this case series, we have illustrated how the robotic device corrected severe PTOA and flexion deformities in patients, which can be challenging in routine TKA.

Keywords: Robotic Total Knee Replacement; Post Traumatic Osteoarthritis; MAKO

References

1. Scott CE., et al. “Total knee arthroplasty following tibial plateau fracture: a matched cohort study”. The Bone and Joint Journal 97-B.4 (2015): 532-538.
2. Parratte S., et al. “SFHG (French Hip and Knee Society). Total knee replacement following intra-articular malunion”. Orthopaedics and Traumatology: Surgery and Research 6 (2011): S118-S123.
3. Gerich T., et al. “Knee joint prosthesis implantation after fractures of the head of the tibia. Intermediate term results of a cohort analysis”. Unfallchirurg5 (2001): 414-419.
4. Weiss NG., et al. “Total knee arthroplasty in patients with a prior fracture of the tibial plateau”. Journal of Bone and Joint Surgery American 2 (2003): 218-221.
5. Abdel MP., et al. “Quadriceps snip in 321 revision total knee arthroplasties: A safe technique in a matched cohort study”. The Journal of Arthroplasty 34.12 (2019): 3004-3011.e1.
6. Agrawal VO., et al. “Does robotic technology successfully restore the joint line after total knee arthroplasty? A retrospective analysis”. Arthroplasty1 (2022): 6.
7. Marchand RC., et al. “Difficult cases in robotic arm-assisted total knee arthroplasty: A case series”. Journal of Knee Surgery 1 (2018): 27-37.

Citation

Citation: Ashish Singh., et al. “Robotic Total Knee Arthroplasty in Post-Traumatic Osteoarthritis: A Report of Three Cases". Acta Scientific Orthopaedics 5.9 (2022): 100-105.

Copyright

Copyright: © 2022 Ashish Singh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.