1. No differences in long-term clinical outcomes and survival rate of navigation-assisted versus conventional primary mobile-bearing total knee arthroplasty: A minimum 10-year follow-up.
- Author
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Lee SS, Chang MJ, Cho JH, Oh J, and Moon YW
- Subjects
- Humans, Survival Rate, Follow-Up Studies, Knee Joint diagnostic imaging, Knee Joint surgery, Retrospective Studies, Arthroplasty, Replacement, Knee, Surgery, Computer-Assisted, Osteoarthritis, Knee surgery, Knee Prosthesis
- Abstract
Purpose: This study aimed to compare long-term clinical and radiographic outcomes and survival rates between navigation-assisted (NAV) total knee arthroplasty (TKA) and conventional (CON) TKA using a mobile-bearing insert., Methods: From May 2008 to December 2009, 45 and 63 mobile-bearing TKA patients were enroled in the CON- and NAV-TKA groups with 146.8 months follow-up, respectively. Clinical outcomes (Western Ontario and McMaster University Osteoarthritis Index and Knee Society Scores), radiographic outcomes (hip-knee-ankle [HKA], lateral distal femoral, medial proximal tibial, γ, and δ angles), and survivorship were compared between both groups., Results: The number of HKA angle outliers (more than 3 degrees or less than -3 degree) was significantly lower in the NAV-TKA group (24.4% vs. 9.5%, p = 0.036) than in the CON-TKA group. However, long-term clinical outcomes were similar between both groups. The cumulative survival rate (best-case scenario) was 98.3% in the CON-TKA group and 97.5% in the NAV-TKA group, with no significant difference between the groups (p = 0.883)., Conclusion: Long-term clinical outcomes and survival rates were similar between the two groups despite fewer outliers of postoperative lower-limb alignment in the NAV-TKA group. Excellent survival rates were observed in both groups using mobile-bearing inserts., Level of Evidence: Level IV, case series., (© 2024 European Society of Sports Traumatology, Knee Surgery and Arthroscopy.)
- Published
- 2024
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