Publication

Abstract :

Background: Lateral UKA is a technically more challenging procedure than medial UKA accounting for < 1% of all knee arthroplasties. Robotic UKA for lateral compartment arthritis is rare and has not been reported in India.

Materials and Methods: This is a prospective single-centre clinical study of six patients (five females and one male) who underwent robotic-arm-assisted lateral UKA (RALUKA) between May 2018 and January 2020 with patient-specific 3D-CT preoperative plan. Overall satisfaction on a five-level Likert scale, clinical outcome based on the KOOS and MFJS and radiological outcomes based on the HKA axis, femorotibial angle (FTA), tibial posterior slope (PS) obtained were compared preoperatively and postoperatively.

Results: At a mean follow-up period of 23.84 months, among six patients 33.3% very satisfied, 50% satisfied and 16.7% felt neutral. The mean KOOS changed from 63.03 ± 3.52 to 93.95 ± 3.25 and the mean MFJS was 75.41 ± 10.29 postoperatively. The mean HKA axis changed from 175.81° ± 2.88 valgus to 179.99° ± 2.14 neutral alignment. The mean correction attained was from 4.19° ± 2.88 valgus deformity to 0.01° ± 2.14. The mean FTA and the mean PS changed from 7.34° ± 4.14 of valgus to 1.92° ± 1.85 of valgus and 83.44° ± 1.77 to 85.38° ± 2.10, respectively.

Conclusions: The mean preoperative and postoperative KOOS showed a statistical significance with a p value of < 0.001 (< 0.05), showing significant improvement with RALUKA. RALUKA is a promising surgical option for lateral compartment OA of the knee.