Mid-term Patient Reported Outcomes and Survivorship Following Robotic Assisted Total Knee Replacement: A Cohort Study

Despite the advantages of real time alignment assessment and visual feedback while balancing offered by robotic assisted total knee arthroplasty, few clinical studies have reported patient outcomes. The purpose of this study is to report the midterm patient reported outcomes and survivorship of a computer-navigated TKA system with a robotic cutting guide. This patient cohort is the first IRB approved series of patients treated in the United States with this robotic knee system. This study serves as a midterm follow-up study on for this cohort, upon which learning curve, intra-operative efficiency, and deformity management were previously reported Recipients of 152 consecutive total knee arthroplasties using a computer- navigated TKA system performed by a single surgeon between June 2010 and January 2012 were surveyed between 5-7 years post-operatively. 94 patients were reachable for outcome measures and survivorship data was obtained in 98 patients. Mean patient age at follow up was 74.6 +/- 8.6 years. Implant survivorship was 99.0% at an average of 6.5 years. Mean patient reported knee outcome scores were 62.7 (KSS-SF) and 79.5 (KOOS-JR). Overall satisfaction rate was reported as “satisfied or very satisfied” in 80.2%, “neutral” in 11.0%, and “dissatisfied or very dissatisfied” in 7.7% of patients. Robotic assisted total knee arthroplasty using a computer-navigated TKA system with a robotic cutting guide appears to provide a durable outcome with sustainable midterm patient reported outcomes and excellent survivorship. Further follow up is required to determine if there are long term outcome and survivorship benefits of robotic assisted total knee arthroplasty.