ArticleKnee surgery & related research2021
No difference in long-term functional outcomes or survivorship after total knee arthroplasty with or without computer navigation: a 17-year survivorship analysis.
Article in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Detection of Prosthetic Loosening in Hip and Knee Arthroplasty Using Machine Learning: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled 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
- Long-term outcomes of computer-assisted Ci™ navigation versus conventional total knee arthroplasty.Joint diseases and related surgery · 2025Article
- Accuracy and clinical outcomes in total knee arthroplasty using an image-free navigation system.Archives of orthopaedic and trauma surgery · 2025Article
- Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?Journal of personalized medicine · 2023Article
- Machine Learning for Detecting Total Knee Arthroplasty Implant Loosening on Plain Radiographs.Bioengineering (Basel, Switzerland) · 2023Article
- Digital TKA Alignment Training with a New Digital Simulation Tool (Knee-CAT) Improves Process Quality, Efficiency, and Confidence.Journal of personalized medicine · 2023Article
- A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making.Journal of orthopaedic translation · 2022Article
- Diagnosis of Central Sensitization and Its Effects on Postoperative Outcomes following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2022Review
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe literature comparing the long-term outcomes and survivorship of computer navigation-assisted and conventional total knee replacement (TKR) is sparse. Moreover, of the available comparative studies with follow-up duration of more than 10 years, the results seem to be conflicting. The purpose of this long-term study was to compare the clinical and radiological outcomes, and implant survivorship, of TKR performed with and without computer navigation.
methodsWe retrospectively compared the results of 49 computer-navigated TKRs and 139 conventional TKRs. The mean age of the patients was 67.9 (range 52-81) years for the navigation group and 67.1 (range 50-80) years for the conventional TKR group. The mean duration of follow-up for the conventional and navigation TKR groups was 12.9 and 13.2 years, respectively. Clinical and radiographic follow-up examinations of the patients were performed at 2 weeks, 1 month, 3 months and 6 months post-operatively, and at 1-year intervals thereafter.
resultsThere were no significant differences in the post-operative Knee Society knee and function score between the two groups. The mean overall deviation from neutral alignment and the radiological outliers were significantly higher in the conventional TKR group. The overall survival rates at 17 years were 92.9% for the navigation group and 95.6% for the conventional TKR group (p = 0.62).
conclusionsNavigated TKR resulted in fewer radiological outliers; however, this did not translate to better long-term functional outcomes or implant survival.
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