ArticleJournal of orthopaedic surgery and research2014
The benefits of computer-assisted total knee arthroplasty on coronal alignment with marked femoral bowing in Asian patients.
Article in Journal of orthopaedic surgery and research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Clinical and Radiological Outcomes of Computer-Assisted Navigation in Primary Total Knee Arthroplasty for Patients with Extra-articular Deformity: Systematic Review and Meta-Analysis.Clinics in orthopedic surgery · 2024Pooled it
- Does Accelerometer-based Navigation Have Any Clinical Benefit Compared with Conventional TKA? A Systematic Review.Clinical orthopaedics and related research · 2019Pooled it
- Alignment accuracy and functional outcomes between hand-held navigation and conventional instruments in TKA: a randomized controlled trial.BMC musculoskeletal disorders · 2022Trial
- Total knee arthroplasty in femoral bowing: does patient specific instrumentation have something to add? A randomized controlled trial.BMC musculoskeletal disorders · 2021Trial
- Conventional versus computer-navigated TKA: a prospective randomized study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- No single safe zone exists for the valgus cut angle to reproduce neutral mechanical alignment in the presence of femoral bowing in total knee arthroplasty.Musculoskeletal surgery · 2025Observational
- Computer-Assisted Surgery in Total Knee Arthroplasty: Our Experience.Indian journal of orthopaedics · 2024Article
- Article
- Medium-term outcomes in single anaesthetic bilateral total knee replacement surgery: a single surgeon series.Archives of orthopaedic and trauma surgery · 2022Review
- Are there avoidable causes of early revision total knee arthroplasty?Knee surgery & related research · 2022Article
- 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
- 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
- No difference in long-term functional outcomes or survivorship after total knee arthroplasty with or without computer navigation: a 17-year survivorship analysis.Knee surgery & related research · 2021Article
- Slight under-correction using individualized intentional varus femoral cutting leads to favorable outcomes in patients with lateral femoral bowing and varus knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- The plane of the distal femur anterior cortex is a useful index for femoral component rotation in total knee arthroplasty.Journal of orthopaedics · 2017Article
- 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
- Improved femoral component rotation in advanced genu valgum deformity using computer-assisted measured resection total knee arthroplasty.Journal of orthopaedic surgery and research · 2015Article
- Total knee arthroplasty in patients with marked coronal femoral bowing deformities: A systematic review.Tzu chi medical journalArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMechanical alignment guides are designed to compensate for variations in the valgus alignment angle; however, these guides may not be adequate when a patient has coronal alignment with marked bowing deformity. Previous study demonstrates better radiographic results, but the clinical benefits are a matter of speculation. The aim of this study was to investigate whether radiographic benefits of computer-assisted surgery total knee arthroplasty (CAS-TKA) would translate to clinical outcomes.
methodsPatients with osteoarthritis and coronal alignment with marked bowing deformity who underwent total knee arthroplasty (TKA) at our institution between January 2005 and June 2012 were entered into this retrospective study. Patients were divided into three groups: patients with coronal alignment with marked bowing deformity treated with CAS-TKA; with coronal alignment with marked bowing deformity treated with conventional TKA; and without marked coronal bowing deformity treated with conventional TKA. The computer-assisted navigation and the conventional technique were then compared by radiographic parameters. The International Knee Society (IKS) scores and patellar score were obtained for all patients preoperatively and at the last follow-up visit.
resultsOne hundred and thirty-seven patients (198 knees) met the inclusion criteria. For patients with osteoarthritic knees with marked femoral bowing deformity, the reconstructed mechanical axis (MA) was significantly closer to normal in the CAS-TKA group (P = 0.002) than in the conventional group. Significant differences in the reconstructed MA after conventional TKA were noted between patients without bowing and those with bowing (P = 0.003). Using the patellar score and IKS score, at a mean follow-up of 52.2 months, the differences did not achieve statistical significance among the three groups.
conclusionsCAS-TKA was an effective alternative for obtaining proper alignment in patients with coronal alignment with marked bowing deformity. However, there was no statistically significant difference in clinical function between patients treated with CAS-TKA and conventional TKA. Long-term follow-up will be needed to determine if the improvement in radiographic results translates to better clinical outcomes.
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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.