ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Is technological-assisted leg axis alignment reliable in total knee arthroplasty with varus-valgus deformities?
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeComputer-assisted systems improve conventional instrumentation in normalizing the axis of the limb in frontal deformities. The performance of a postoperative X-ray has been questioned to verify this axis, assuming that it can be replaced by the final image that appears on the system monitor. The objective of this work is to verify whether both axes are similar.
methodsIn 123 patients with varus-valgus frontal deformity, a total knee arthroplasty was implanted with the aid of the same navigation system without previous images. On the one hand, the final femorotibial angulation that appeared on the monitor screen, and on the other hand, the one observed in a long postoperative digitalized radiograph were recorded.
resultsA discrepancy and poor correlation were observed between the femorotibial alignment verified radiographically and that shown on the system monitor at the end of the surgical procedure. Differences were significant in the valgus deformity group (p = 0.04) and especially in the varus cases (p < 0.001). The median postoperative axis as measured by computer-assisted was very close to neutral, but a deviation toward varus was observed on the X-ray.
conclusionThe axis of the limb observed with a computer-assisted system is closer to neutral alignment than that shown on the digitalized X-ray image after total arthroplasty in patients with frontal deformities. A postoperative X-ray is recommended as certification of the result, being more reliable than the final image from the system monitor.
Indexed as
Identifiers
What 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.