Computer-assisted TKA: greater precision, doubtful clinical efficacy: affirms.
Component and limb alignment are essential surgical variables that influence the long-term performance of a total knee arthroplasty (TKA). Total knee arthroplasty failure remains multifactorial, and computer-assisted surgical techniques may address only part of the failure pathophysiology. Despite attempting to use computer-assisted surgical techniques to improve TKA alignment, recent evidence has reported that the entire nature of the computer-assisted experience is not particularly forgiving, as significant increases in time and complications remain problematic. It appears computer-assisted surgical techniques are not yet "ready for primetime" with reproducible and proven long-term benefits for patients. Further studies are needed to better determine the precise target toward which to aim computer-assisted surgery efforts.
Berend
Michael E
ME
Center for Hip & Knee Surgery, 1199 Hadley Road, Mooresville, IN 46158, USA.
D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging* / Q000601:surgery*; D011859:Radiography; D015203:Reproducibility of Results; D012371:Robotics / Q000379:methods*; D012680:Sensitivity and Specificity; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome