A novel robot-assisted knee arthroplasty system (ROSA) and 1-year outcome: A single center experience

Abstract

Background: Total knee arthroplasty is a successful procedure in the treatment of knee osteoarthritis. Searches in surgical technique have focused surgeons in particular on implant alignment. For this purpose, the use of robot-assisted total knee arthroplasty has become increasingly common in the last 10 years. Methods: A total of 46 patients (66 knees) who were operated for knee osteoarthritis with Robotic Surgical Assistant (ROSA, Zimmer-Biomet, Warshaw, Indiana, USA) between 2021 and 2023 were included in the study. Preoperative planning and intraoperative incision time, total surgical time, range of motion and follow-up time recorded. Oxford knee scores and knee society scores (KSS) of the patients were compared before and after surgery. At the last follow-up Forgotten Joint Score and the sagittal and coronal plane alignments were evaluated. Results: Preoperative mean Oxford score of the right knee of the patients was 18.53.2, post-surgery mean Oxford score progressed to 43.5 +/- 2.2. While the preoperative left knee Oxford score of the patients was 16.9 +/- 2.3, the mean left knee Oxford score improved to 43.4 +/- 2.2 postoperatively. The mean KSS score of the patients' right knee preoperatively was 49.7 +/- 3.5, and progressed to 89.2 +/- 4.7 postoperatively. While the preoperative mean left knee KSS score of the patients was 46.5 +/- 4.3, the mean KSS score improved to 89.8 +/- 3.2 postoperatively. The mean Forgotten Joint Score of the left knee at the last follow-up of the patients was 77.4 +/- 3.8, while the mean Forgotten Joint Score of the right knee was 75.4 +/- 5.9. Conclusion: The results of ROSA-supported knee arthroplasty found to be functionally successful.