Abstract
Total knee arthroplasty requires an understanding of the mechanics of the knee. A proper pre-operative planning is essential, which is a challenge. To execute that plan during surgery is even more demanding if you use conventional instrumentation. Computer-assisted navigation surgery helps with the implementation of planned cuts and gives real-time intra-operative feedback. It helps to get better alignment, positioning and orientation of the implants and helps to balance the soft tissues achieving desired results.
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References
Deakin AH, Basangoudar P, Nunag P, Sarungi M. Natural distribution of the femoral mechanical-anatomical angle in an osteoarthritic population and its relevance to total knee arthroplasty. Knee. 2011;19(2):120–3. https://doi.org/10.1016/J.KNEE.2011.02.001.
Deep K, Eachempati KK, Apsingi S. The dynamic nature of knee alignment and variations in normal knees. Bone Joint J. 2015;97-B:498–502. https://doi.org/10.1302/0301-620X.97B4.33740.
Deep K, Picard F, Clarke JV. Dynamic knee alignment and collateral knee laxity and its variations in normal humans. Front Surg. 2015;2:62. https://doi.org/10.3389/fsurg.2015.00062.
Deep K, Picard F, Baines J. Dynamic knee behaviour: does the knee deformity change as it is flexed—an assessment and classification with computer navigation. Knee Surgery, Sport Traumatol Arthrosc [Internet]. 2016. https://doi.org/10.1007/s00167-016-4338-0
Goudie S, Deep K. Collateral soft tissue release in primary total knee replacement. Comput Aided Surg [Internet]. 2014;19(1–3):29–33. https://doi.org/10.3109/10929088.2014.889212.
Deep K. Collateral ligament laxity in knees: what is normal? Clin Orthop Relat Res. 2014;472(11):3426–31.
Hetaimish BM, Khan MM, Simunovic N, Al-Harbi HH, Bhandari M, Zalzal PK. Meta-analysis of navigation vs conventional total knee arthroplasty. J Arthroplast. 2012;27(6):1177–82.
Lee D-H, Park J-H, Song D-I, Padhy D, Jeong W-K, Han S-B. Accuracy of soft tissue balancing in TKA: comparison between navigation-assisted gap balancing and conventional measured resection. Knee Surg Sports Traumatol Arthrosc Germany. 2010 Mar;18(3):381–7.
Mason JB, Fehring TK, Estok R, Banel D, Fahrbach K. Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery. J Arthroplast. 2007;22(8):1097–106.
Cheng T, Zhao S, Peng X, Zhang X. Does computer-assisted surgery improve postoperative leg alignment and implant positioning following total knee arthroplasty? A meta-analysis of randomized controlled trials? Knee Surg Sports Traumatol Arthrosc. 2012;20:1307–22.
Kim YH, Kim JS, Choi Y, Kwon OR. Computer-assisted surgical navigation does not improve the alignment and orientation of the components in total knee arthroplasty. J Bone Joint Surg Am. 2009;91(1):14–9.
Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall Award paper. Why are total knee arthroplasties failing today? Clin Orthop Relat Res US. 2002;404:7–13.
Delaunay C, Hamadouche M, Girard J, Duhamel A. What are the causes for failures of primary hip arthroplasties in France? Clin Orthop Relat Res. 2013;471(12):3863–9.
Jeffery R, Morris RR. Coronal alignment after total knee arthroplasty. J Bone Joint Surg Br. 1991;73(5):709–14.
Rebal BA, Babatunde OM, Lee JH, Geller JA, Patrick DAJ, Macaulay W. Imageless computer navigation in total knee arthroplasty provides superior short-term functional outcomes: a meta-analysis. J Arthroplast US. 2014;29(5):938–44.
Choong PF, Dowsey MM, Stoney JD. Does accurate anatomical alignment result in better function and quality of life? Comparing conventional and computer-assisted total knee arthroplasty. J Arthroplast US. 2009;24(4):560–9.
Khakha RS, Chowdhry M, Sivaprakasam M, Kheiran A, Chauhan SK. Radiological and functional outcomes in computer-assisted total knee arthroplasty between consultants and trainees – a prospective randomized controlled trial. J Arthroplast US. 2015;30(8):1344–7.
Alcelik IA, Blomfield MI, Diana G, Gibbon AJ, Carrington N, Burr S. A comparison of short-term outcomes of minimally invasive computer-assisted vs minimally invasive conventional instrumentation for primary total knee arthroplasty: a systematic review and meta-analysis. J Arthroplast US. 2016;31(2):410–8.
Dillon JM, Clarke JV, Kinninmonth A, Gregori A, Picard F. Dynamic functional outcome assessment in navigated TKR using gait analysis. J Bone Joint Surg Br Proc. 2008;90-B:567.
NJRR A. Australian National Joint Registry 2016.
Kalairajah Y, Simpson D, Cossey AJ, Verrall GM, Spriggins AJ. Blood loss after total knee replacement: effects of computer-assisted surgery. J Bone Joint Surg Br. 2005;87(11):1480–2.
Kalairajah Y, Cossey AJ, Verrall GM, Ludbrook G, Spriggins AJ. Are systemic emboli reduced in computer-assisted knee surgery?: a prospective, randomised, clinical trial. J Bone Joint Surg Br. 2006;88(2):198–202.
Stulberg SD. Computer navigation as a teaching instrument in knee reconstruction surgery. J Knee Surg. 2007;20(2):165–72.
Picard F, Moholkar K, Gregori A, Deep K, Kinninmonth A. Role of computer-assisted surgery (CAS) in training and outcomes. Orthop Trauma [Internet]. 2014;28(5):322–6. https://doi.org/10.1016/j.mporth.2014.08.006.
Smith BRK, Deakin AH, Baines J, Picard F. Computer navigated total knee arthroplasty: the learning curve. Comput Aided Surg Engl. 2010;15(1–3):40–8.
Gofton W, Dubrowski A, Tabloie F, Backstein D. The effect of computer navigation on trainee learning of surgical skills. J Bone Joint Surg Am. 2007;89:2819–27.
Bauwens K, Matthes G, Wich M, Gebhard F, Hanson B, Ekkernkamp A, Stengel D. Navigated total knee replacement. A meta-analysis. J Bone Joint Surg Am. 2007;89:261–9.
Harvie P, Sloan K, Beaver RJ. Computer navigated total knee arthroplasty: aspects of a single unit’s experience of 777 cases. Comput Aided Surg. 2011;16:188–95.
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Deep, K., Picard, F. (2022). Computer-Assisted Total Knee Arthroplasty: Stepwise Approach. In: Sharma, M. (eds) Knee Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-16-8591-0_31
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DOI: https://doi.org/10.1007/978-981-16-8591-0_31
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