Rehabilitation approach in robot assisted total knee arthroplasty: an observational study

BMC Musculoskeletal Disorders

Research

Rita Chiaramonte¹  Dalila Scaturro²  Giulia Letizia Mauro²  Lawrence Camarda²  Michele Vecchio³  Dario Caracappa⁴  Fabio Vitagliani⁴  Sofia Tomasello⁵ 

[1] Department of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, 95124, Italy, University of Catania, Catania, Italy;Department of Surgery, Oncology and Stomatology, University of Palermo, 90127, Palermo, Italy;Rehabilitation Unit, AOU Policlinico Vittorio Emanuele, Via Santa Sofia 78, 95100, Catania, Italy;Department of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, 95124, Italy, University of Catania, Catania, Italy;University of Catania, Via Santa Sofia 87, 95100, Catania, Italy;University of Palermo, 90127, Palermo, Italy;

关键词: Knee arthroplasty;    Rehabilitation;    Knee osteoarthritis;    NAVIO;    Outcomes;   

DOI  :  10.1186/s12891-023-06230-2

 received in 2022-12-05, accepted in 2023-02-08,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe purpose of this study is to evaluate the impact of total knee arthroplasty (TKA) with the aid of Navio Robot, comparing it with standard prosthetic surgery on the functional outcomes of patients after an intensive rehabilitation program.MethodA case–control observational study was conducted on patients undergoing TKA for severe KOA. All patients underwent the same intensive hospital rehabilitation program of 14 daily sessions lasting 3 h. The following rating scales were administered: Numeric Rating Scale (NRS), Knee Society Score (KSS) and 12-Item Short Form Survey scale. Patient assessments were performed 1 week post-surgery (T0), 1 month post-surgery (T2), and 3 months post-surgery (T3). The primary outcomes were active knee extension and flexion and pain severity. The secondary outcomes were functional capacity and quality of life.ResultsUsing repeated measures ANOVA, we observed at T1 a statistically different difference for the treatment group compared to the control group about KSS (p < 0.05), pain (p < 0.05), and knee flexion (p < 0.05). No statistically significant difference between the two groups was observed for knee extension (p = 0.09) and the SF-12 scale (p = 0.52). At T2 instead, we observed a statistically significant difference for the treatment group compared to the control group as regards KSS (p < 0.05) and knee flexion (p < 0.05), while no statistically significant difference was observed for pain (p = 0.83), knee extension (p = 0.60), and the SF-12 scale (0.44).ConclusionsOur study has demonstrated that robot-NAVIO assisted knee prosthesis surgery, associated with a specific intensive rehabilitation treatment, in the short and medium term, determines good pain control, better flexion recovery and a improvement of functional capacity.

【 授权许可】

CC BY   
© The Author(s) 2023