Mid-Flexion Instability in Total Knee Arthroplasty: Insights from Robotic-Assisted Surgery

Francesco Bosco; Fortunato Giustra; Giuseppe Rovere; Virginia Masoni; Salvatore Cassaro; Mauro Giambusso; Riccardo Giai Via; Alessandro Massè; Ludovico Lucenti; Lawrence Camarda

doi:10.3390/app14156436

Applied Sciences (Jul 2024)

Mid-Flexion Instability in Total Knee Arthroplasty: Insights from Robotic-Assisted Surgery

Francesco Bosco,
Fortunato Giustra,
Giuseppe Rovere,
Virginia Masoni,
Salvatore Cassaro,
Mauro Giambusso,
Riccardo Giai Via,
Alessandro Massè,
Ludovico Lucenti,
Lawrence Camarda

Affiliations

Francesco Bosco: Department of Precision Medicine in the Medical, Surgical and Critical Care Area (ME.PRE.C.C.), University of Palermo, 90133 Palermo, Italy
Fortunato Giustra: Department of Orthopaedics and Traumatology, Ospedale San Giovanni Bosco di Torino-ASL Città di Torino, 10154 Turin, Italy
Giuseppe Rovere: Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, Italy
Virginia Masoni: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Salvatore Cassaro: Department of Precision Medicine in the Medical, Surgical and Critical Care Area (ME.PRE.C.C.), University of Palermo, 90133 Palermo, Italy
Mauro Giambusso: Department of Precision Medicine in the Medical, Surgical and Critical Care Area (ME.PRE.C.C.), University of Palermo, 90133 Palermo, Italy
Riccardo Giai Via: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Alessandro Massè: Department of Orthopaedic and Traumatology, Orthopaedic and Trauma Center, University of Turin, 10125 Turin, Italy
Ludovico Lucenti: Department of Precision Medicine in the Medical, Surgical and Critical Care Area (ME.PRE.C.C.), University of Palermo, 90133 Palermo, Italy
Lawrence Camarda: Department of Precision Medicine in the Medical, Surgical and Critical Care Area (ME.PRE.C.C.), University of Palermo, 90133 Palermo, Italy

DOI: https://doi.org/10.3390/app14156436
Journal volume & issue: Vol. 14, no. 15
p. 6436

Abstract

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Despite technological advancements with robotic-assisted surgery, instability remains a challenge in total knee arthroplasty (TKA). Mid-flexion instability (MFI) has been reported to cause patient dissatisfaction. With no universal diagnostic criteria, the MFI concept is still ambiguous, and no specific treatment algorithm is defined. This study aims to analyze the MFI concept and risk factors and investigate how robotic surgery, compared to manual TKA, could impact the MFI concept. A comprehensive investigation of the current literature regarding MIF, focusing especially on its relationship with robotic surgery TKA, was conducted using the PubMed and Scopus databases. The MIF concept remains poorly understood, so it is crucial to prevent it by recognizing risk factors, which are technique-related, implant-related, and patient-related. Since robotics offers optimal balancing in TKA and reduces causes affecting MFI, it could indirectly impact and prevent this complication. This review suggests that robotics utilization improving TKA balancing has the potential to impact and reduce MFI. However, further research in this area is essential to provide insight regarding the role of robotics in mitigating the MFI risk.

Published in Applied Sciences

ISSN: 2076-3417 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Technology: Engineering (General). Civil engineering (General); Science: Biology (General); Science: Physics; Science: Chemistry
Website: http://www.mdpi.com/journal/applsci

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