Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system
Purpose There is a need for new devices to improve the accuracy of implantation in unicompartmental knee arthroplasties (UKAs). The accelerometer-based portable navigation system is expected to improve this accuracy. This study aimed to compare the accuracy of UKAs performed by the portable navigati...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2020-12, Vol.28 (12), p.3733-3739 |
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| creator | Matsui, Yoshio Fukuoka, Shinichi Masuda, Sho Matsuura, Masanori Masada, Toshiaki Fukunaga, Kenji |
| description | Purpose
There is a need for new devices to improve the accuracy of implantation in unicompartmental knee arthroplasties (UKAs). The accelerometer-based portable navigation system is expected to improve this accuracy. This study aimed to compare the accuracy of UKAs performed by the portable navigation system with that of the conventional method, and to investigate whether the portable navigation system can complement the surgeon’s experience.
Methods
The study comprised of 80 Oxford UKAs. Knees were divided into two groups based on the method of tibial osteotomy: the conventional group (37 UKAs performed by an experienced surgeon using the extra-medullary guide) and the portable navigation group (43 UKAs performed by 2 unaccustomed surgeons using the navigation system). The absolute error from the target angle on the coronal and sagittal plane was measured on whole lower leg X-ray. The incidence of outliers (> 3°) was compared between the groups using Fisher’s exact probability test.
Results
The incidences of outliers on the coronal plane were 41.0% (15 of 37 knees) in the conventional group and 9.3% (4 of 43 knees) in the portable navigation group (
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| doi_str_mv | 10.1007/s00167-019-05752-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2309501079</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2471614341</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-aec01d53496f6a68edacc6c2ddf4076ede17aaabf6a51066cbf3373a3ccab9973</originalsourceid><addsrcrecordid>eNp9kcuOFSEQholx4hxHX8CFIXHjBoWGBllOJt6SSdzMrEk1XX1k7IYWaJPzEvPMcjyjJi5cUdT_1SX1E_JC8DeCc_O2cC60YVxYxnvTd0w9IjuhpGRGKvOY7LhVHet4r8_J01LuOG-hsk_IuRS6V6KzO3J_6f2WwR9ommgNQ4CZ-rSsKWKsdJ3B43KMQqRbDEcFcj1mGvctItL2_ZpTA0s90BXzlPKCI91KiHsKkYL3OGNOC1bMbIDSxDXlCsOMNMKPsIcaUqTlUCouz8jZBHPB5w_vBbn98P7m6hO7_vLx89XlNfNKicoAPRdjL5XVkwb9Dsc2RvtuHCfFjcYRhQGAoYm94Fr7YZLSSJDew2CtkRfk9anvmtP3DUt1Syht0Rkipq24TnLbc8GNbeirf9C7tOXYtnOdMkK3gyvRqO5E-ZxKyTi5NYcF8sEJ7o5uuZNbrrnlfrnlVCt6-dB6G9rR_pT8tqcB8gSUJsU95r-z_9P2JxdupIo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2471614341</pqid></control><display><type>article</type><title>Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><source>Wiley Online Library All Journals</source><creator>Matsui, Yoshio ; Fukuoka, Shinichi ; Masuda, Sho ; Matsuura, Masanori ; Masada, Toshiaki ; Fukunaga, Kenji</creator><creatorcontrib>Matsui, Yoshio ; Fukuoka, Shinichi ; Masuda, Sho ; Matsuura, Masanori ; Masada, Toshiaki ; Fukunaga, Kenji</creatorcontrib><description>Purpose
There is a need for new devices to improve the accuracy of implantation in unicompartmental knee arthroplasties (UKAs). The accelerometer-based portable navigation system is expected to improve this accuracy. This study aimed to compare the accuracy of UKAs performed by the portable navigation system with that of the conventional method, and to investigate whether the portable navigation system can complement the surgeon’s experience.
Methods
The study comprised of 80 Oxford UKAs. Knees were divided into two groups based on the method of tibial osteotomy: the conventional group (37 UKAs performed by an experienced surgeon using the extra-medullary guide) and the portable navigation group (43 UKAs performed by 2 unaccustomed surgeons using the navigation system). The absolute error from the target angle on the coronal and sagittal plane was measured on whole lower leg X-ray. The incidence of outliers (> 3°) was compared between the groups using Fisher’s exact probability test.
Results
The incidences of outliers on the coronal plane were 41.0% (15 of 37 knees) in the conventional group and 9.3% (4 of 43 knees) in the portable navigation group (
p
< 0.0001). The incidences of outliers on the sagittal plane were 13.5% (5 of 37 knees) in the conventional group and 14.0% (6 of 43 knees) in the portable navigation group (
p
= 0.3772).
Conclusion
This is the first report on the usefulness of an accelerometer-based portable navigation system in UKA. The use of this system improves the accuracy of implantation of the tibial component beyond the experience of the surgeon.
