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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-03-2009 | Knee

Two year follow-up comparing computer assisted versus freehand TKR on joint stability, muscular function and patients satisfaction

Authors: C. Lüring, F. Oczipka, L. Perlick, M. Tingart, J. Grifka, H. Bäthis

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2009

Abstract

Computer assisted (CAS) knee surgery has been established in clinical routine. There is still no study that investigates clinical outcome. Fifty patients who received a primary total knee replacement 2 years before were investigated. These patients were divided into two groups of matched-pairs; group A was operated in the freehand technique and group B with support of a computer system. We compared Womac score, Knee Society score, range of motion, leg alignment, knee stability and isokinetic muscle strength. We found similar results for WOMAC, Knee Society score and isokinetic muscle force. Stability and range of motion revealed slightly better values for the CAS group. A statistically significant difference could only be demonstrated for postoperative leg alignment. Two years after freehand versus computer assisted TKR we found slightly better values for range of motion and ligamentous stability. Only postoperative leg alignment was statistically better in the CAS group.

Bachmeier C, March L, Cross M, Lapsley H, Tribe K, Courtenay K (2001) A comparison of outcomes in osteoarthritis patients undergoing THR and TKR. Osteoarthritis Cartilage 9:137–146PubMedCrossRef

Bäthis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J (2004) Alignment in total knee arthroplasty: a comparison of computer-assisted implantation with the conventional technique. J Bone Joint Surg Br 86:682–687PubMedCrossRef

Bauwens K, Matthes G, Wich M, Gebhard F, Hanson B, Ekkernkamp A, Stengel D (2007) Navigated total knee replacement. A meta-analysis. J Bone Joint Surg Am 89:261–269PubMedCrossRef

Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation studyof WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840PubMed

Bellamy N, Campbell J, Stevens J, Pilch L, Stewart C, Mahmood Z (1997) Validation study of a computerized version of the western Ontario and McMaster Universities VA 3.0 Osteoarthritis index. J Rheumatol 24:2413–2415PubMed

Bolognesi M, Hofmann A (2005) Computer navigation versus standard instrumentation for TKA: a single-surgeon experience. Clin Orthop Relat Res 440:162–169PubMedCrossRef

Chen FS, Scher DM, Clancy RM, Ayesha V-Y, DiCesare PE (1999) In vitro and in vivo activation of polymorphonuclear leukocytes in response to particulate debris. J Biomed Mater Res 48:904–912PubMedCrossRef

Delp SL, Stulberg SD, Davies B, Picard F, Leitner F (1998) Computer assisted knee replacement. Clin Orthop 355:49–56

Font-Rodriguez DE, Scuderi GR, Insall JN (1997) Survivorship of cemented total knee arthroplasty. Clin Orthop 345:79–86PubMed

10.

Glant TT, Jacobs JJ (1994) Response of three murine macrophage populations to particulate debris: bone resorption in organ cultures. J Orthop Res 12:720–731PubMedCrossRef

11.

Haaker RG, Stockheim M, Kamp M, Proff G, Breitenfelder J, Ottersbach A (2005) Computer-assisted navigation increases precision of component placement in total knee arthroplasty. Clin Orthop Relat Res 433:152–159PubMedCrossRef

12.

Insall JN, Dorr LD, Scott R, Scott WN (1989) Rationale of the knee society clinical rating system. Clin Orthop 248:13–14PubMed

13.

Jacobs JJ, Gilbert JL, Urban RM (1998) Corrosion of metal orthopaedic implants. J Bone Joint Surg Am 80:268–282PubMed

14.

Jenny JY, Clemens U, Kohler S, Kiefer H, Konermann W, Miehlke RK (2005) Consistency of implantation of a total knee arthroplasty with a non-image-based navigation system: a case-control study of 235 cases compared with 235 conventionally implanted prostheses. J Arthroplasty 20:832–889PubMedCrossRef

15.

Kubo T, Sawada K, Hirakawa K, Shimizu C, Takamatsu T, Hirasawa Y (1999) Histiocyte reaction in rabbit femurs to UHMWPE, metal and ceramic particles in different sizes. J Biomed Mater Res 45:363–369PubMedCrossRef

16.

Laskin RS (2003) Instrumentation pitfalls: you just can’t go on autopilot! J Arthroplasty 18:18–22PubMedCrossRef

17.

Lüring C, Bathis H, Oczipka F, Trepte H, Lufen H, Perlick L, Grifka J (2006) Two-year follow-up on joint stability and muscular function comparing Rotating vs fixed bearing TKR. Knee Surg Sports Traumatol Arthrosc 14:605–611PubMedCrossRef

18.

Lützner J, Krummenauer F, Wolf C, Günther KP, Kirschner S (2008) Computer-assisted and conventional total knee replacement: a comparative, prospective, randomised study with radiological and CT evaluation. J Bone Joint Surg Br 90:1039–1044PubMedCrossRef

19.

Mahaluxmivala J, Bankes MJ, Nicolai P, Aldam CJH, Allen PW (2001) The effect of surgeon experience on component positioning in 673 press fit condylar posterior cruciate-sacrificing total knee arthroplasties. J Arthroplasty 16:635–640PubMedCrossRef

20.

Martin A, von Strempel A (2006) Two year outcomes of computed tomography-based and computed tomography free navigation for total knee arthroplasties. Clin Orthop Relat Res 449:275–282PubMed

21.

Novotny J, Gonzalez MH, Amirouche FM, Li YC (2001) Geometric analysis of potential error in using femoral intramedullary guides in total knee arthroplasty. J Arthroplasty 16:641–647PubMedCrossRef

22.

Petersen TL, Engh GA (1988) Radiographic assessment of knee alignment after total knee arthroplasty. J Arthroplasty 3:67–72PubMedCrossRef

23.

Reed SC, Gollish J (1997) The accuracy of femoral intramedullary guides in total knee arthroplasty. J Arthroplasty 12:677–682PubMedCrossRef

24.

Rodriguez JA, Bhende H, Ranawatt CS (2001) Total condylar knee replacement: a 20-year followup study. Clin Orthop 288:10–17

25.

Sparmann M, Wolke B, Czupalla H, Banzer D, Zink A (2003) Positioning of total knee arthroplasty with and without navigation support. A prospective, randomised study. J Bone Joint Surg Br 85:830–835PubMed

26.

Stähelin T, Kessler O, Pfirrmann C, Jacob HAC, Romero J (2003) Fluoroscopically assisted stress radiography for varus-valgus stability in flexion after total knee arthroplasty. J Arthroplasty 18:513–515PubMedCrossRef

27.

Tingart M, Lüring C, Bäthis H, Beckmann J, Grifka J, Perlick L (2008) Computer-assisted total knee arthroplasty versus the conventional technique: how precise is navigation in clinical routine? Knee Surg Sports Traumatol Arthrosc 16:44–50PubMedCrossRef

28.

Woolson ST, Northrop GD (2004) Mobile versus fixed-bearing total knee arthroplasty. A clinical and radiologic study. J Arthroplasty 19:135–140PubMedCrossRef

Title: Two year follow-up comparing computer assisted versus freehand TKR on joint stability, muscular function and patients satisfaction
Authors: C. Lüring
F. Oczipka
L. Perlick
M. Tingart
J. Grifka
H. Bäthis
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-008-0644-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Two year follow-up comparing computer assisted versus freehand TKR on joint stability, muscular function and patients satisfaction

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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