Comparison of Computer-Assisted Navigation and Conventional Instrumentation for Bilateral Total Knee Arthroplasty

被引：63

作者：

Weng, Yi-Jan ^{[1
]}

Hsu, Robert Wen-Wei ^{[1
]}

Hsu, Wei-Hsiu ^{[1
]}

机构：

[1] Chang Gung Univ, Div Sports Med, Dept Orthoped Surg, Chang Gung Mem Hosp Chia Yi, Chiayi, Taiwan

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 05期

关键词：

total knee arthroplasty; computer-assisted surgery; navigation; mechanical axis; ALIGNMENT;

D O I：

10.1016/j.arth.2008.03.006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This prospective study analyzed computer-assisted surgery (CAS) navigation and conventional instrumentation in bilateral total knee arthroplasty. Sixty patients underwent CAS navigation in I knee and conventional instrumentation in the contralateral knee randomly. The target zone resided in the reconstructed mechanical axis within a range of 30 varus or valgus. The reconstructed mechanical axes in the CAS navigation group were significantly closer to planned axes than those in the conventional group. Average blood loss in the CAS navigation group was lower, whereas mean tourniquet time was longer than in the conventional group. No surgery-related complications existed in either group. The results indicate that, despite longer operative time, CAS navigation total knee arthroplasty is a safe procedure and outperforms conventional technique in accuracy of leg axes.

引用

页码：668 / 673

页数：6

共 26 条

[21]

LASKIN RS, 1984, ORTHOPEDICS, V7, P62, DOI 10.3928/0147-7447-19840101-09

[22]

RITTER MA, 1994, CLIN ORTHOP RELAT R, P153

[23] Positioning of total knee arthroplasty with and without navigation support - A prospective, randomised study [J].