Research development of computer assisted navigation and robotics in unicompartmental knee arthroplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YAO Jian ,  DING Hai

Department of Orthopaedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233000, P.R.China;

Corresponding author：

DING Hai, Email: dinghaisjtu@126.com

Keywords：

Unicompartmental knee arthroplasty; computer assisted navigation; robotics navigation system

DOI：

10.7507/1002-1892.201609028

Video：

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Objective To summarize the computer assisted navigation and robotics in the classification of knee surgery, and the development, surgical indications and contraindication, effectiveness, and the research progress of computer assisted navigation and robotics in unicompartmental knee arthroplasty (UKA). Methods The related literature on computer assisted navigation and robotics in UKA was extensively reviewed, summarized, and analyzed. Results Recently, satisfactory results have been achieved in UKA for the treatment of single compartmental knee osteoarthritis. With the rapid development of computer navigation and robotic technology gradually combined with clinical practice, the great precision and accuracy of implant have been improved in computer navigation and robotics in UKA surgery. Postoperative function is well recovered, meanwhile, prosthesis survival can be significantly increased. Conclusion Computer assisted navigation and robotics in UKA can greatly improve the accuracy of the implant when compared with traditional UKA. The early effectiveness is satisfactory, but the long-term effectiveness still needs to be further observed.

Citation： YAOJian, DINGHai. Research development of computer assisted navigation and robotics in unicompartmental knee arthroplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(1): 110-115. doi: 10.7507/1002-1892.201609028 Copy

