Computer assisted surgery. Its usefulness in different levels of pre-operative deformities

Benavente, P.; Orosa, C. López; Maldonado, José Álvarez; Codesal, A. Orois; Lázaro, F.J. García

doi:10.1016/j.recote.2015.04.002

Cited by 2 publications

(4 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The evidence for use of CAS navigation in TKA is not as extensive for deformity correction cases as for primary arthroplasty, but there have been gradually increasing data 21-26,41-44 . Numerous studies have demonstrated that CAS navigation may be advantageous for both femoral and tibial deformity and that postoperative alignment can be optimized with the assistance of computer navigation, particularly when the deformity is >10° 21,22 .…”

Section: Cas Navigationmentioning

confidence: 99%

“…There are also numerous recent studies in the literature with available comparison groups 21,22,25,46-51 . Huang et al retrospectively analyzed the results of 306 TKAs at their institution 25 .…”

Section: Cas Navigationmentioning

confidence: 99%

“…There were also significantly more knees within 3° of neutral in the CAS navigation group (77.5% versus 33.5% [p < 0.001]). Another group retrospectively assessed the mechanical axis of 100 patients who underwent conventional or CAS-navigated TKA; they were grouped based on preoperative varus deformity of <10°, 10° to 15°, or >15° 22 . Those with <10° of varus were found to have a mechanical axis within 3° of neutral in all cases.…”

Section: Cas Navigationmentioning

confidence: 99%

“…As interest continues to expand, there also has been evidence supporting the utility of these systems in complex TKA cases 21-25 . Despite the improvement in manual instrumentation and manual cutting guides, there may be higher rates of inaccuracy in cases of deformity or those with prior intramedullary instrumentation 23,26 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

The Use of Computer Navigation and Robotic Technology in Complex Total Knee Arthroplasty

et al. 2021

View full text Add to dashboard Cite

The potential benefits of computer-assisted surgical (CAS) navigation and robotic total knee arthroplasty (TKA) systems, such as increased reliability of restoring the mechanical axis, fewer outliers, more rapid hospital discharge, less physical therapy requirements, decreased blood loss, and decreased revision rates, have led to their application not only in primary cases but also in complex cases such as preoperative deformity and revision.

show abstract

Section: Cas Navigationmentioning

confidence: 99%

Section: Cas Navigationmentioning

confidence: 99%

Section: Cas Navigationmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

The Use of Computer Navigation and Robotic Technology in Complex Total Knee Arthroplasty

et al. 2021

View full text Add to dashboard Cite

show abstract

Conventional versus Smart Wireless Navigation in Total Knee Replacement: Similar Outcomes in a Randomized Prospective Study

Denti

Soldati

Bartolucci

et al. 2018

Joints

View full text Add to dashboard Cite

Purpose The development of new computer-assisted navigation technologies in total knee arthroplasty (TKA) has attracted great interest; however, the debate remains open as to the real reliability of these systems. We compared conventional TKA with last generation computer-navigated TKA to find out if navigation can reach better radiographic and clinical outcomes. Methods Twenty patients with tricompartmental knee osteoarthritis were prospectively selected for conventional TKA ( n = 10) or last generation computer-navigated TKA ( n = 10). Data regarding age, gender, operated side, and previous surgery were collected. All 20 patients received the same cemented posterior-stabilized TKA. The same surgical instrumentation, including alignment and cutting guides, was used for both the techniques. A single radiologist assessed mechanical alignment and tibial slope before and after surgery. A single orthopaedic surgeon performed clinical evaluation at 1 year after the surgery. Wilcoxon's test was used to compare the outcomes of the two groups. Statistical significance was set at p < 0.05. Results No significant differences in mechanical axis or tibial slope was found between the two groups. The clinical outcome was equally good with both techniques. At a mean follow-up of 15.5 months (range, 13–25 months), all patients from both groups were generally satisfied with a full return to daily activities and without a significance difference between them. Conclusion Our data showed that clinical and radiological outcomes of TKA were not improved by the use of computer-assisted instruments, and that the elevated costs of the system are not warranted. Level of Evidence This is a Level II, randomized clinical trial.

show abstract

Computer assisted surgery. Its usefulness in different levels of pre-operative deformities

Cited by 2 publications

References 33 publications

The Use of Computer Navigation and Robotic Technology in Complex Total Knee Arthroplasty

The Use of Computer Navigation and Robotic Technology in Complex Total Knee Arthroplasty

Conventional versus Smart Wireless Navigation in Total Knee Replacement: Similar Outcomes in a Randomized Prospective Study

Contact Info

Product

Resources

About