A comparison of early clinical outcome in computer assisted surgery and conventional technique in minimally invasive total knee arthroplasty.
OBJECTIVE
To compare the clinical outcomes of minimally invasive total knee arthroplasty (MIS TKA) with and without computer assisted surgery (CAS).


METHODS
From September 2007 to February 2008, 64 patients (70 knees) underwent MIS TKA were included. Clinical data such as operative time, pain score, total blood loss and Radiographic data were recorded and compared.


RESULTS
There were no significant different in clinical outcome of both groups but range of motion of MIS group was better than CAS group. However, the percentage of outlier of bone cut in CAS group was 6.5% on both femur and tibia while percentage of outlier in MIS group was 16.6% on femur and 25% on tibia.


CONCLUSIONS
Combining CAS with MIS TKA showed improvement of accuracy in coronal bone cut without increase of operative time or complications. The difference of ROM may be due to different prosthesis design in each group.
Chaiyakit
Pruk
P
Department of Orthopaedic Surgery, Faculty of Medicine, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand. pchaiyakit@yahoo.com
Hongku
Natthapong
N
Meknavin
Surapoj
S
D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D020370:Osteoarthritis, Knee / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome