Computer-assisted navigation in total knee arthroplasty: a review of literature
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Valentin Michael Quack
,
Susanne Kathrein
Abstract
Computer-assisted navigation surgery (CAS) has been performed in total knee arthroplasty (TKA) for approximately 10 years. This technique offers experienced and inexperienced surgeons improved control and reproducible results. Currently, 30% of primary total knee replacements are performed using the CAS technique in Germany. The main problems after total knee replacement are generally aseptic loosening, instability and infection. According to various authors, the main reason for aseptic loosening is an inadequate alignment of the mechanical limb axis. Several level I and II studies have demonstrated that CAS leads to significantly less axial deviation. Nevertheless, there are critical arguments against CAS for routine use, such as longer operation times and higher costs. Additionally, there are still no long-term results available that post a definitive statement about lower revision rates, declining numbers of aseptic loosening, cost-effectiveness and clinical outcomes following CAS.
©2012 by Walter de Gruyter Berlin Boston
Articles in the same Issue
- Masthead
- Masthead
- Editorial
- Computer-assisted orthopedic surgery
- Research Articles
- Fluoroscopy-based computer-assisted navigation for implant placement and hip resurfacing arthroplasty in the proximal femur: the zero-dose C-arm navigation approach
- Integrating medical devices in the operating room using service-oriented architectures
- System architecture for intraoperative ultrasound registration in image-based medical navigation
- Ultrasound-based registration of the pelvic coordinate system in the lateral position using symmetry for total hip replacement
- An ICP variant with anisotropic weighting to accommodate measurement errors in A-Mode ultrasound-based registration
- Modular design of a miniaturized surgical robot system
- Computer-assisted navigation in total knee arthroplasty: a review of literature
- Component sizing in total knee arthroplasty: patient-specific guides vs. computer-assisted navigation
- A new approach to implant alignment and ligament balancing in total knee arthroplasty focussing on joint loads
- Precision freehand sculpting for unicondylar knee replacement: design and experimental validation
- The use of computer-assisted orthopaedic surgery in complex cases of hip and knee arthroplasty: experience from a developing country
Articles in the same Issue
- Masthead
- Masthead
- Editorial
- Computer-assisted orthopedic surgery
- Research Articles
- Fluoroscopy-based computer-assisted navigation for implant placement and hip resurfacing arthroplasty in the proximal femur: the zero-dose C-arm navigation approach
- Integrating medical devices in the operating room using service-oriented architectures
- System architecture for intraoperative ultrasound registration in image-based medical navigation
- Ultrasound-based registration of the pelvic coordinate system in the lateral position using symmetry for total hip replacement
- An ICP variant with anisotropic weighting to accommodate measurement errors in A-Mode ultrasound-based registration
- Modular design of a miniaturized surgical robot system
- Computer-assisted navigation in total knee arthroplasty: a review of literature
- Component sizing in total knee arthroplasty: patient-specific guides vs. computer-assisted navigation
- A new approach to implant alignment and ligament balancing in total knee arthroplasty focussing on joint loads
- Precision freehand sculpting for unicondylar knee replacement: design and experimental validation
- The use of computer-assisted orthopaedic surgery in complex cases of hip and knee arthroplasty: experience from a developing country
