The effect of computerized navigation on component alignment in total knee arthroplasty

Acta Orthop Traumatol Turc. 2013;47(1):8-13. doi: 10.3944/aott.2013.2982.

Abstract

Objective: The aim of this retrospective cross-sectional study was to evaluate the effect of computer-assisted total knee arthroplasty (TKA) on component alignment.

Methods: The radiographs of 20 patients who underwent computer-assisted TKA within a two-year period were analyzed with respect to the mechanical femorotibial, mechanical femoral, mechanical tibial angles (mFTA, mFA and mTA, respectively) and the tibial slope (σ).

Results: The mean postoperative mFTA (179.7°) was significantly improved when compared to the preoperative value (175.45°) (p=0.012). The mean postoperative mFA was significantly reduced (p=0.035) in comparison with the preoperative mean (89.1° and 90.6°, respectively). The mean postoperative mTA was exactly 90.0°, while the preoperative mean was significantly lower (87.7°; p=0.003). Mean tourniquet time during TKA was 109.5 minutes.

Conclusion: Computer navigation in TKA appears to be a reliable system which facilitates implant positioning and component alignment.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee / adverse effects
  • Arthroplasty, Replacement, Knee / methods*
  • Female
  • Humans
  • Knee Joint / diagnostic imaging
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / surgery
  • Radiography
  • Surgery, Computer-Assisted*