Meta-Analysis of Navigation vs Conventional Total Knee Arthroplasty
Abstract Navigated total knee arthroplasty (TKA) is promoted as a means to improve limb and prosthesis alignment. This study involved a systematic review and meta-analysis for all randomized controlled trials in the literature from 1986 to 2009 comparing alignment outcomes between navigated and conv...
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| Veröffentlicht in: | The Journal of arthroplasty 2012-06, Vol.27 (6), p.1177-1182 |
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| container_title | The Journal of arthroplasty |
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| creator | Hetaimish, Bandar M., MD Khan, M. Moin, BHSc, MD Simunovic, Nicole, MSc Al-Harbi, Hatem H., MBChB, FRCSC Bhandari, Mohit, MD, PhD, FRCSC Zalzal, Paul K., MASc, MD, FRCSC |
| description | Abstract Navigated total knee arthroplasty (TKA) is promoted as a means to improve limb and prosthesis alignment. This study involved a systematic review and meta-analysis for all randomized controlled trials in the literature from 1986 to 2009 comparing alignment outcomes between navigated and conventional TKA. Alignment outcomes were pooled using a random-effects model, and heterogeneity was explored. Twenty-three randomized controlled trials were identified comparing navigated vs conventional TKA involving 2541 patients. Patients who underwent navigated TKA had a significantly lower risk of implant malalignment at more than 3° as well as more than 2°. In addition, the risk of malalignment was reduced for the coronal plane tibial and femoral components as well as femoral and tibial slope. This meta-analysis demonstrates that navigated TKA provides significant improvement in prosthesis alignment. |
| doi_str_mv | 10.1016/j.arth.2011.12.028 |
| format | Article |
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Moin, BHSc, MD ; Simunovic, Nicole, MSc ; Al-Harbi, Hatem H., MBChB, FRCSC ; Bhandari, Mohit, MD, PhD, FRCSC ; Zalzal, Paul K., MASc, MD, FRCSC</creator><creatorcontrib>Hetaimish, Bandar M., MD ; Khan, M. Moin, BHSc, MD ; Simunovic, Nicole, MSc ; Al-Harbi, Hatem H., MBChB, FRCSC ; Bhandari, Mohit, MD, PhD, FRCSC ; Zalzal, Paul K., MASc, MD, FRCSC</creatorcontrib><description>Abstract Navigated total knee arthroplasty (TKA) is promoted as a means to improve limb and prosthesis alignment. This study involved a systematic review and meta-analysis for all randomized controlled trials in the literature from 1986 to 2009 comparing alignment outcomes between navigated and conventional TKA. Alignment outcomes were pooled using a random-effects model, and heterogeneity was explored. Twenty-three randomized controlled trials were identified comparing navigated vs conventional TKA involving 2541 patients. Patients who underwent navigated TKA had a significantly lower risk of implant malalignment at more than 3° as well as more than 2°. In addition, the risk of malalignment was reduced for the coronal plane tibial and femoral components as well as femoral and tibial slope. This meta-analysis demonstrates that navigated TKA provides significant improvement in prosthesis alignment.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2011.12.028</identifier><identifier>PMID: 22333865</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Arthroplasty, Replacement, Knee - instrumentation ; Arthroplasty, Replacement, Knee - methods ; Biomechanical Phenomena ; Bone Malalignment - epidemiology ; Bone Malalignment - prevention & control ; Humans ; Knee Joint - physiology ; Knee Prosthesis - adverse effects ; malalignment ; Orthopedics ; randomized controlled trial ; Risk Factors ; Surgery, Computer-Assisted - methods ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2012-06, Vol.27 (6), p.1177-1182</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-1f767b91dcb760a56fae1f1233e4566396dff9018d248d49d143a76f465051d93</citedby><cites>FETCH-LOGICAL-c477t-1f767b91dcb760a56fae1f1233e4566396dff9018d248d49d143a76f465051d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2011.12.028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22333865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hetaimish, Bandar M., MD</creatorcontrib><creatorcontrib>Khan, M. Moin, BHSc, MD</creatorcontrib><creatorcontrib>Simunovic, Nicole, MSc</creatorcontrib><creatorcontrib>Al-Harbi, Hatem H., MBChB, FRCSC</creatorcontrib><creatorcontrib>Bhandari, Mohit, MD, PhD, FRCSC</creatorcontrib><creatorcontrib>Zalzal, Paul K., MASc, MD, FRCSC</creatorcontrib><title>Meta-Analysis of Navigation vs Conventional Total Knee Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Navigated total knee arthroplasty (TKA) is promoted as a means to improve limb and prosthesis alignment. This study involved a systematic review and meta-analysis for all randomized controlled trials in the literature from 1986 to 2009 comparing alignment outcomes between navigated and conventional TKA. Alignment outcomes were pooled using a random-effects model, and heterogeneity was explored. Twenty-three randomized controlled trials were identified comparing navigated vs conventional TKA involving 2541 patients. Patients who underwent navigated TKA had a significantly lower risk of implant malalignment at more than 3° as well as more than 2°. In addition, the risk of malalignment was reduced for the coronal plane tibial and femoral components as well as femoral and tibial slope. This meta-analysis demonstrates that navigated TKA provides significant improvement in prosthesis alignment.