Table of Contents Author Guidelines Submit a Manuscript
Letter to the Editor
Advances in Orthopedics
Volume 2015, Article ID 719091, 9 pages
http://dx.doi.org/10.1155/2015/719091
Review Article

A Systematic Literature Review of Three Modalities in Technologically Assisted TKA

1The Leone Center for Orthopedic Care, Holy Cross Hospital, 4725 N. Federal Highway, Fort Lauderdale, FL 33308, USA
2Department of Bioengineering and Clinical Research, OrthoSensor Inc., 1855 Griffin Road, Suite A-310, Dania Beach, FL 33004, USA

Received 1 September 2015; Revised 9 October 2015; Accepted 12 October 2015

Academic Editor: Panagiotis Korovessis

Copyright © 2015 William A. Leone et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Bhandari, J. Smith, L. E. Miller, and J. E. Block, “Clinical andeconomic burden of revision knee arthroplasty,” Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, vol. 5, pp. 89–94, 2012. View at Google Scholar
  2. S. Parratte, M. W. Pagnano, R. T. Trousdale, and D. J. Berry, “Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements,” The Journal of Bone & Joint Surgery—American Volume, vol. 92, no. 12, pp. 2143–2149, 2010. View at Publisher · View at Google Scholar · View at Scopus
  3. K. Gromov, M. Korchi, M. G. Thomsen, H. Husted, and A. Troelsen, “What is the optimal alignment of the tibial and femoral components in knee arthroplasty?” Acta Orthopaedica, vol. 85, no. 5, pp. 480–487, 2014. View at Publisher · View at Google Scholar · View at Scopus
  4. K. A. Krackow, L. Serpe, M. J. Phillips, M. Bayers-Thering, and W. M. Mihalko, “A new technique for determining proper mechanical axis alignment during total knee arthroplasty: progress toward computer-assisted TKA,” Orthopedics, vol. 22, no. 7, pp. 698–702, 1999. View at Google Scholar · View at Scopus
  5. D. K. Bae and S. J. Song, “Computer assisted navigation in knee arthroplasty,” Clinics in Orthopedic Surgery, vol. 3, no. 4, pp. 259–267, 2011. View at Google Scholar · View at Scopus
  6. N. Friederich and R. Verdonk, “The use of computer-assisted orthopedic surgery for total knee replacement in daily practice: a survey among ESSKA/SGO-SSO members,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 16, no. 6, pp. 536–543, 2008. View at Publisher · View at Google Scholar · View at Scopus
  7. C. L. Allen, G. J. Hooper, B. J. Oram, and J. E. Wells, “Does computer-assisted total knee arthroplasty improve the overall component position and patient function?” International Orthopaedics, vol. 38, no. 2, pp. 251–257, 2014. View at Publisher · View at Google Scholar · View at Scopus
  8. K. Bauwens, G. Matthes, M. Wich et al., “Navigated total knee replacement: a meta-analysis,” The Journal of Bone & Joint Surgery—American Volum, vol. 89, no. 2, pp. 261–269, 2007. View at Publisher · View at Google Scholar · View at Scopus
  9. W. G. Blakeney, R. J. K. Khan, and J. L. Palmer, “Functional outcomes following total knee arthroplasty: a randomised trial comparing computer-assisted surgery with conventional techniques,” Knee, vol. 21, no. 2, pp. 364–368, 2014. View at Publisher · View at Google Scholar · View at Scopus
  10. Y. S. Brin, V. S. Nikolaou, L. Joseph, D. J. Zukor, and J. Antoniou, “Imageless computer assisted versus conventional total knee replacement. A Bayesian meta-analysis of 23 comparative studies,” International Orthopaedics, vol. 35, no. 3, pp. 331–339, 2011. View at Publisher · View at Google Scholar · View at Scopus
  11. R. S. J. Burnett and R. L. Barrack, “Computer-assisted total knee arthroplasty is currently of no proven clinical benefit: a systematic review,” Clinical Orthopaedics and Related Research, vol. 471, no. 1, pp. 264–276, 2013. View at Publisher · View at Google Scholar · View at Scopus
  12. X. Chen, H. Wang, Y. Cai, Q. Zhu, and J. Zhu, “Sagittal component alignment is less reliable than coronal component alignment in a Chinese population undergoing navigated TKA,” Journal of Orthopaedic Surgery and Research, vol. 9, no. 51, pp. 1–7, 2014. View at Publisher · View at Google Scholar · View at Scopus
