Does computer-assisted surgery influence survivorship of cementless total knee arthroplasty in patients with primary osteoarthritis? A 10-year follow-up study

Ouanezar, Hervé; Franck, Florent; Jacquel, Alexandre; Pibarot, Vincent; Wegrzyn, Julien

doi:10.1007/s00167-016-4112-3

Cited by 18 publications

(12 citation statements)

References 42 publications

(65 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…a Misc. b 8 years 94.8% ( n = 354) 94.9% ( n = 2836) < 65 years 93.6% ( n = 126) < 65 years 92.4% ( n = 955) Baumbach [ 18 ] 2016 Not stated Aesculap Search prosthesis 10 years 98% ( n = 50) 87% ( n = 46) Ouanezar [ 40 ] 2016 Amplivision Cementless mobile-bearing SCORE - Amplitude 10 years 91% ( n = 87) 86% ( n = 51) Song [ 39 ] 2016 Orthopilot e.motion Braun 9 years 100% ( n = 37) 95.3% ( n = 38) De Steiger [ 51 ] 2015 Multiple Multiple 9 years 95.4% 94.8% < 65 years 93.7% < 65 years 92.2% Cip [ 41 ] 2014 BrainLab Next Gen Mobile bearing and PS Flex 5.5 years 98.9% ( n = 74) 95.4% ( n = 79) a Prosthesis brands (AGC, Duracon, e.motion, LCS complete, and Profix) b Navigation systems (Brainlab, Orthopilot, and Stryker) CAS Computer-assisted TKA, CON Conventional TKA, KSS Knee Society Score, HSS Hospital for Special Services Score, SF-36 Short-form 36, OKS Oxford knee score, WOMAC Western Ontario and McMaster Universities osteoarthritis index …”

Section: Resultsmentioning

confidence: 99%

“…In a smaller study of 135 knees with 10 year follow-up, there was a trend towards a higher rate of revision in non-navigated TKA using an uncemented prosthesis. This was explained by increased rates of secondary patella resurfacing being required in the conventional group [ 40 ]. Kim et al [ 49 ] demonstrated 98% survivorship in both conventional and CAS TKA in patients under 65% with minimum 14 years follow-up.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Computer and robotic – assisted total knee arthroplasty: a review of outcomes

Shatrov

Parker

2020

J EXP ORTOP

View full text Add to dashboard Cite

Background Total knee arthroplasty (TKA) is a successful treatment for tricompartmental knee arthritis. Computer navigation and robotic-assisted-surgery (RAS) have emerged as tools that aim to help plan and execute surgery with greater precision and consistency. We reviewed the most current literature to describe the historical background and outcomes compared to conventional TKA. Methods A review and synthesis of the literature comparing the patient reported outcomes (PROM’s) of RA TKA and computer-assisted (CA) TKA to conventional TKA was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results CAS TKA improves accuracy and consistency of implant position, and appears to provide a small improvement in PROMs and implant survival compared to conventional TKA. RTKA similarly improves implant accuracy compared to conventional techniques and early results suggest a similar small benefit in PROMs compared to conventional TKA. A strengthening trend is emerging showing CAS TKA has greatest benefit to implant survival in people under 65. RTKA survival analysis data is more limited and early results do not allow strong conclusions, however early trends are similar to CAS TKA. Conclusion Results for CAS-TKA show improvement in alignment, and early clinical outcomes have revealed promising results, with longer-term data and medium-term survival analysis recently emerging showing small benefits over conventional TKA. RTKA represents another phase of development. Early results show similar trends to that of CAS TKA with longer-term data still to come.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Computer and robotic – assisted total knee arthroplasty: a review of outcomes

Shatrov

Parker

2020

J EXP ORTOP

View full text Add to dashboard Cite

show abstract

“…Most studies considered that asymmetric alignment could lead to abnormal stress on the surfaces of weight-bearing, further resulting in aseptic failure or bone collapse. 2,33,34 However, Parratte et al found that mechanical alignment within AE3 degrees from neutral mechanical axis was of little practical value, 35 and as described by Kim et al 36 and Ouanezar et al, 37 the improved implant alignments within CAS may not result in better implant survivorship after !10 years. Unfortunately, we could hardly obtain sufficient data from the included studies to conduct the relevant meta-analysis in this study.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Portable Accelerometer-Based Navigation Devices versus Conventional Guides in Total Knee Arthroplasty: A Meta-analysis

