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J Knee Surg 2014; 27(03): 171-176
DOI: 10.1055/s-0034-1374814
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Does the Use of Navigation in Total Knee Arthroplasty Affect Outcomes?

Adrian W. Clayton
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Jeffrey J. Cherian
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Samik Banerjee
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Bhaveen H. Kapadia
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Julio J. Jauregui
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Steven F. Harwin
2   Department of Orthopaedic Surgery, Beth Israel Medical Center, New York, New York
,
Michael A. Mont
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

19 February 2014

16 March 2014

Publication Date:
24 April 2014 (online)

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Abstract

Numerous studies have demonstrated that deviation from the mechanical axis of more than 3 degrees can lead to increased complications and decreased patient satisfaction. The stimulus for navigation of total knee arthroplasty (TKA) was born out of the need for more precise and reliable component alignment. Proponents believe that navigated TKA has the theoretical benefits of improved implant survivorship, better functional outcomes, and greater patient satisfaction. Several studies have shown that intraoperative use of navigation results in superior component positioning when compared with conventional TKA. However, because of concerns about higher institutional costs, intraoperative difficulties, steep learning curves, and potential tracker pin complications, navigation TKA has not gained wide popularity. Moreover, to fully evaluate the use of navigation in TKA, we believe that larger prospective randomized studies are required to clearly define outcomes, as well as economic implications.

Keywords

computer-assisted - total knee arthroplasty - navigation
 

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