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. 2017 Jun 7;88(2S):48-53.
doi: 10.23750/abm.v88i2-S.6513.

Computer assisted total knee arthroplasty: a real navigation to better results?

Paolo Di Benedetto  1 , Enrico Daniele Di Benedetto, Michele Mario Buttironi, Alessandro Beltrame, Renato Gissoni, Vanni Cainero, Araldo Causero
Affiliations

Computer assisted total knee arthroplasty: a real navigation to better results?

Paolo Di Benedetto et al. Acta Biomed. .

Abstract

Background and aim of the work: Computer assisted surgery in knee replacement is still in discussion, but majority of papers affirm an increase of the accuracy in alignment. Aim of our study is to evaluate the accuracy of mechanical axis, the posterior tibial slope and the femoral component rotation with navigation, x-ray and CT data.

Methods: We have analysed 145 patients who underwent total knee arthroplasty between January 2012 and December 2014. We have checked each patient at 6, 12 and 24 months of follow-up. During each visit, we did a clinical evaluation checking the ROM and a clinical score (KOOS). At 2 years, we did a CT evaluation and a plain x-ray evaluation.

Results: 125 patients have completed the follow-up. Mean follow-up time was 2,6 years. Both ROM and KOOS values increased during follow-up. About the mechanical axis, both x-ray and CT data showed a mean deviation <2° from the target. About posterior tibial slope and femoral component rotation, CT data showed a mean deviation of <3° from the target. Mean difference between navigation and CT data was <1°.

Conclusions: According to literature data, our data confirm that computer assisted surgery in knee replacement have a good accuracy of coronal alignment, rotational alignment and posterior tibial slope.

Keywords: otal knee arthroplasty, knee surgery, computer-assisted surgery, knee prosthesis, computer navigation, mechanical axis, posterior tibial slope, femoral component rotation.

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Figures

Figure 1.
Figure 1.
Mechanical axis in full-length standing radiographs of the lower extremities
Figure 2.
Figure 2.
Femoral component rotation and trans-epicondylar axis in navigation system
Figure 3.
Figure 3.
Femoral component rotation and trans-epicondylar axis in CT data
Figure 4.
Figure 4.
Posterior tibial slope in CT evaluation
Figure 5.
Figure 5.
Intra-operative registration of osteotomy
See this image and copyright information in PMC

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