Abstract
Between September 2000 and February 2002 we inserted 120 total knee arthroplasties. In 60 patients we used the standard technique, and in 60 patients we used the OrthoPilot navigation system. Postoperatively all patients had standing long radiographs of the lower extremity from the hip joint to the ankle. We considered the ideal value of the anatomic lateral tibiofemoral angle (LTFA) to be 174°. In the standard group the mean value of LTFA was 174.9° and in the navigation group 174.3°. A deviation between 0° and 2° from the ideal value was seen in 42 cases in the standard group and in 53 cases in the navigation group. In the standard group 18 cases had a deviation of more than 2.1°, whereas there were only seven cases in the navigation group with a deviation exceeding 2.1°. There were no complications related to the use of the navigation system. The system affords a possibility to place femoral and tibial components precisely with less axis deviation than with the conventional technique.
Résumé
Entre septembre 2000 et février 2002 nous avons implanté 120 arthroplasties totales du genou. Chez 60 malades nous avons utilisé la technique standard et chez 60 malades nous avons utilisé le système de navigation OrthoPilot. Après l'opération tous les malades avaient une grande radiographie du membre inférieur, de la hanche à la cheville. Nous avons considéré que la valeur idéale de l'angle tibiofémoral latéral (LTFA) était de 174°. Dans le groupe standard la valeur moyenne de LTFA était 174.9°, dans le groupe navigation de 174.3°. Une déviation entre 0° et 2° de la valeur idéale a été notée dans 42 cas dans le groupe standard et dans 53 cas dans le groupe navigation. Dans le groupe standard 18 cas avaient une déviation de plus que 2.1°, alors qu'il y avait seulement 7 cas dans le groupe navigation avec une déviation dépassant 2.1°. Il n'y avait pas de complications relatives à l'usage du système de navigation. Le système offre une possibilité de placer les composants fémoral et tibial précisément avec moins de déviation de l'axe qu'avec la technique conventionnelle.
Similar content being viewed by others
References:
Bargren JH, Blaha JD, Freeman MAR (1983) Alignment in total knee arthroplasty. Clin Orthop 173:178–183
Delp SL, Stulberg SD, Davies B, Picard F, Leitner F (1998) Computer assisted knee replacement. Clin Orthop 354:49–56
Elloy MA, Manning MP, Johnson R (1992) Accuracy of intramedullary alignment in total knee replacement. J Biomed 14:363–370
Gossé F, Brack C, Gotte H, Roth M, Ruhmann O, Schweikard A, Vahldiek M (1997) Roboterunterstützung in der Knieendoprothetik. Orthopäde 26:258–266
Jeffery RS, Morris RW, Denham RA (1991) Coronal alignment after total knee replacement. J Bone Joint Surg [Br] 73:709–714
Jenny JY, Boeri C (2001) Navigiert implantierte Knietotalendoprothesen—eine Vergleichsstudie zum konvetionellen Instrumentarium. Z Orthop 139:117–119
Katz MM, Hungerford DS, Krakow KA, Lennox DW (1987) Results of total knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis. J Bone Joint Surg [Am] 69:225–233
Lonner JH, Laird MT, Stuchin SA (1996) Effect of rotation and knee flexion on radiographic alignment in total knee arthroplasties. Clin Orthop 331:102–106
Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg [Am] 59:77–79
Mielke RK, Clemens U, Jens JH, Kershally S (2001) Navigation in der Knieendoprothetik—vorläufige klinische Erfahrungen und prospektiv vergleichende Studie gegenüber konventioneller Implantationstechnik. Z Orthop 139:100–116
Oswald MH, Jakob RP, Schneider E, Hoogewood HM (1993) Radiological analysis of normal axial alignment of femur and tibia in view of total knee arthroplasty. J Arthroplasty 8:419–426
Patel DV, Ferris BD, Aichroth PM (1991) Radiological study of alignment after total knee replacement. Int Ortop 15:209–210
Petersen TL, Engh GA (1988) Radiographic assessment of knee alignment after total knee arthroplasty. J Arthroplasty 1:67–72
Prakash U, Wigderowitz CA, McGurty DW, Rowley DI (2001) Computerised measurement of tibiofemoral alignment. J Bone Joint Surg [Br] 83:819–824
Ritter MA, Faris PM, Keating EM, Meding JB (1994) Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop 299:153–156
Saleh KJ, Sherman P, Katkin P, Windsor R et al (2001) Total knee arthroplasty after open reduction and internal fixation of fractures of the tibial plateau. J Bone Joint Surg [Am] 83:1144–1148
Stulberg SD, Loan P, Sarin V (2002) Computer-assisted navigation in total knee replacement: results of an initial experience in thirty-five patients. J Bone Joint Surg [Am] 84:90–98
Toksvig-Larsen S et al (1998) Fixation of the tibial component of total knee arthroplasty after high tibial osteotomy. J Bone Joint Surg [Br] 80:295–297
Townley ChO (1985) The anatomic total knee resurfacing arthroplasty. Clin Orthop 192:82–96
Waugh MTW (1985) Tibiofemoral alignment and the results of knee replacement. J Bone Joint Surg [Br] 67:551–556
Windsor RE, Insall JN, Vince KG (1988) Technical considerations of total knee arthroplasty after proximal tibial osteotomy. J Bone Joint Surg [Am] 70:547–555
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hart, R., Janeček, M., Chaker, A. et al. Total knee arthroplasty implanted with and without kinematic navigation. International Orthopaedics (SICOT) 27, 366–369 (2003). https://doi.org/10.1007/s00264-003-0501-6
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-003-0501-6