Mid-term outcomes of computer-assisted total knee arthroplasty

Purpose The aim of this study is to investigate the clinical results of total knee arthroplasty (TKA) using a navigation system after a minimum of 5 years. Method Thirty cases of posterior-stabilized, TKA-implanted using a computed tomography-free navigation system were compared with 30 cases having...

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Veröffentlicht in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2011-07, Vol.19 (7), p.1107-1112
Hauptverfasser: Ishida, Kazunari, Matsumoto, Tomoyuki, Tsumura, Nobuhiro, Kubo, Seiji, Kitagawa, Atsushi, Chin, Takaaki, Iguchi, Tetsuhiro, Kurosaka, Masahiro, Kuroda, Ryosuke
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container_end_page 1112
container_issue 7
container_start_page 1107
container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
container_volume 19
creator Ishida, Kazunari
Matsumoto, Tomoyuki
Tsumura, Nobuhiro
Kubo, Seiji
Kitagawa, Atsushi
Chin, Takaaki
Iguchi, Tetsuhiro
Kurosaka, Masahiro
Kuroda, Ryosuke
description Purpose The aim of this study is to investigate the clinical results of total knee arthroplasty (TKA) using a navigation system after a minimum of 5 years. Method Thirty cases of posterior-stabilized, TKA-implanted using a computed tomography-free navigation system were compared with 30 cases having matched TKA of the same type implanted via a classical, manual technique. At mid term, a minimum of 5 years after surgery, Knee Society scores (KSSs), Knee Society Functional scores (KSFSs), range of motion (ROM), and radiographic results of 27 patients in each group were assessed and reported in this study. Results The accuracy of the implantations in relation to the coronal mechanical axis in the navigation group was superior to that of the manual group ( P  
doi_str_mv 10.1007/s00167-010-1361-4
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Method Thirty cases of posterior-stabilized, TKA-implanted using a computed tomography-free navigation system were compared with 30 cases having matched TKA of the same type implanted via a classical, manual technique. At mid term, a minimum of 5 years after surgery, Knee Society scores (KSSs), Knee Society Functional scores (KSFSs), range of motion (ROM), and radiographic results of 27 patients in each group were assessed and reported in this study. Results The accuracy of the implantations in relation to the coronal mechanical axis in the navigation group was superior to that of the manual group ( P  &lt; 0.01). The femoral rotational profile revealed the prosthesis in the navigation group that was implanted with significantly less internal rotation than the manual group. Mid-term 5-year clinical results, including ROMs and KSSs, were significantly better in the navigation group ( P  &lt; 0.01). KSFSs were equally good in both the groups. Conclusion Better alignment and similarity of good clinical results at mid-term follow up may provide patients who receive navigation TKA with long-term endurance of their implants. Further studies on longer-term outcomes and functional improvements are required to validate these possibilities. 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Method Thirty cases of posterior-stabilized, TKA-implanted using a computed tomography-free navigation system were compared with 30 cases having matched TKA of the same type implanted via a classical, manual technique. At mid term, a minimum of 5 years after surgery, Knee Society scores (KSSs), Knee Society Functional scores (KSFSs), range of motion (ROM), and radiographic results of 27 patients in each group were assessed and reported in this study. Results The accuracy of the implantations in relation to the coronal mechanical axis in the navigation group was superior to that of the manual group ( P  &lt; 0.01). The femoral rotational profile revealed the prosthesis in the navigation group that was implanted with significantly less internal rotation than the manual group. Mid-term 5-year clinical results, including ROMs and KSSs, were significantly better in the navigation group ( P  &lt; 0.01). KSFSs were equally good in both the groups. 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Conclusion Better alignment and similarity of good clinical results at mid-term follow up may provide patients who receive navigation TKA with long-term endurance of their implants. Further studies on longer-term outcomes and functional improvements are required to validate these possibilities. Level of evidence Prospective comparative study, Level II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21234541</pmid><doi>10.1007/s00167-010-1361-4</doi><tpages>6</tpages></addata></record>
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identifier ISSN: 0942-2056
ispartof Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011-07, Vol.19 (7), p.1107-1112
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals
subjects Accuracy
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - methods
Case-Control Studies
Clinical outcomes
Endurance
Female
Flexibility
Follow-Up Studies
Hospitals
Humans
Joint replacement surgery
Knee
Knees
Male
Medicine
Medicine & Public Health
Middle Aged
Navigation systems
Orthopedics
Patient satisfaction
Patients
Prospective Studies
scoring
Sports
Surgeons
Surgery
Surgery, Computer-Assisted
Techniques
Tomography
Transplants & implants
Treatment Outcome
title Mid-term outcomes of computer-assisted total knee arthroplasty
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