Computer assisted surgery for knee ligament reconstruction

Abstract

A favourable effect of computer assisted surgery for cruciate ligament reconstructions of the knee compared with conventional reconstructions could neither be demonstrated nor refuted. There is insufficient evidence to advise for or against the use of CAS. There is a need for improved reporting of future studies of this technology.

Anterior cruciate ligament reconstruction best practice: A review of graft choice

“…Anterior cruciate ligament (ACL) reconstruction is a common operation [1] . The aim of surgery is to restore functional stability to the ACL deficient knee.…”

Applications of computer navigation in sports medicine knee surgery: an evidence-based review

“…A Cochrane review combined the results of the above five studies and found no statistically or clinically significant differences in quality-of-life outcomes, objective knee function scores, knee stability, tunnel placement, or complications [8]. The report concluded that apart from a consistently increased operating time (from 9.3 to 26 min), a positive effect of CAS ACL reconstruction could neither be demonstrated nor refuted.…”

“…It should be noted, however, that increased accuracy requires knowledge of what an optimal position or alignment is, which in sports surgery of the knee is often controversial [6,7]. Additionally, the question remains whether improvements in accuracy and precision will lead to enhanced clinical outcomes [8].…”

Anterior Cruciate Ligament Insufficiency: Delay in Surgery and Its Association with Spectrum of Intraarticular Knee Lesions

“…ACL reconstruction is a commonly performed surgery 1,2 . Despite a 'typical' mechanism of injury leading to ACL rupture [6][7][8] , poor rate of initial diagnosis, delay in surgery & its consequences are extremely common [9][10][11] .…”