1.	Jenny JY, Boeri C. Unicompartmental knee prosthesis implantation with a non-image-based navigation system: rationale, technique, case-control comparative study with a conventional instrumented implantation. Knee Surg Sports Traumatol Arthrosc, 2003, 11(1): 40-45.
2.	Muller PE, Pellengahr C, Witt M, et al. Influence of minimally invasive surgery on implant positioning and the functional outcome for medial unicompartmental knee arthroplasty. J Arthroplasty, 2004, 19(3): 296-301.
3.	Voss F, Sheinkop MB, Galante JO, et al. Miller-Galante unicompartmental knee arthroplasty at 2- to 5-year follow-up evaluations. J Arthroplasty, 1995, 10(6): 764-771.
4.	Picard F, Moody J, Jaramaz B, et al. A classification proposal for computer-assisted knee systems//International Conference on Medical Image Computing and Computer-Assisted Intervention-MICCAI. Berlin, Heidelberg: Springer, 2000, 1935: 1145-1151.
5.	Siebert W, Mai S, Kober R, et al. Technique and first clinical results of robot-assisted total knee replacement. Knee, 2002, 9(3): 173-180.
6.	Lovell S, Crispin D. A prototype optical tracking system: Investigation and development. Christchurch, New Zealand: University of Canterbury, 2009.
7.	Hagag B, Abovitz R, Kang H, et al. RIO: Robotic-arm interactive orthopedic system MAKOplasty: User interactive haptic orthopedic robotics. Surgical Robotics. New York: Springer, 2011: 219-246.
8.	Wolf A, Jaramaz B, Lisien B, et al. MBARS: mini bone attached robotic system for joint arthroplasty. Int J Med Robot, 2005, 2: 101-121.
9.	Cobb J, Henckel J, Gomes P, et al. Hands-on robotic unicompartmental knee replacement: A prospective, randomised controlled study of the acrobot system. J Bone Joint Surg (Br), 2006, 88(2): 188-197.
10.	Maillet P, Nahum B, Blondel L, et al. BRIGIT, a robotized tool guide for orthopedic surgery//International Conference on Robotics and Automation. Barcelona, Spain: IEEE, 2005: 211-216.
11.	Stiehl JB, Konermann WH, Haaker RG, et al. Navigation and MIS in Orthopedic Surgery. Heidelberg: Springer Medizin Verlag, 2007: 36-43, 88-94.
12.	Krackow KA, Phillips MJ, Bayers-Thering M, et al. Computer-assisted total knee arthroplasty: navigation in TKA. Orthopedics, 2003, 26(10): 1017-1023.
13.	Dowd GS, Somayaji HS, Uthukuri M. High tibial osteotomy for medial compartment osteoarthritis. Knee, 2006, 13(2): 87-92.
14.	Yang ZY, Chen W, Li CX, et al. Medial Compartment Decompression by Fibular Osteotomy to Treat Medial Compartment Knee Osteoarthritis: A Pilot Study. Orthopedics, 2015, 38(12): e1110-1114.
15.	Hernigou P, Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res, 2004, 42(3): 161-165.
16.	Jeer PJ, Keene GC, Gill P. Unicompartmental knee arthroplasty: an intermediate report of survivorship after the introduction of a new system with analysis of failures. Knee, 2004, 11(5): 369-374.
17.	Koshino T, Morii T, Wada J, et al. Unicompartmental replacement with the Marmor Modular knee: operative procedure and results. Bull Hosp Jt Dis Orthop Inst, 1991, 51(2): 119-131.
18.	Jenny JY. Navigated unicompartmental knee replacement. Orthopedics, 2005, 28(10 Suppl): s1263-1267.
19.	Keene G, Simpson D, Kalairajah Y. Limb alignment in computerassisted minimally-invasive unicompartmental knee replacement. J Bone Joint Surg (Br), 2006, 88(1): 44-48.
20.	Confalonieri N, Manzotti A. Mini-invasive computer assisted bi-unicompartimental knee replacement. Int J Med Robot, 2005, 1(4): 45-50.
21.	Lonner JH. Indications for unicompartmental knee arthroplasty and rationale for robotic arm-assisted technology. Am J Orthop (Belle Mead NJ), 2009, 38(2 Suppl): 3-6.
22.	Kozinn SC, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg (Am), 1989, 71(1): 145-150.
23.	Kuipers BM, Kollen BJ, Bots PC, et al. Factors associated with reduced early survival in the Oxford phase III medial unicompartment knee replacement. Knee, 2010, 17(1): 48-52.
24.	朱伟民. 髌股关节退变对老年膝关节单髁置换术疗效的影响. 中国老年学杂志, 2014, 34(12): 3345-3347.
25.	Boissonneault A, Pandit H, Pegg E, et al. No differencein survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament. Knee Surg SportsTraumatol Arthrosc, 2013, 21(11): 2480-2486.
26.	Murray DW, Pandit H, Weston-Simons JS, et al. Does body mass index affect the outcome of unicompartmental knee replacement. Knee, 2013, 20(6): 461-465.
