Trial reportInternational orthopaedics2014
Does computer-assisted total knee arthroplasty improve the overall component position and patient function?
Trial report in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Computer-assisted surgery and patient-specific instrumentation improve the accuracy of tibial baseplate rotation in total knee arthroplasty compared to conventional instrumentation: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Restoration of constitutional alignment optimizes outcomes of computer navigated total knee arthroplasty: a prospective randomized controlled trial.International orthopaedics · 2024Trial
- Computer-navigated versus conventional total knee arthroplasty: no difference in implant survival at 15-year follow-up.Journal of orthopaedic surgery and research · 2026Article
- Navigation Assistance in Orthopedic Oncosurgery: Our Early Experience.Indian journal of surgical oncology · 2025Article
- Femur rotational alignment in total knee arthroplasty: Delphi consensus statements from European knee society (EKS).Archives of orthopaedic and trauma surgery · 2025Article
- Computer-Assisted Surgery in Total Knee Arthroplasty: Our Experience.Indian journal of orthopaedics · 2024Article
- Article
- Increased accuracy in component positioning using an image-less robotic arm system in primary total knee arthroplasty: a retrospective study.Archives of orthopaedic and trauma surgery · 2024Article
- A Coronal Landmark for Tibial Component Positioning With Anatomical Alignment in Total Knee Arthroplasty: A Radiological and Clinical Study.Frontiers in surgery · 2022Article
- [Early effectiveness of computer navigation-assisted total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Computer Navigation-Assisted Knee Replacement Demonstrates Improved Outcome Compared with Conventional Knee Replacement at Mid-Term Follow-up: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2020Review
- Appropriateness of the Use of Navigation System in Total Knee Arthroplasty.Clinics in orthopedic surgery · 2020Article
- Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing.Journal of orthopaedic surgery and research · 2018Article
- Article
- [Total knee arthroplasty in 2014 : Results, expectations, and complications].Der Orthopade · 2015Article
- A Systematic Literature Review of Three Modalities in Technologically Assisted TKA.Advances in orthopedics · 2015Review
- Knee arthroplasty today.International orthopaedics · 2014Article
- A Review on the Management of Hip and Knee Osteoarthritis.International journal of chronic diseases · 2013Review
- Navigation in Musculoskeletal Oncology: An Overview.Indian journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventional jig-assisted total knee replacement and whether this affected the functional outcome.
methodsThis prospective, randomised controlled study compared computer navigated and conventional jig-assisted total knee replacement in 37 patients who underwent bilateral TKR. A quantitative assessment of the spatial positioning of the implant in the 74 total knee replacements was determined using a low-dose dual-beam CT scanning technique. This resulted in six parameters of alignment that were compared. Functional outcomes using the high activity arthroplasty score and Knee Society score were assessed pre-operatively, postoperatively, at three years and at five years. Patients also indicated which knee they felt was subjectively the best.
resultsThere was no statistically significant difference in the prosthesis alignment between both groups and the number of outliers was not decreased with navigation. All function scores improved from pre-operative to postoperative but there was no statistically significant difference between the groups at five years. At five years, 40.6% of patients thought their jig-assisted knee was the better knee compared with 21.9% their computer assisted knee and 37.5% of patients who felt they were the same.
conclusionComputer-assisted implantation of total knee replacements does not offer a significant advantage in prosthesis alignment. There was no difference in functional outcome or subjective "best knee" between the computer-assisted or jig-assisted knee.
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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.