Trial reportInternational orthopaedics2016
Hand-held navigation may improve accuracy in minimally invasive total knee arthroplasty: a prospective randomized controlled trial.
Trial report in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses 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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are There Differences in Accuracy or Outcomes Scores Among Navigated, Robotic, Patient-specific Instruments or Standard Cutting Guides in TKA? A Network Meta-analysis.Clinical orthopaedics and related research · 2020Pooled it
- Comparison of iASSIST Navigation System with Conventional Techniques in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Radiographic and Clinical Outcomes.Orthopaedic surgery · 2019Pooled it
- Alignment accuracy and functional outcomes between hand-held navigation and conventional instruments in TKA: a randomized controlled trial.BMC musculoskeletal disorders · 2022Trial
- The Comparison between Mini-Subvastus Approach and Medial Parapatellar Approach in TKA: A Prospective Double-Blinded Randomized Controlled Trial.Orthopaedic surgery · 2022Trial
- Imageless robotic-assisted total knee arthroplasty accurately restores the radiological alignment with a short learning curve: a randomized controlled trial.International orthopaedics · 2021Trial
- Mini-subvastus versus medial parapatellar approach for total knee arthroplasty: a prospective randomized controlled study.International orthopaedics · 2018Trial
- Alignment and early clinical outcomes following total knee arthroplasty using a handheld navigation system compared to conventional instruments.Archives of orthopaedic and trauma surgery · 2025Article
- Comparison of the accuracy and efficacy of different assistive techniques in primary total knee arthroplasty: A network meta-analysis.Journal of experimental orthopaedics · 2024Article
- An updated meta-analysis comparing complications, functional, clinically relevant and radiological outcomes of accelerometer based portable navigation and conventional technique of total knee arthroplasty.Journal of orthopaedics · 2023Article
- Research Advances in the Application of AI for Preoperative Measurements in Total Knee Arthroplasty.Life (Basel, Switzerland) · 2023Review
- Comparison of navigation systems for total knee arthroplasty: A systematic review and meta-analysis.Frontiers in surgery · 2023Review
- Accelerometer-based navigation vs. conventional techniques for total knee arthroplasty (TKA): a systematic review and meta-analysis of randomized controlled trials.Arthroplasty (London, England) · 2022Review
- SMOC approach for total knee arthroplasty in valgus knees.Journal of orthopaedic surgery and research · 2022Article
- Total knee arthroplasty in the next decade: is navigation necessary?Annals of translational medicine · 2020Article
- CORR Insights®: Does Accelerometer-based Navigation Have Any Clinical Benefit Compared with Conventional TKA? A Systematic Review.Clinical orthopaedics and related research · 2019Article
- Current concepts and future perspectives in computer-assisted navigated total knee replacement.International orthopaedics · 2019Review
- Conventional versus computer-assisted surgery in total knee arthroplasty: comparison at ten years follow-up.International orthopaedics · 2019Article
- Total knee arthroplasties from the origin to navigation: history, rationale, indications.International orthopaedics · 2019Review
- Clinical, radiological and survivorship results after ten years comparing navigated and conventional total knee arthroplasty: a matched-pair analysis.International orthopaedics · 2017Article
- Accelerometer-based navigation improves early patient-reported outcomes after gap-balanced total knee arthroplasty.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
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA novel hand-held navigation combines gyroscopes, accelerometers and a secure local wireless channel to guide the distal femoral and proximal tibial cutting positions by displaying to the surgeon directly on the pods within the surgical field. No previous study has reported on its accuracy. MATERIALS AND
methodsA prospective randomized controlled trial was performed to compare radiographic outcomes in minimally invasive surgery total knee arthroplasty (MIS-TKA) with (40 patients, 40 knees) and without (40 patients, 40 knees) the novel hand-held navigation.
resultsThe use of hand-held navigation resulted in fewer outliers (> ± 3° malalignment) in all frontal alignment: the hip-knee-ankle, the femoral component, and the tibial component. Tibial slope was also better achieved with the navigation. Femoral component flexion was not significantly different. Operation time and bone cutting time with the navigation were not longer than those without. Blood loss from drainage was not significantly different.
conclusionThe hand-held navigation improves accuracy for mechanical alignment and positioning of the prosthesis without additional surgical time.
Indexed as
Identifiers
26152242What OpenQuestion holds
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.