27.	Seng CS, Ho DC, Chong HC, et al. Outcomes and survivorship of unicondylar knee arthroplasty in patients with severe deformity. Knee Surg Sports Traumatol Arthrosc, 2014. [Epub ahead of print].
28.	Dunbar NJ, Roche MW, Park BH, et al. Accuracy of dynamic tactile-guided unicompartmental knee arthroplasty. Arthroplasty, 2012, 27(5): 803-808.e1.
29.	Ma B, Rudan J, Chakravertty R, et al. Computer-assisted FluoroGuide navigation of unicompartmental knee arthroplasty. Can J Surg, 2009, 52(5): 379-385.
30.	Manzotti A, Cerveri P, Pullen C, et al. Computer-assisted unicompartmental knee arthroplasty using dedicated software versus a conventional technique. Int Orthop, 2014, 38(2): 457-463.
31.	Weber P, Crispin A, Schmidutz F, et al. Improved accuracy in computer-assisted unicondylar knee arthroplasty: a meta-analysis. Knee Surg Sports Traumatol Arthrosc, 2013, 21(11): 2453-2461.
32.	Lonner JH, Smith JR, Picard F, et al. High degree of accuracy of a novel image-free handheld robot for unicondylar knee arthroplasty in a cadaveric study. Clin Orthop Relat Res, 2015, 473(1): 206-212.
33.	Saragaglia D, Picard F, Refaie R. Navigation of the tibial plateau alone appears to be sufficient in computer-assisted unicompartmental knee arthroplasty. Int Orthop, 2012, 36(12): 2479-2483.
34.	Pearle AD, O’Loughlin PF, Kendoff D. Robot-assisted unicompartmental knee arthroplasty. J Arthroplasty, 2010, 25(2): 230-237.
35.	Cossey AJ, Spriggins AJ. The use of computer-assisted surgical navigation to prevent malalignment in unicompartmental knee arthroplasty. J Arthroplasty, 2005, 20(1): 29-34.
36.	Hansen DC, Kusuma SK, Palmer RM, et al. Robotic guidance does not improve component position or short-term outcome in medial unicompartmental knee arthroplasty. J Arthroplasty, 2014, 29(9): 1784-1789.
37.	Valenzuela GA, Jacobson NA, Geist DJ, et al. Implant and limb alignment outcomes for conventional and navigated unicompartmental knee arthroplasty. J Arthroplasty, 2013, 28(3): 463-468.
38.	Lim MH, Tallay A, Bartlett J. Comparative study of the use of computer assisted navigation system for axial correction in medial unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2009, 17(4): 341-346.
39.	Konyves A, Willis-Owen CA, Spriggins AJ. The long-term benefit of computer-assisted surgical navigation in unicompartmental knee arthroplasty. J Orthop Surg Res, 2010, 5: 94.
40.	戴尅戎. 计算机辅助关节置换术的现状和展望. 继续医学教育, 2007, 21(12): 8-10.
41.	Thein R, Khamaisy S, Zuiderbaan HA, et al. Lateral robotic unicompartmental knee arthroplasty. Sports Med Arthrosc, 2014, 22(4): 223-228.
42.	Argenson JN, Parratte S, Bertani A, et al. Long-term resultswith a lateral unicondylar replacement. Clin Orthop Relat Res, 2008, 466(11): 2686-2693.
43.	Jung KA, Kim SJ, Lee SC, et al. Accuracy of implantation during computer-assisted minimally invasive Oxford unicompartmental knee arthroplasty: a comparison with a conventional instrumented technique. Knee, 2010, 17(6): 387-391.
44.	Seon JK, Song EK, Park SJ, et al. Comparison of minimally invasive unicompartmental knee arthroplasty with or without a navigation system. J Arthroplasty, 2009, 24(3): 351-357.
45.	Zhang Z, Zhu W, Zhu L, et al. Superior alignment but no difference in clinical outcome after minimally invasive computer-assisted unicompartmental knee arthroplasty (MICA-UKA). Knee Surg Sports Traumatol Arthrosc, 2016, 24(11): 3419-3424.
46.	Jenny JY, Ciobanu E, Boeri C. The rationale for navigated minimally invasive unicompartmental knee replacement. Clin Orthop Relat Res, 2007, 463: 58-62.
47.	Rosenberger RE, Fink C, Quirbach S, et al. The immediate effect of navigation on implant accuracy in primary mini-invasive unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2008, 16(12): 1133-1140.
48.	Martinez-Carranza N, Weidenhielm L, Crafoord J, et al. Deviation between navigated and final 3-dimensional implant position in mini-invasive unicompartmental knee arthroplasty: a pilot study in 13 patients. Acta Orthop, 2012, 83(6): 625-628.
49.	Moschetti WE, Konopka JF, Rubash HE, et al. Can Robot-Assisted Unicompartmental Knee Arthroplasty Be Cost-Effective? A Markov Decision Analysis. J Arthroplasty, 2016, 31(4): 759-765.

