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. 2023 Apr 2;13(4):625.
doi: 10.3390/jpm13040625.

Patellofemoral Arthroplasty Is an Efficient Strategy for Isolated Patellofemoral Osteoarthritis with or without Robotic-Assisted System

Cécile Batailler  1   2 , Pit Putzeys  3 , Franck Lacaze  4 , Caroline Vincelot-Chainard  1 , Andreas Fontalis  5 , Elvire Servien  1   6 , Sébastien Lustig  1   2
Affiliations

Patellofemoral Arthroplasty Is an Efficient Strategy for Isolated Patellofemoral Osteoarthritis with or without Robotic-Assisted System

Cécile Batailler et al. J Pers Med. .

Abstract

There is relative paucity in the literature concerning outcomes after robotic-assisted Patellofemoral Arthroplasty (PFA). The aims were (1) to evaluate outcomes in patients undergoing PFA with inlay or onlay components, with or without robotic arm assistance and (2) to identify risk factors of poor outcomes after PFA. This retrospective study included 77 PFA for isolated patellofemoral joint osteoarthritis, assigned to three groups (18 conventional technique, 17 image-free robotic-assisted system and 42 image-based robotic-assisted system). The demographic data were comparable between the three groups. The clinical outcomes assessed were: Visual Analogue Scale, Knee Society Score, Kujala score and satisfaction rate. The radiological measures were: Caton Deschamps index, patellar tilt and frontal alignment of the trochlea. Functional outcomes, satisfaction rate and residual pain were comparable between the three groups. Patellar tilt improvement was superior when a robotic device was used (either image-based or image-free) compared to the conventional technique. There were three revisions (3.9%) at the last follow-up related to femorotibial osteoarthritis progression. Multivariate analysis found no significant risk factors for poor outcomes, with respect to the surgical technique or implant design. Functional outcomes and revisions rate after PFA were comparable between the surgical techniques and implants. Robotic-assisted systems were associated with a superior improvement of the patellar tilt compared to the conventional technique.

Keywords: functional outcomes; inlay; onlay; patellar tilt; patellofemoral arthroplasty; revision; robotic arm assisted surgery.

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Conflict of interest statement

C.B., C.V.-C. and A.F.: The authors declare no conflict of interest. P.P.: Consultant for Stryker Education. F.L.: Consultant for Stryker Education. E.S.: Consultant for Corin. Institutional research support from Corin, Amplitude. S.L.: Royalties from Smith Nephew and Stryker. Consultant for Stryker, Smith Nephew, Heraeus, Depuy Synthes, Groupe Lepine; Institutional research support from Corin, Amplitude; Editorial Board for Journal of Bone and Joint Surgery (Am).

Figures

Figure 1
Figure 1
Postoperative radiographs of PFA performed conventionally (onlay implant) (a), with an image-free robotic system (onlay implant) (b) and with an image-based robotic system (inlay implant) (c).
Figure 1
Figure 1
Postoperative radiographs of PFA performed conventionally (onlay implant) (a), with an image-free robotic system (onlay implant) (b) and with an image-based robotic system (inlay implant) (c).
See this image and copyright information in PMC

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