Computer Navigation Not Statistically Different

Computer-navigated total knee replacement (TKR) provides no advantage over the traditional surgical procedure, according to a Korean study reported in the November issue of the Journal of Bone and Joint Surgery. The use of computer-assisted navigation has been touted as improving the positioning, sizing and alignment of replacement knee joints, resulting in greater durability of joints and an overall improvement in patient movement.

Researchers in Korea compared the results of 520 patients with osteoarthritis who underwent computer-navigated TKR for one knee and conventional TKR for the other knee. Patients included 452 women (904 knees) and 68 men (136 knees). Patients were assessed before surgery, and then at 3 months and 1 year following surgery, and annually thereafter, for 10 to 12 years (mean assessment duration: 10.8 years). Patients were assessed clinically using the Knee Society rating system and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and radiographically using X-rays or CT scans.

No statistically significant differences were noted between the computer-navigated and traditional procedure scores pertaining to knee function, pain, knee motion and activity, according to the study. In addition, the Knee Society and WOMAC scores were comparable for both procedures.

“Our mid-term follow-up data demonstrated no difference in clinical function or alignment and survivorship of the components between the knees that underwent computer-navigated total knee arthroplasty and those that underwent conventional total knee arthroplasty, ” said Young-Hoo Kim, M.D., The Joint Replacement Center, Ewha Womans University School of Medicine in Seoul, Korea.