</description><subject>Arthroplasty, Replacement, Knee - instrumentation</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Biomechanical Phenomena</subject><subject>Bone Malalignment - epidemiology</subject><subject>Bone Malalignment - prevention & control</subject><subject>Humans</subject><subject>Knee Joint - physiology</subject><subject>Knee Prosthesis - adverse effects</subject><subject>malalignment</subject><subject>Orthopedics</subject><subject>randomized controlled trial</subject><subject>Risk Factors</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1vEzEQhi1ERUPhD3BAe-Syi8dfuyshpCiitKKFA63Um-XYY3DYrIO9iZR_X69SOHDgYsvS845nniHkDdAGKKj3m8ak6WfDKEADrKGse0YWIDmrO0HVc7KgXcdrKSg_Jy9z3tACSilekHPGOOedkguyusXJ1MvRDMccchV99dUcwg8zhThWh1yt4njAcX6ZobqLUzm_jIjVsvyc4m4weTq-ImfeDBlfP90X5P7y093qqr759vl6tbyprWjbqQbfqnbdg7PrVlEjlTcIHkorKKRSvFfO-55C55jonOgdCG5a5YWSVILr-QV5d6q7S_H3HvOktyFbHAYzYtxnXaTIEuVKFJSdUJtizgm93qWwNelYoJlTeqNneXqWp4HpIq-E3j7V36-36P5G_tgqwIcTgGXKQ8Cksw04WnQhoZ20i-H_9T_-E7dDGIM1wy88Yt7EfSqWyxw6l4D-Pq9v3h4ApS3tHvgjPfiT6w</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Hetaimish, Bandar M., MD</creator><creator>Khan, M. Moin, BHSc, MD</creator><creator>Simunovic, Nicole, MSc</creator><creator>Al-Harbi, Hatem H., MBChB, FRCSC</creator><creator>Bhandari, Mohit, MD, PhD, FRCSC</creator><creator>Zalzal, Paul K., MASc, MD, FRCSC</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Meta-Analysis of Navigation vs Conventional Total Knee Arthroplasty</title><author>Hetaimish, Bandar M., MD ; Khan, M. Moin, BHSc, MD ; Simunovic, Nicole, MSc ; Al-Harbi, Hatem H., MBChB, FRCSC ; Bhandari, Mohit, MD, PhD, FRCSC ; Zalzal, Paul K., MASc, MD, FRCSC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-1f767b91dcb760a56fae1f1233e4566396dff9018d248d49d143a76f465051d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Arthroplasty, Replacement, Knee - instrumentation</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Biomechanical Phenomena</topic><topic>Bone Malalignment - epidemiology</topic><topic>Bone Malalignment - prevention & control</topic><topic>Humans</topic><topic>Knee Joint - physiology</topic><topic>Knee Prosthesis - adverse effects</topic><topic>malalignment</topic><topic>Orthopedics</topic><topic>randomized controlled trial</topic><topic>Risk Factors</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hetaimish, Bandar M., MD</creatorcontrib><creatorcontrib>Khan, M. Moin, BHSc, MD</creatorcontrib><creatorcontrib>Simunovic, Nicole, MSc</creatorcontrib><creatorcontrib>Al-Harbi, Hatem H., MBChB, FRCSC</creatorcontrib><creatorcontrib>Bhandari, Mohit, MD, PhD, FRCSC</creatorcontrib><creatorcontrib>Zalzal, Paul K., MASc, MD, FRCSC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hetaimish, Bandar M., MD</au><au>Khan, M. Moin, BHSc, MD</au><au>Simunovic, Nicole, MSc</au><au>Al-Harbi, Hatem H., MBChB, FRCSC</au><au>Bhandari, Mohit, MD, PhD, FRCSC</au><au>Zalzal, Paul K., MASc, MD, FRCSC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meta-Analysis of Navigation vs Conventional Total Knee Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>27</volume><issue>6</issue><spage>1177</spage><epage>1182</epage><pages>1177-1182</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Navigated total knee arthroplasty (TKA) is promoted as a means to improve limb and prosthesis alignment. This study involved a systematic review and meta-analysis for all randomized controlled trials in the literature from 1986 to 2009 comparing alignment outcomes between navigated and conventional TKA. Alignment outcomes were pooled using a random-effects model, and heterogeneity was explored. Twenty-three randomized controlled trials were identified comparing navigated vs conventional TKA involving 2541 patients. Patients who underwent navigated TKA had a significantly lower risk of implant malalignment at more than 3° as well as more than 2°. In addition, the risk of malalignment was reduced for the coronal plane tibial and femoral components as well as femoral and tibial slope. This meta-analysis demonstrates that navigated TKA provides significant improvement in prosthesis alignment.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22333865</pmid><doi>10.1016/j.arth.2011.12.028</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 2012-06, Vol.27 (6), p.1177-1182 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Arthroplasty, Replacement, Knee - instrumentation Arthroplasty, Replacement, Knee - methods Biomechanical Phenomena Bone Malalignment - epidemiology Bone Malalignment - prevention & control Humans Knee Joint - physiology Knee Prosthesis - adverse effects malalignment Orthopedics randomized controlled trial Risk Factors Surgery, Computer-Assisted - methods total knee arthroplasty |
| title | Meta-Analysis of Navigation vs Conventional Total Knee Arthroplasty |
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