title: Does Computer Assisted Navigation Improve Functional Outcomes and Implant Survivability after Total Knee Arthroplasty?
abstract: The objective of this study was to determine whether computer assisted navigation in total knee arthroplasty (TKA) improves functional outcomes and implant survivability using data from a large national database. We analysed 9054 primary TKA procedures performed between 2006 and 2012 from the New Zealand National Joint Registry. Functional outcomes were assessed using Oxford Knee Questionnaires at six months and five years. On multivariate analysis, there was no significant difference in mean Oxford Knee Scores between the navigated and non-navigated groups at six months (39.0 vs 38.1, P=0.54) or five years (42.2 vs 42.0, P=0.76). At current follow-up, there was no difference in revision rates between navigated and non-navigated TKA (0.46 vs 0.43 revisions 100 component years, P=0.8).
authors.affiliation: Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand.
authors.forename: Timothy D
authors.initials: TD
authors.lastname: Roberts
authors.affiliation: Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Clatworthy
authors.affiliation: Christchurch Clinical School, University of Otago, Christchurch, New Zealand.
authors.forename: Chris M
authors.initials: CM
authors.lastname: Frampton
authors.affiliation: Department of Orthopaedic Surgery, North Shore Hospital, Auckland, New Zealand.
authors.forename: Simon W
authors.initials: SW
authors.lastname: Young
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D007719:Knee Joint / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009520:New Zealand; D020370:Osteoarthritis, Knee / Q000601:surgery*; D019736:Prostheses and Implants; D012042:Registries; D012086:Reoperation / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome
keywords: Oxford Knee Score; computer-assisted surgery; joint registry; navigated total knee; revision rate; total knee arthroplasty