Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Accuracy of manual instrumentation of tibial cutting guide in total knee arthroplasty.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-specific instrumentation improved axial alignment of the femoral component, operative time and perioperative blood loss after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- No difference in mechanical alignment and femoral component placement between patient-specific instrumentation and conventional instrumentation in TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled it
- Surgical accuracy in high tibial osteotomy: coronal equivalence of computer navigation and gap measurement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Trial
- Intra- and post-operative accuracy assessments of two different patient-specific instrumentation systems for total knee replacement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Trial
- Rotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Iatrogenic coronal-sagittal coupling driven by a 12.4° rotational mismatch in manual total knee arthroplasty and precise decoupling with robotic assistance: a radiographic retrospective cohort study.Arthroplasty (London, England) · 2026Article
- Limited Accuracy of Tibial Stylus Measurements in Conventional Total Knee Arthroplasty.Journal of clinical medicine · 2026Article
- The accelerometer-based navigation system demonstrated superior radiological outcomes in restoring mechanical alignment and component sagittal positioning in total knee arthroplasty.BMC musculoskeletal disorders · 2021Article
- Case-related factors affecting cutting errors of the proximal tibia in total knee arthroplasty assessed by computer navigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Opening Wedge High Tibial Osteotomy Using Combined Computed Tomography-Based and Image-Free Navigation System.Arthroscopy techniques · 2017Article
- [Total knee arthroplasty with the use of patient specific instruments. The VISIONAIRE system].Der Orthopade · 2016Article
- Do manual cutting guides for total knee arthroplasty introduce systematic error?International orthopaedics · 2016Article
- Using fibula as a reference can be beneficial for the tibial component alignment after total knee arthroplasty, a retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Accuracy of the second metatarsal as a landmark for the extramedullary tibial cutting guide in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
- Patient-specific instruments in total knee arthroplasty.International orthopaedics · 2014Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate the accuracy of conventional instrumentation for tibial resection in total knee arthroplasty (TKA) as assessed by a computer-based navigation system during each phase of the surgical procedure. The hypothesis is that conventional instrumentation fails to achieve optimal accuracy in final implant positioning, thus leading to surgical errors.
methodsForty primary TKAs were performed. The resection guide was placed using an extramedullary guide. Accurate guide positioning was assessed by the navigation system prior to the osteotomy. The alignment measurement was repeated after resection and after component implantation in order to quantify the deviation caused by the manual positioning of the prosthetic components. A deviation ≥2° was considered unsatisfactory.
resultsIn the frontal plane, unsatisfactory results observed were as follows: 15 % with reference to manual positioning of the resection guide and 10 % with reference to definition of the resection plane with a tendency towards varus malalignment. In the sagittal plane, unsatisfactory results were as follows: 45 % with reference to manual positioning of the resection guide and 40 % with reference to definition of the resection plane with a trend of decreased tibial slope angle. The deviation between bone resection and subsequent implant placement was ≥2° in none of the cases.
conclusionsThe study confirms the hypothesis that conventional instrumentation fails to achieve optimal accuracy in the positioning of the tibial component. During each phase of the surgical procedure, a tendency towards varus malalignment and a decreased tibial slope angle were observed. LEVELS OF EVIDENCE: II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.