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Tao Cheng, Gouyou Zhang, Xianlong Zhang. Clinical and radiographic outcomes of Image-Based Computer-Assisted Total Knee Arthroplasty: An Evidence-based Evaluation. Surg Innov 2010; 18:15-20. [PMID: 20858620 DOI: 10.1177/1553350610382012] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Conventional instrumentation systems have limited accuracy in determining the crucial landmarks needed for alignment in total knee arthroplasty (TKA). Given this, the image-based navigation system was introduced to improve the accuracy of implantation of components into the femur and tibia. PubMed, EMBASE, Web of Science, and Evidence-Based Medicine databases were electronically searched to identify eligible studies published until October 2008. A systematic review and meta-analysis of 6 randomized/quasi-randomized controlled trials that compared image-based navigation and conventional techniques was conducted. The operative time was longer in the navigation group in 3 studies. Moreover, there was a higher rate of achieving mechanical leg axis within the range of 3° deviation in patients undergoing navigated TKA. However, all studies between the 2 groups were similar in range of motion, knee scores, and postoperative complication rates at the last follow-up. Overall, these short-term follow-up trials show that there were similar early clinical outcomes between image-based navigation and conventional techniques.
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Affiliation(s)
- Tao Cheng
- Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Gouyou Zhang
- Department of Hand and Plastic Surgery, Second Affiliated Hospital,Wenzhou Medical College, Wenzhou, Zhejiang Province, People's Republic of China, , Department of Dermatology, University Hospital Schleswig-Holstein, University of Lübeck, Lübeck, Germany
| | - Xianlong Zhang
- Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
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