Mid-term outcomes of computer-assisted total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-01-14

AUTHORS

Kazunari Ishida, Tomoyuki Matsumoto, Nobuhiro Tsumura, Seiji Kubo, Atsushi Kitagawa, Takaaki Chin, Tetsuhiro Iguchi, Masahiro Kurosaka, Ryosuke Kuroda

ABSTRACT

PurposeThe 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.MethodThirty 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.ResultsThe accuracy of the implantations in relation to the coronal mechanical axis in the navigation group was superior to that of the manual group (P < 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 < 0.01). KSFSs were equally good in both the groups.ConclusionBetter 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 evidenceProspective comparative study, Level II. More... »

PAGES

1107-1112

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-010-1361-4

DOI

http://dx.doi.org/10.1007/s00167-010-1361-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011265667

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21234541


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