Clinical Outcomes After Computer-assisted Versus Conventional Total Knee Arthroplasty

Orthopedics
Chunming XieRong Tang

Abstract

The purpose of this study was to determine whether the use of computer-assisted surgery can improve the clinical results in total knee arthroplasty (TKA) compared with conventional methods of TKA.A literature search of PubMed (1966 to August 2011), CENTRAL (Cochrane Controlled Trials Register; issue 3, 2011), and EMBASE (1984 to August 2011) was conducted. Randomized, controlled trials detecting the clinical outcomes of TKA with or without the use of computer-assisted surgery were identified. A meta-analysis of these clinical trials was then performed. Twenty-one articles were included in the meta-analysis. The results confirmed that operative time was significantly increased with the use of computer-assisted TKA (mean standard difference, 14.68; 95% confidence interval [CI], 11.74 to 17.62; P<.00001], whereas no significant difference existed between the 2 groups regarding the total operative blood loss (mean standard difference, -54.38; 95% CI, -119.76 to 11.00; P=.10). As for other clinical outcomes, including the Knee Society Score (mean standard difference, 4.47; 95% CI, -1.05 to 9.99; P=.36) and range of motion (mean standard difference, 1.38; 95% CI, -1.43 to 4.18; P=.34), the use of computer-assisted TKA did not help to...Continue Reading

References

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Citations

Jan 24, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Patrick WeberPeter E Müller
Feb 2, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C BaierJ Beckmann
Feb 6, 2013·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·Luke T NicholsonEric Smith
Dec 15, 2015·Advances in Orthopedics·William A LeoneChristopher R Anderson
Sep 7, 2017·Orthopedics·Ahmed SiddiqiNeil P Sheth
Apr 17, 2018·EFORT Open Reviews·Charles RivièreJustin Cobb
Mar 30, 2018·Advances in Orthopedics·P KoenenH Bäthis
Dec 1, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dong-Yeong LeeDong-Geun Kang
Nov 19, 2020·EFORT Open Reviews·Theofilos Karachalios, George A Komnos
Feb 24, 2021·Archives of Orthopaedic and Trauma Surgery·Matthias MeyerMarkus Weber
Sep 11, 2017·Orthopaedics & Traumatology, Surgery & Research : OTSR·C RivièreS Parratte

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