Level of evidence
Retrospective comparative study, Level III</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-019-05752-4</identifier><identifier>PMID: 31654129</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accelerometers ; Accelerometry - methods ; Accuracy ; Aged ; Aged, 80 and over ; Arthroplasty (knee) ; Arthroplasty, Replacement, Knee - methods ; Biomedical materials ; Comparative studies ; Female ; Group dynamics ; Humans ; Implantation ; Joint surgery ; Knee ; Knee - surgery ; Knee Joint - surgery ; Knee Prosthesis ; Male ; Medicine ; Medicine & Public Health ; Navigation systems ; Orthopaedic implants ; Orthopedics ; Osteoarthritis, Knee - surgery ; Osteonecrosis - surgery ; Osteotomy ; Osteotomy - methods ; Outliers (statistics) ; Portable equipment ; Radiography - methods ; Retrospective Studies ; Surgeons ; Surgery, Computer-Assisted - methods ; Tibia - surgery ; Tibial components</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-12, Vol.28 (12), p.3733-3739</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-aec01d53496f6a68edacc6c2ddf4076ede17aaabf6a51066cbf3373a3ccab9973</citedby><cites>FETCH-LOGICAL-c441t-aec01d53496f6a68edacc6c2ddf4076ede17aaabf6a51066cbf3373a3ccab9973</cites><orcidid>0000-0001-6532-8734</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-019-05752-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-019-05752-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31654129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsui, Yoshio</creatorcontrib><creatorcontrib>Fukuoka, Shinichi</creatorcontrib><creatorcontrib>Masuda, Sho</creatorcontrib><creatorcontrib>Matsuura, Masanori</creatorcontrib><creatorcontrib>Masada, Toshiaki</creatorcontrib><creatorcontrib>Fukunaga, Kenji</creatorcontrib><title>Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
There is a need for new devices to improve the accuracy of implantation in unicompartmental knee arthroplasties (UKAs). The accelerometer-based portable navigation system is expected to improve this accuracy. This study aimed to compare the accuracy of UKAs performed by the portable navigation system with that of the conventional method, and to investigate whether the portable navigation system can complement the surgeon’s experience.
Methods
The study comprised of 80 Oxford UKAs. Knees were divided into two groups based on the method of tibial osteotomy: the conventional group (37 UKAs performed by an experienced surgeon using the extra-medullary guide) and the portable navigation group (43 UKAs performed by 2 unaccustomed surgeons using the navigation system). The absolute error from the target angle on the coronal and sagittal plane was measured on whole lower leg X-ray. The incidence of outliers (> 3°) was compared between the groups using Fisher’s exact probability test.
Results
The incidences of outliers on the coronal plane were 41.0% (15 of 37 knees) in the conventional group and 9.3% (4 of 43 knees) in the portable navigation group (
p
< 0.0001). The incidences of outliers on the sagittal plane were 13.5% (5 of 37 knees) in the conventional group and 14.0% (6 of 43 knees) in the portable navigation group (
p
= 0.3772).
Conclusion
This is the first report on the usefulness of an accelerometer-based portable navigation system in UKA. The use of this system improves the accuracy of implantation of the tibial component beyond the experience of the surgeon.
Level of evidence
Retrospective comparative study, Level III</description><subject>Accelerometers</subject><subject>Accelerometry - methods</subject><subject>Accuracy</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty (knee)</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Biomedical materials</subject><subject>Comparative studies</subject><subject>Female</subject><subject>Group dynamics</subject><subject>Humans</subject><subject>Implantation</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Knee - surgery</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Navigation systems</subject><subject>Orthopaedic implants</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Osteonecrosis - surgery</subject><subject>Osteotomy</subject><subject>Osteotomy - methods</subject><subject>Outliers (statistics)</subject><subject>Portable equipment</subject><subject>Radiography - methods</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Tibia - surgery</subject><subject>Tibial components</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcuOFSEQholx4hxHX8CFIXHjBoWGBllOJt6SSdzMrEk1XX1k7IYWaJPzEvPMcjyjJi5cUdT_1SX1E_JC8DeCc_O2cC60YVxYxnvTd0w9IjuhpGRGKvOY7LhVHet4r8_J01LuOG-hsk_IuRS6V6KzO3J_6f2WwR9ommgNQ4CZ-rSsKWKsdJ3B43KMQqRbDEcFcj1mGvctItL2_ZpTA0s90BXzlPKCI91KiHsKkYL3OGNOC1bMbIDSxDXlCsOMNMKPsIcaUqTlUCouz8jZBHPB5w_vBbn98P7m6hO7_vLx89XlNfNKicoAPRdjL5XVkwb9Dsc2RvtuHCfFjcYRhQGAoYm94Fr7YZLSSJDew2CtkRfk9anvmtP3DUt1Syht0Rkipq24TnLbc8GNbeirf9C7tOXYtnOdMkK3gyvRqO5E-ZxKyTi5NYcF8sEJ7o5uuZNbrrnlfrnlVCt6-dB6G9rR_pT8tqcB8gSUJsU95r-z_9P2JxdupIo</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Matsui, Yoshio</creator><creator>Fukuoka, Shinichi</creator><creator>Masuda, Sho</creator><creator>Matsuura, Masanori</creator><creator>Masada, Toshiaki</creator><creator>Fukunaga, Kenji</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</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>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6532-8734</orcidid></search><sort><creationdate>20201201</creationdate><title>Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system</title><author>Matsui, Yoshio ; Fukuoka, Shinichi ; Masuda, Sho ; Matsuura, Masanori ; Masada, Toshiaki ; Fukunaga, Kenji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-aec01d53496f6a68edacc6c2ddf4076ede17aaabf6a51066cbf3373a3ccab9973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accelerometers</topic><topic>Accelerometry - methods</topic><topic>Accuracy</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty (knee)</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Biomedical materials</topic><topic>Comparative studies</topic><topic>Female</topic><topic>Group dynamics</topic><topic>Humans</topic><topic>Implantation</topic><topic>Joint surgery</topic><topic>Knee</topic><topic>Knee - surgery</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Navigation systems</topic><topic>Orthopaedic implants</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Osteonecrosis - surgery</topic><topic>Osteotomy</topic><topic>Osteotomy - methods</topic><topic>Outliers (statistics)</topic><topic>Portable equipment</topic><topic>Radiography - methods</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tibia - surgery</topic><topic>Tibial components</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsui, Yoshio</creatorcontrib><creatorcontrib>Fukuoka, Shinichi</creatorcontrib><creatorcontrib>Masuda, Sho</creatorcontrib><creatorcontrib>Matsuura, Masanori</creatorcontrib><creatorcontrib>Masada, Toshiaki</creatorcontrib><creatorcontrib>Fukunaga, Kenji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsui, Yoshio</au><au>Fukuoka, Shinichi</au><au>Masuda, Sho</au><au>Matsuura, Masanori</au><au>Masada, Toshiaki</au><au>Fukunaga, Kenji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>28</volume><issue>12</issue><spage>3733</spage><epage>3739</epage><pages>3733-3739</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
There is a need for new devices to improve the accuracy of implantation in unicompartmental knee arthroplasties (UKAs). The accelerometer-based portable navigation system is expected to improve this accuracy. This study aimed to compare the accuracy of UKAs performed by the portable navigation system with that of the conventional method, and to investigate whether the portable navigation system can complement the surgeon’s experience.
Methods
The study comprised of 80 Oxford UKAs. Knees were divided into two groups based on the method of tibial osteotomy: the conventional group (37 UKAs performed by an experienced surgeon using the extra-medullary guide) and the portable navigation group (43 UKAs performed by 2 unaccustomed surgeons using the navigation system). The absolute error from the target angle on the coronal and sagittal plane was measured on whole lower leg X-ray. The incidence of outliers (> 3°) was compared between the groups using Fisher’s exact probability test.
Results
The incidences of outliers on the coronal plane were 41.0% (15 of 37 knees) in the conventional group and 9.3% (4 of 43 knees) in the portable navigation group (
p
< 0.0001). The incidences of outliers on the sagittal plane were 13.5% (5 of 37 knees) in the conventional group and 14.0% (6 of 43 knees) in the portable navigation group (
p
= 0.3772).
Conclusion
This is the first report on the usefulness of an accelerometer-based portable navigation system in UKA. The use of this system improves the accuracy of implantation of the tibial component beyond the experience of the surgeon.
Level of evidence
Retrospective comparative study, Level III</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31654129</pmid><doi>10.1007/s00167-019-05752-4</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6532-8734</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020-12, Vol.28 (12), p.3733-3739 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2309501079 |
| source | MEDLINE; Springer Online Journals Complete; Wiley Online Library All Journals |
| subjects | Accelerometers Accelerometry - methods Accuracy Aged Aged, 80 and over Arthroplasty (knee) Arthroplasty, Replacement, Knee - methods Biomedical materials Comparative studies Female Group dynamics Humans Implantation Joint surgery Knee Knee - surgery Knee Joint - surgery Knee Prosthesis Male Medicine Medicine & Public Health Navigation systems Orthopaedic implants Orthopedics Osteoarthritis, Knee - surgery Osteonecrosis - surgery Osteotomy Osteotomy - methods Outliers (statistics) Portable equipment Radiography - methods Retrospective Studies Surgeons Surgery, Computer-Assisted - methods Tibia - surgery Tibial components |
| title | Accuracy of tibial component placement in unicompartmental knee arthroplasty performed using an accelerometer-based portable navigation system |
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