Cargando…

Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?

Computer-assisted total knee arthroplasty (CAS) remains controversial. Some authors defend that its improvement in knee alignment and positioning positively impacts arthroplasty survival rates, while others have stated that there is minimal or no difference compared to the conventional technique (cT...

Descripción completa

Detalles Bibliográficos
Autores principales: Chávez-Valladares, Sergio, Trigueros-Larrea, Jose Maria, Pais-Ortega, Sergio, González-Bedia, Maria Antonia, Caballero-García, Alberto, Córdova, Alfredo, Noriega-González, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533044/
https://www.ncbi.nlm.nih.gov/pubmed/37763133
http://dx.doi.org/10.3390/jpm13091365
_version_ 1785112104596930560
author Chávez-Valladares, Sergio
Trigueros-Larrea, Jose Maria
Pais-Ortega, Sergio
González-Bedia, Maria Antonia
Caballero-García, Alberto
Córdova, Alfredo
Noriega-González, David
author_facet Chávez-Valladares, Sergio
Trigueros-Larrea, Jose Maria
Pais-Ortega, Sergio
González-Bedia, Maria Antonia
Caballero-García, Alberto
Córdova, Alfredo
Noriega-González, David
author_sort Chávez-Valladares, Sergio
collection PubMed
description Computer-assisted total knee arthroplasty (CAS) remains controversial. Some authors defend that its improvement in knee alignment and positioning positively impacts arthroplasty survival rates, while others have stated that there is minimal or no difference compared to the conventional technique (cTKA). This paper features a retrospective, single-center, single-surgeon study, evaluating CAS surgery vs. regular cTKA in patients who consecutively underwent surgery between 2015 and 2017 (60 CAS patients vs. 59 cTKA). Data collection includes surgery duration, length of stay, blood loss and both preoperative and postoperative clinical outcome evaluation using WOMAC, SF-12, Forgotten Joint Score and VAS. Radiograph evaluation includes the tibiofemoral angle, posterior condylar offset and its ratio, and notching frequency and measurement. A total of 119 patients were included: 60 in the CAS group and 59 in the cTKA. Mean follow-up was 5.61 years (Max 7.83–Min 5.02 years). No clinically relevant preoperative differences were observed between the groups. Postoperatively, both groups showed similar functional results (WOMAC, SF-12, FJS, KSS, and VAS) with similar complication rates. The CAS group had an increased surgery time by a mean of 12 min (107.02 ± 15.22 vs. 95.32 + 13.87; p = 0.00) as well as a higher notching frequency and size (40% vs. 13.60%; p = 0.013; 1.239 mm ± 1.7604 vs. 0.501 mm ± 1.4179; p = 0.031). CAS obtained similar functional, radiological, and complication rates to cTKA at the expense of increasing surgery time and notching frequency and size.
format Online
Article
Text
id pubmed-10533044
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-105330442023-09-28 Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit? Chávez-Valladares, Sergio Trigueros-Larrea, Jose Maria Pais-Ortega, Sergio González-Bedia, Maria Antonia Caballero-García, Alberto Córdova, Alfredo Noriega-González, David J Pers Med Article Computer-assisted total knee arthroplasty (CAS) remains controversial. Some authors defend that its improvement in knee alignment and positioning positively impacts arthroplasty survival rates, while others have stated that there is minimal or no difference compared to the conventional technique (cTKA). This paper features a retrospective, single-center, single-surgeon study, evaluating CAS surgery vs. regular cTKA in patients who consecutively underwent surgery between 2015 and 2017 (60 CAS patients vs. 59 cTKA). Data collection includes surgery duration, length of stay, blood loss and both preoperative and postoperative clinical outcome evaluation using WOMAC, SF-12, Forgotten Joint Score and VAS. Radiograph evaluation includes the tibiofemoral angle, posterior condylar offset and its ratio, and notching frequency and measurement. A total of 119 patients were included: 60 in the CAS group and 59 in the cTKA. Mean follow-up was 5.61 years (Max 7.83–Min 5.02 years). No clinically relevant preoperative differences were observed between the groups. Postoperatively, both groups showed similar functional results (WOMAC, SF-12, FJS, KSS, and VAS) with similar complication rates. The CAS group had an increased surgery time by a mean of 12 min (107.02 ± 15.22 vs. 95.32 + 13.87; p = 0.00) as well as a higher notching frequency and size (40% vs. 13.60%; p = 0.013; 1.239 mm ± 1.7604 vs. 0.501 mm ± 1.4179; p = 0.031). CAS obtained similar functional, radiological, and complication rates to cTKA at the expense of increasing surgery time and notching frequency and size. MDPI 2023-09-08 /pmc/articles/PMC10533044/ /pubmed/37763133 http://dx.doi.org/10.3390/jpm13091365 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chávez-Valladares, Sergio
Trigueros-Larrea, Jose Maria
Pais-Ortega, Sergio
González-Bedia, Maria Antonia
Caballero-García, Alberto
Córdova, Alfredo
Noriega-González, David
Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title_full Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title_fullStr Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title_full_unstemmed Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title_short Clinical and Radiological Outcomes of Computer-Assisted versus Conventional Total Knee Arthroplasty at 5-Year Follow-Up: Is There Any Benefit?
title_sort clinical and radiological outcomes of computer-assisted versus conventional total knee arthroplasty at 5-year follow-up: is there any benefit?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10533044/
https://www.ncbi.nlm.nih.gov/pubmed/37763133
http://dx.doi.org/10.3390/jpm13091365
work_keys_str_mv AT chavezvalladaressergio clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT trigueroslarreajosemaria clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT paisortegasergio clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT gonzalezbediamariaantonia clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT caballerogarciaalberto clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT cordovaalfredo clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit
AT noriegagonzalezdavid clinicalandradiologicaloutcomesofcomputerassistedversusconventionaltotalkneearthroplastyat5yearfollowupisthereanybenefit