Sun

Wang

et al. 2019

J Knee Surg

View full text Add to dashboard Cite

Various studies have provided different conclusions regarding which component's alignment can be actually improved by a novel portable accelerometer-based navigation device (PAD) compared with the conventional guide (CON); the operative times and clinical outcomes reported by these studies also exhibited incongruity. Thus, this meta-analysis was conducted to evaluate the efficacy of PADs in total knee arthroplasty (TKA). The Web of Science, EMBASE, PubMed, MEDLINE, and Cochrane Library databases were systematically searched. Studies published till July 2018 and comparing PAD with CON in treatment with TKA were identified. Sixteen studies in which 1,551 TKAs were reported were included. Results showed that PAD was significantly superior to CON in reducing tibial component alignment out of ±3 degrees, femoral coronal angle out of ±3 degrees, and overall mechanical alignment out of ±3 degrees. PAD can also help obtain a more accurate result of femoral coronal angle (degree); however, it requires a longer operative time than the CON group. The two groups were comparable in tibial component alignment out of ±2 degrees, tibial component posterior slope out of ±3 degrees, tibial component posterior slope out of ±2 degrees, femoral coronal angle out of ±2 degrees, femoral sagittal angle out of ±3 degrees, femoral sagittal angle out of ±2 degrees, tibial component alignment (degree), tibial component posterior slope (degree), femoral sagittal angle (degree), overall mechanical alignment (degree), blood loss, Knee Society knee score, Knee Society function score, Oxford Knee Score, Short Form-36 physical component score, Short Form-36 mental component score, and range of motion. In conclusion, compared with CON, PAD can help improve the femoral coronal angle as well as decrease the outliers out of ±3 degrees in femoral/tibial coronal angles and overall mechanical alignment. However, PAD did not show significant advantages in tibial and femoral component sagittal angles out of ±3 degrees, various outliers of ±2 degrees, most mean values of component alignments, operative time, and various functional or satisfactory scores.

show abstract

“…The use of CAS in TKA may ensure better postoperative alignment of the leg, adequate soft tissue balancing, and proper implant position as compared with TKA performed using a conventional technique and it would be more helpful in cases of severe deformity or limited knee motion [ 30 , 31 , 32 , 33 ]. It is also expected that this improved accuracy may lead to better clinical results and reduced revision rates [ 34 , 35 ]. Moreover, since CAS system avoids intramedullary instrumentation, it may decease postoperative bleeding and thromboembolic complication [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Mid-to Long-Term Survival of Total Knee Arthroplasty in Hemophilic Arthropathy

Bae

Kim

Lee

et al. 2020

JCM

View full text Add to dashboard Cite

While satisfactory results have been reported during short-to mid-term follow-up assessments of hemophilic patients who have undergone total knee arthroplasty (TKA), limited literature focusing on long-term survival following TKA exists to date. As part of this investigation, a consecutive series of 78 TKAs in 56 patients with hemophilic arthropathy was reviewed. The mean patient age at the time of operation was 38.7 years old and the mean length of follow up was 10.2 years. Clinical and radiologic outcomes, quality of life, complications, and long-term survivorship of TKA were evaluated. At the latest point of follow up, the average American Knee Society (AKS) knee and function scores had improved from 32.1 to 85.7 points and 41.5 to 83.3 points, respectively. Moreover, the average range of motion (ROM) was significantly increased from 64.2° preoperatively to 84.2° postoperatively. The physical and mental Short Form-36 results were also significantly improved at the latest point of follow up. Postoperative complications appeared in 12 knees (15.4%). The readmission rate in the 30 days after discharge was 6.4%. Revision TKA was performed in three knees for periprosthetic joint infection (n = 2 knees) and tibial component loosening (n = 1 knee). The Kaplan–Meier 10- and 13-year prosthesis survival rates were 97.1% and 93.2%, respectively. The current study suggests that the mid-to long-term results of TKA in patients with hemophilic arthropathy are favorable, with successful long-term prosthesis survival achievable in most cases.

show abstract

Does computer-assisted surgery influence survivorship of cementless total knee arthroplasty in patients with primary osteoarthritis? A 10-year follow-up study

Abstract: Therapeutic, Level II.

Cited by 18 publications

References 42 publications

Computer and robotic – assisted total knee arthroplasty: a review of outcomes

Computer and robotic – assisted total knee arthroplasty: a review of outcomes

Efficacy of Portable Accelerometer-Based Navigation Devices versus Conventional Guides in Total Knee Arthroplasty: A Meta-analysis

Mid-to Long-Term Survival of Total Knee Arthroplasty in Hemophilic Arthropathy

Contact Info

Product

Resources

About