Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
A randomized controlled clinical and radiological trial about outcomes of navigation-assisted TKA compared to conventional TKA: long-term follow-up.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 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
24 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Robot-assisted vs. navigation-assisted total knee arthroplasty: A systematic review and meta-analysis of the latest controlled studies based on perioperative, functional, and radiographic outcomes.Journal of robotic surgery · 2026Pooled it
- Use of intraoperative technology in total knee arthroplasty is not associated with reductions in postoperative pain.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Clinical outcomes associated with robotic and computer-navigated total knee arthroplasty: a machine learning-augmented systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- No differences in mid- to long-term outcomes of computer-assisted navigation versus conventional total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- Pooled it
- Similar outcomes in computer-assisted and conventional total knee arthroplasty: ten-year results of a prospective randomized study.BMC musculoskeletal disorders · 2021Trial
- Inter- and Intra-Rater Reliability of Pre-Resection Ligament Tension Assessment Using a Digital Tensioner in Imageless Robotic-Assisted Total Knee Replacement.Orthopaedic surgery · 2026Article
- Validation of imageless navigation in total knee arthroplasty using a postoperative radiographic approach.Bulletin of the Hospital for Joint Disease (2013) · 2025Article
- Revolutionising orthopaedic imaging: From 2D radiography and computed tomography to 3D volumetric radiography.Journal of experimental orthopaedics · 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
- Navigated Versus Conventional Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Prospective Randomized Controlled Trials.Journal of orthopaedics · 2024Review
- The Effect of Severe Varus Deformity on Clinical and Radiographic Outcomes in Mechanical Aligned Total Knee Arthroplasty with Medial Stabilizing Technique.Journal of clinical medicine · 2024Article
- Effect of mediolateral gap difference on postoperative outcomes in navigation-assisted total knee arthroplasty using an ultracongruent insert and the medial stabilising technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Difference in implant design affects midflexion rotational laxity in cruciate-retaining total knee arthroplasty: a computer navigation study.Journal of experimental orthopaedics · 2023Article
- Decreased patient comorbidities and post-operative complications in technology-assisted compared to conventional total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- No Difference in Clinical Outcomes and Survivorship for Robotic, Navigational, and Conventional Primary Total Knee Arthroplasty with a Minimum Follow-up of 10 Years.Clinics in orthopedic surgery · 2023Article
- Computer-Assisted Surgery Enables Beginner Surgeons, Under Expert Guidance, to Achieve Long-Term Clinical Results not Inferior to Those of a Skilled Surgeon in Knee Arthroplasty.Indian journal of orthopaedics · 2022Article
- Alignment analysis of Brainlab knee 3 navigation-guided total knee arthroplasty using the adjusted mechanical method.Frontiers in surgery · 2022Article
- Computer and robotic - assisted total knee arthroplasty: a review of outcomes.Journal of experimental orthopaedics · 2020Review
- Methods of intra- and post-operative determination of the position of the tibial component during total knee replacement.International orthopaedics · 2020Review
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
purposeWell balanced knees with good alignment are essential for a well-functioning TKA with long survival of its implants. This prospective randomized study comparing navigation-assisted TKA and conventional TKA reported the clinical and radiological outcomes at a follow-up of 9 years. The purpose of this study was to compare the clinical and radiological outcomes for patients who underwent navigation-assisted TKA or conventional TKA after long-term follow-up.
methodsA total of 80 patients (88 knees) were available for physical and radiological examination 9 years after TKA. Clinical outcomes were evaluated using HSS, WOMAC, and KS function and pain scores. And radiological outcomes of the component loosening and its survivorship during 9-year follow-up were also evaluated.
resultsThere were no significant differences in the field of clinical outcomes between the two groups. In terms of radiological outcomes, the navigation group had fewer alignment outliers (7.3 vs 20 %, p = 0.006). Although the clinical outcomes showed no differences between the two groups, the survival rate was slightly better in the navigation group than in the conventional group without statistical significance (best-case scenario 100 vs 95.3 %, n.s., worst-case scenario 95.6 vs 88.4 %, n.s.).
conclusionNavigation-assisted TKA produced better alignment outcomes and better survival rates than conventional instruments although some of the differences were not statistically significant. LEVEL OF EVIDENCE: I.
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