Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age

Steiger, Richard N. de; Liu, Yen-Liang; Graves, Stephen E.

doi:10.2106/jbjs.m.01496

Cited by 231 publications

(137 citation statements)

References 39 publications

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“…In contrast to the hip systems, most studies in the knee arthroplasty robotic surgery have showed decreased time required to make femoral cuts, compared with the standard computer navigation techniques. 12 There was no difference in the overall tourniquet time. There are no randomised clinical trials or long-term studies to show any advantage of these systems over the conventional method of performing knee arthroplasty.…”

Section: Robotic Applicationsmentioning

confidence: 90%

Role of robotics in trauma and orthopaedics

Janipireddy¹,

Saeed

2017

Int J Res Med Sci

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There is always an ardent desire to obtain the best outcome in any surgery. To improve the quality of life of their patient is amongst the top priorities of most orthopaedic surgeons. It is a big challenge to accurately match a perfect pre-operative planning and obtain that intra operatively. Robotic technology is fast evolving in many surgical branches with orthopaedics as well, but limited with the price tag it comes with. Nevertheless, robotics is gaining momentum with some encouraging short-term results. Robotic surgery can offer significant improvement in surgical planning, accurate implant or prosthetic placement, which provide good outcomes that ultimately enhance patient safety. We review the various robotic advancements in the field of trauma and orthopaedic surgery.

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Section: Robotic Applicationsmentioning

confidence: 90%

Role of robotics in trauma and orthopaedics

Janipireddy¹,

Saeed

2017

Int J Res Med Sci

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“…The Australian registry reported a reduced revision rate for computer-navigated procedures in patients less than 65 years of age, and there was a reduction in revision rate due to loosening (de Steiger et al. 2015), but only with adjustment for age and sex. In a group of equivalent age, the arthroplasty registry in New Zealand found a trend of a higher revision rate for Triathlon implants inserted with computer-assisted navigation (not statistically significant) (Roberts et al.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, a recent study from the Australian Orthopaedic Association National Joint Replacement Registry found a lower cumulative revision rate for computer navigation in patients less than 65 years (de Steiger et al. 2015). …”

mentioning

confidence: 99%

Survivorship and relative risk of revision in computer-navigated versus conventional total knee replacement at 8-year follow-up

et al. 2016

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Background and purposeThe long-term effects of computer-assisted surgery in total knee replacement (CAS) compared to conventionally operated knee replacement (CON) are still not clear. We compared survivorship and relative risk of revision in CAS and CON based on data from the Norwegian Arthroplasty Register.Patients and methodsWe assessed primary total knee replacements without patellar resurfacing reported to the Norwegian Arthroplasty Register from 2005 through 2014. The 5 most used implants and the 3 most common navigation systems were included. The groups (CAS, n = 3,665; CON, n = 20,019) were compared using a Cox regression analysis adjusted for age, sex, ASA category, prosthesis brand, fixation method, previous surgery, and diagnosis with the risk of revision for any reason as endpoint. Secondary outcomes were reasons for revision and effects of prosthesis brand, fixation method, age (± 65 years), and hospital volume.ResultsProsthesis survival and risk of revision were similar for CAS and CON. CAS had significantly fewer revisions due to malalignment. Otherwise, no statistically significant difference was found between the groups in analyses of secondary outcomes. Mean operating time was 13 minutes longer in CAS.InterpretationAt 8 years of follow-up, CAS and CON had similar rates of overall revision, but CAS had fewer revisions due to malalignment. According to our findings, the benefits of CAS at medium-term follow-up are limited. Further research may identify subgroups that benefit from CAS, and it should also emphasize patient-reported outcomes.

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“…Despite numerous publications providing supporting evidence of the advantages of this technology over conventional instrumentation, knee arthroplasty navigation has yet to become mainstream 14. Several reasons have been cited, including cost, learning curve, additional incisions for pin sites, increased operating room time, technical difficulty and lack of evidence that clinical outcomes are improved 15 16…”

Section: Introductionmentioning

confidence: 99%

“…de Steiger et al 14 demonstrated a clinical benefit in CAS TKA in patients younger than 65 years old.…”

mentioning

confidence: 99%

New and evolving technologies for knee arthroplasty—computer navigation and robotics: state of the art

et al. 2018

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Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age

Abstract: Computer navigation reduced the overall rate of revision and the rate revision for loosening/lysis following total knee arthroplasty in patients less than sixty-five years of age.

Cited by 231 publications

References 39 publications

Role of robotics in trauma and orthopaedics

Role of robotics in trauma and orthopaedics

Survivorship and relative risk of revision in computer-navigated versus conventional total knee replacement at 8-year follow-up

New and evolving technologies for knee arthroplasty—computer navigation and robotics: state of the art

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