ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Differences in component and limb alignment between computer-assisted and conventional surgery total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis.BioMed research international · 2017Pooled it
- The Usefulness of a Simplified Navigation-Based Instrumentation for a Novice Surgeon in Primary Total Knee Arthroplasty: A Retrospective Analysis of a Randomized Controlled Trial.Clinics in orthopedic surgery · 2023Trial
- Gap balanced adjusted mechanical alignment versus measured resection mechanical alignment: a randomised controlled trial.Archives of orthopaedic and trauma surgery · 2023Trial
- Trial
- Conventional versus computer-navigated TKA: a prospective randomized study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Superior femoral component alignment can be achieved with Oxford microplasty instrumentation after minimally invasive unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- A randomized controlled clinical and radiological trial about outcomes of navigation-assisted TKA compared to conventional TKA: long-term follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Trial
- Accuracy and Early Outcomes of Patient-Specific TKA Using Inertial-Based Cutting Guides: A Pilot Study.Medicina (Kaunas, Lithuania) · 2025Article
- The accuracy of an extramedullary femoral cutting system in total knee arthroplasty in patients with severe coronal femoral bowing: a radiographic study.Journal of orthopaedic surgery and research · 2022Article
- Correlation between component alignment and short-term clinical outcomes after total knee arthroplasty.Frontiers in surgery · 2022Article
- Femoral Valgus Correction Angle for the Intramedullary Alignment Rod Is Strongly Associated with Femoral Lateral Bowing in Japanese Patients with Varus Knee Osteoarthritis Undergoing Total Knee Arthroplasty.Advances in orthopedics · 2022Article
- Comparative Study of Pinless Navigation System versus Conventional Instrumentation in Total Knee Arthroplasty.Clinics in orthopedic surgery · 2021Observational
- Clinical value of CT-based patient-specific 3D preoperative design combined with conventional instruments in primary total knee arthroplasty: a propensity score-matched analysis.Journal of orthopaedic surgery and research · 2020Article
- Radiographic assessment and clinical outcomes after total knee arthroplasty using an accelerometer-based portable navigation device.Arthroplasty today · 2018Article
- Bone-femoral component interface gap after sagittal mechanical axis alignment is filled with new bone after cementless total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Articular surface mounted navigated total knee arthroplasty improves the reliability of component alignment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Total knee arthroplasty in patients with Ranawat type-II valgus arthritic knee with a marked coronal femoral bowing deformity: comparison between computer-assisted surgery and intra-articular resection.Journal of orthopaedic surgery and research · 2016Article
- Appropriate sagittal femoral component alignment cannot be ensured by intramedullary alignment rods.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Improved femoral component rotation in advanced genu valgum deformity using computer-assisted measured resection total knee arthroplasty.Journal of orthopaedic surgery and research · 2015Article
- The benefits of computer-assisted total knee arthroplasty on coronal alignment with marked femoral bowing in Asian patients.Journal of orthopaedic surgery and research · 2014Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMarked coronal femoral bowing may bear a risk for mal-alignment of femoral component and reconstructed mechanical axis (MA) by using conventional instrumentations. The aim of this study was to investigate the usefulness of computer-assisted surgery-total knee arthroplasty (CAS-TKA) under this circumstance.
methodsWe retrospectively analyzed patients with osteoarthritic knee and marked coronal femoral bowing who underwent TKA at our institution. The CAS-TKA and the conventional techniques were compared by radiographic parameters in coronal and sagittal planes, and rotational alignment of femoral component was assessed by computed tomography (CT) scans. The Hospital for Special Surgery (HSS) and International Knee Society (IKS) scores were obtained for all patients preoperatively and at the last follow-up.
resultsA total of 65 knees were enrolled in this study. Twenty-eight TKAs implanted using a CT-free navigation system, and the remaining 37 TKAs implanted using the conventional technique. CAS-TKAs were more consistent than conventional TKAs in aiding proper postoperative MA and ideal alignments of femoral component in the coronal and sagittal planes. However, CAS-TKA group was not obtained at significantly higher rates of femoral component in axial plane. At a mean follow-up of 43 months, there was no significant difference in HSS and IKS scores between the groups.
conclusionsAlthough CAS-TKA did not have superior functional outcomes in the short-term follow-up, proper coronal and sagittal alignment of femoral component and postoperative MA were obtained in patients with marked coronal femoral bowing. The long-term follow-up will be needed to clarify the eventual benefits. LEVEL OF EVIDENCE: Retrospective comparative study, Level III.
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