1. Jenny JY, Boeri C. Unicompartmental knee prosthesis implantation with a non-image-based navigation system: rationale, technique, case-control comparative study with a conventional instrumented implantation. Knee Surg Sports Traumatol Arthrosc, 2003, 11(1): 40-45.
2. Muller PE, Pellengahr C, Witt M, et al. Influence of minimally invasive surgery on implant positioning and the functional outcome for medial unicompartmental knee arthroplasty. J Arthroplasty, 2004, 19(3): 296-301.
3. Voss F, Sheinkop MB, Galante JO, et al. Miller-Galante unicompartmental knee arthroplasty at 2- to 5-year follow-up evaluations. J Arthroplasty, 1995, 10(6): 764-771.
4. Picard F, Moody J, Jaramaz B, et al. A classification proposal for computer-assisted knee systems//International Conference on Medical Image Computing and Computer-Assisted Intervention-MICCAI. Berlin, Heidelberg: Springer, 2000, 1935: 1145-1151.
5. Siebert W, Mai S, Kober R, et al. Technique and first clinical results of robot-assisted total knee replacement. Knee, 2002, 9(3): 173-180.
6. Lovell S, Crispin D. A prototype optical tracking system: Investigation and development. Christchurch, New Zealand: University of Canterbury, 2009.
7. Hagag B, Abovitz R, Kang H, et al. RIO: Robotic-arm interactive orthopedic system MAKOplasty: User interactive haptic orthopedic robotics. Surgical Robotics. New York: Springer, 2011: 219-246.
8. Wolf A, Jaramaz B, Lisien B, et al. MBARS: mini bone attached robotic system for joint arthroplasty. Int J Med Robot, 2005, 2: 101-121.
9. Cobb J, Henckel J, Gomes P, et al. Hands-on robotic unicompartmental knee replacement: A prospective, randomised controlled study of the acrobot system. J Bone Joint Surg (Br), 2006, 88(2): 188-197.
10. Maillet P, Nahum B, Blondel L, et al. BRIGIT, a robotized tool guide for orthopedic surgery//International Conference on Robotics and Automation. Barcelona, Spain: IEEE, 2005: 211-216.
11. Stiehl JB, Konermann WH, Haaker RG, et al. Navigation and MIS in Orthopedic Surgery. Heidelberg: Springer Medizin Verlag, 2007: 36-43, 88-94.
12. Krackow KA, Phillips MJ, Bayers-Thering M, et al. Computer-assisted total knee arthroplasty: navigation in TKA. Orthopedics, 2003, 26(10): 1017-1023.
13. Dowd GS, Somayaji HS, Uthukuri M. High tibial osteotomy for medial compartment osteoarthritis. Knee, 2006, 13(2): 87-92.
14. Yang ZY, Chen W, Li CX, et al. Medial Compartment Decompression by Fibular Osteotomy to Treat Medial Compartment Knee Osteoarthritis: A Pilot Study. Orthopedics, 2015, 38(12): e1110-1114.
15. Hernigou P, Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res, 2004, 42(3): 161-165.
16. Jeer PJ, Keene GC, Gill P. Unicompartmental knee arthroplasty: an intermediate report of survivorship after the introduction of a new system with analysis of failures. Knee, 2004, 11(5): 369-374.
17. Koshino T, Morii T, Wada J, et al. Unicompartmental replacement with the Marmor Modular knee: operative procedure and results. Bull Hosp Jt Dis Orthop Inst, 1991, 51(2): 119-131.
18. Jenny JY. Navigated unicompartmental knee replacement. Orthopedics, 2005, 28(10 Suppl): s1263-1267.
19. Keene G, Simpson D, Kalairajah Y. Limb alignment in computerassisted minimally-invasive unicompartmental knee replacement. J Bone Joint Surg (Br), 2006, 88(1): 44-48.
20. Confalonieri N, Manzotti A. Mini-invasive computer assisted bi-unicompartimental knee replacement. Int J Med Robot, 2005, 1(4): 45-50.
21. Lonner JH. Indications for unicompartmental knee arthroplasty and rationale for robotic arm-assisted technology. Am J Orthop (Belle Mead NJ), 2009, 38(2 Suppl): 3-6.
22. Kozinn SC, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg (Am), 1989, 71(1): 145-150.
23. Kuipers BM, Kollen BJ, Bots PC, et al. Factors associated with reduced early survival in the Oxford phase III medial unicompartment knee replacement. Knee, 2010, 17(1): 48-52.
24. 朱伟民. 髌股关节退变对老年膝关节单髁置换术疗效的影响. 中国老年学杂志, 2014, 34(12): 3345-3347.
25. Boissonneault A, Pandit H, Pegg E, et al. No differencein survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament. Knee Surg SportsTraumatol Arthrosc, 2013, 21(11): 2480-2486.
26. Murray DW, Pandit H, Weston-Simons JS, et al. Does body mass index affect the outcome of unicompartmental knee replacement. Knee, 2013, 20(6): 461-465.
