
The hypothesis of this study is that computer-aided navigation experience could improve the ability to better place components in the coronal plane and to improve visual/spatial awareness based on the ability of navigation to provide instant feedback. The purpose of this study is to demonstrate the educational role of the navigation system to obtain a better alignment of the prosthetic components with standard instrumentation after a computer-aided navigation experience.One hundred fifty patients were operated by the same surgeon, with more than 5 years experience with TKA. They were equally divided in three groups: group A (operated with non-navigated technique by surgeon without computer-assisted experience); group B (operated with computer-assisted surgery by the same surgeon); group C (operated with non-navigated technique by the same surgeon after the computer-navigated experience). We evaluated by full-length weight-bearing radiographs the overall alignment of the lower limb in the coronal plane. The optimum placement of the components was considered when the angle was within the limits of ±3° varus/valgus on the coronal x-rays. Comparison between groups was done using one-way ANOVA followed by post hoc Bonferroni test and Pearson chi-square statistics for proportions of optimum placement (P<0.05).In the group A 34 patients (68%) had the optimum placement on the coronal x-rays; in the group B they were 46 (92%) and in the group 41 (82%). The difference is statistically significant in comparing group A and Group B (<0.001), group A and group C (P=0.04), but not for group B and C (P=0.2).We believe that the navigation system has an educational role to improve the ability of surgeon of positioning prosthetic components precisely in the coronal plane.
Aged, 80 and over, Male, Analysis of Variance, Knee Joint, Middle Aged, Radiography, Surgery, Computer-Assisted, Prosthesis Fitting, Humans, Female, Clinical Competence, Arthroplasty, Replacement, Knee, Knee Prosthesis, Learning Curve, Aged
Aged, 80 and over, Male, Analysis of Variance, Knee Joint, Middle Aged, Radiography, Surgery, Computer-Assisted, Prosthesis Fitting, Humans, Female, Clinical Competence, Arthroplasty, Replacement, Knee, Knee Prosthesis, Learning Curve, Aged
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