27. Seng CS, Ho DC, Chong HC, et al. Outcomes and survivorship of unicondylar knee arthroplasty in patients with severe deformity. Knee Surg Sports Traumatol Arthrosc, 2014. [Epub ahead of print].
28. Dunbar NJ, Roche MW, Park BH, et al. Accuracy of dynamic tactile-guided unicompartmental knee arthroplasty. Arthroplasty, 2012, 27(5): 803-808.e1.
29. Ma B, Rudan J, Chakravertty R, et al. Computer-assisted FluoroGuide navigation of unicompartmental knee arthroplasty. Can J Surg, 2009, 52(5): 379-385.
30. Manzotti A, Cerveri P, Pullen C, et al. Computer-assisted unicompartmental knee arthroplasty using dedicated software versus a conventional technique. Int Orthop, 2014, 38(2): 457-463.
31. Weber P, Crispin A, Schmidutz F, et al. Improved accuracy in computer-assisted unicondylar knee arthroplasty: a meta-analysis. Knee Surg Sports Traumatol Arthrosc, 2013, 21(11): 2453-2461.
32. Lonner JH, Smith JR, Picard F, et al. High degree of accuracy of a novel image-free handheld robot for unicondylar knee arthroplasty in a cadaveric study. Clin Orthop Relat Res, 2015, 473(1): 206-212.
33. Saragaglia D, Picard F, Refaie R. Navigation of the tibial plateau alone appears to be sufficient in computer-assisted unicompartmental knee arthroplasty. Int Orthop, 2012, 36(12): 2479-2483.
34. Pearle AD, O’Loughlin PF, Kendoff D. Robot-assisted unicompartmental knee arthroplasty. J Arthroplasty, 2010, 25(2): 230-237.
35. Cossey AJ, Spriggins AJ. The use of computer-assisted surgical navigation to prevent malalignment in unicompartmental knee arthroplasty. J Arthroplasty, 2005, 20(1): 29-34.
36. Hansen DC, Kusuma SK, Palmer RM, et al. Robotic guidance does not improve component position or short-term outcome in medial unicompartmental knee arthroplasty. J Arthroplasty, 2014, 29(9): 1784-1789.
37. Valenzuela GA, Jacobson NA, Geist DJ, et al. Implant and limb alignment outcomes for conventional and navigated unicompartmental knee arthroplasty. J Arthroplasty, 2013, 28(3): 463-468.
38. Lim MH, Tallay A, Bartlett J. Comparative study of the use of computer assisted navigation system for axial correction in medial unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2009, 17(4): 341-346.
39. Konyves A, Willis-Owen CA, Spriggins AJ. The long-term benefit of computer-assisted surgical navigation in unicompartmental knee arthroplasty. J Orthop Surg Res, 2010, 5: 94.
40. 戴尅戎. 计算机辅助关节置换术的现状和展望. 继续医学教育, 2007, 21(12): 8-10.
41. Thein R, Khamaisy S, Zuiderbaan HA, et al. Lateral robotic unicompartmental knee arthroplasty. Sports Med Arthrosc, 2014, 22(4): 223-228.
42. Argenson JN, Parratte S, Bertani A, et al. Long-term resultswith a lateral unicondylar replacement. Clin Orthop Relat Res, 2008, 466(11): 2686-2693.
43. Jung KA, Kim SJ, Lee SC, et al. Accuracy of implantation during computer-assisted minimally invasive Oxford unicompartmental knee arthroplasty: a comparison with a conventional instrumented technique. Knee, 2010, 17(6): 387-391.
44. Seon JK, Song EK, Park SJ, et al. Comparison of minimally invasive unicompartmental knee arthroplasty with or without a navigation system. J Arthroplasty, 2009, 24(3): 351-357.
45. Zhang Z, Zhu W, Zhu L, et al. Superior alignment but no difference in clinical outcome after minimally invasive computer-assisted unicompartmental knee arthroplasty (MICA-UKA). Knee Surg Sports Traumatol Arthrosc, 2016, 24(11): 3419-3424.
46. Jenny JY, Ciobanu E, Boeri C. The rationale for navigated minimally invasive unicompartmental knee replacement. Clin Orthop Relat Res, 2007, 463: 58-62.
47. Rosenberger RE, Fink C, Quirbach S, et al. The immediate effect of navigation on implant accuracy in primary mini-invasive unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2008, 16(12): 1133-1140.
48. Martinez-Carranza N, Weidenhielm L, Crafoord J, et al. Deviation between navigated and final 3-dimensional implant position in mini-invasive unicompartmental knee arthroplasty: a pilot study in 13 patients. Acta Orthop, 2012, 83(6): 625-628.
49. Moschetti WE, Konopka JF, Rubash HE, et al. Can Robot-Assisted Unicompartmental Knee Arthroplasty Be Cost-Effective? A Markov Decision Analysis. J Arthroplasty, 2016, 31(4): 759-765.

Chinese Journal of Reparative and Reconstructive Surgery

Research development of computer assisted navigation and robotics in unicompartmental knee arthroplasty

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