  13. T. Cheng, X.-Y. Pan, X. Mao, G.-Y. Zhang, and X.-L. Zhang, “Little clinical advantage of computer-assisted navigation over conventional instrumentation in primary total knee arthroplasty at early follow-up,” The Knee, vol. 19, no. 4, pp. 237–245, 2012. View at Publisher · View at Google Scholar · View at Scopus
  14. P. F. Choong, M. M. Dowsey, and J. D. Stoney, “Does accurate anatomical alignment result in better function and quality of life? Comparing conventional and computer-assisted total knee arthroplasty,” Journal of Arthroplasty, vol. 24, no. 4, pp. 560–569, 2009. View at Publisher · View at Google Scholar · View at Scopus
  15. J. Cip, M. Widemschek, M. Luegmair, M. B. Sheinkop, T. Benesch, and A. Martin, “Conventional versus computer-assisted technique for total knee arthroplasty: a minimum of 5-year follow-up on 200 patients in a prospective randomized trial,” Journal of Arthroplasty, vol. 29, no. 9, pp. 1795–1802, 2014. View at Publisher · View at Google Scholar · View at Scopus
  16. A. S. Desai, A. Dramis, D. Kendoff, and T. N. Board, “Critical review of the current practice for computer-assisted navigation in total knee replacement surgery: cost-effectiveness and clinical outcome,” Current Reviews in Musculoskeletal Medicine, vol. 4, no. 1, pp. 11–15, 2011. View at Publisher · View at Google Scholar · View at Scopus
  17. J. Dexel, S. Kirschner, K. P. Günther, and J. Lützner, “Agreement between radiological and computer navigation measurement of lower limb alignment,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, no. 11, pp. 2721–2727, 2014. View at Publisher · View at Google Scholar
  18. G. S. Dyrhovden, O. Gothesen, S. H. L. Lygre et al., “Is the use of computer navigation in total knee arthroplasty improving implant positioning and function? A comparative study of 198 knees operated at a Norwegian district hospital,” BMC Musculoskeletal Disorders, vol. 14, article 321, 2013. View at Publisher · View at Google Scholar
  19. G. Ee, H. N. Pang, H. C. Chong, M. H. Tan, N. N. Lo, and S. J. Yeo, “Computer navigation is a useful intra-operative tool for joint line measurement in total knee arthroplasty,” The Knee, vol. 20, no. 4, pp. 256–262, 2013. View at Publisher · View at Google Scholar · View at Scopus
  20. A. Ensini, F. Catani, A. Leardini, M. Romagnoli, and S. Giannini, “Alignments and clinical results in conventional and navigated total knee arthroplasty,” Clinical Orthopaedics and Related Research, no. 457, pp. 156–162, 2007. View at Publisher · View at Google Scholar · View at Scopus
  21. P. Harvie, K. Sloan, and R. J. Beaver, “Computer navigation vs conventional total knee arthroplasty. five-year functional results of a prospective randomized trial,” Journal of Arthroplasty, vol. 27, no. 5, pp. 667–672.e1, 2012. View at Publisher · View at Google Scholar · View at Scopus
  22. C. M. Hiscox, E. R. Bohm, T. R. Turgeon, D. R. Hedden, and C. D. Burnell, “Randomized trial of computer-assisted knee arthroplasty: impact on clinical and radiographic outcomes,” Journal of Arthroplasty, vol. 26, no. 8, pp. 1259–1264, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. T.-W. Huang, L.-T. Kuo, K.-T. Peng, M. S. Lee, and R. W.-W. Hsu, “Computed tomography evaluation in total knee arthroplasty: computer-assisted navigation versus conventional instrumentation in patients with advanced valgus arthritic knees,” The Journal of Arthroplasty, vol. 29, no. 12, pp. 2363–2368, 2014. View at Publisher · View at Google Scholar · View at Scopus
  24. D. R. Johnson, D. A. Dennis, K. A. Kindsfater, and R. H. Kim, “Evaluation of total knee arthroplasty performed with and without computer navigation: a bilateral total knee arthroplasty study,” Journal of Arthroplasty, vol. 28, no. 3, pp. 455–458, 2013. View at Publisher · View at Google Scholar · View at Scopus
  25. Y. D. Kamat, K. M. Aurakzai, and A. R. Adhikari, “Total knee replacement in the obese patient: comparing computer assisted and conventional technique,” The Scientific World Journal, vol. 2014, Article ID 272838, 5 pages, 2014. View at Publisher · View at Google Scholar · View at Scopus
  26. Y.-H. Kim, J.-S. Kim, Y. Choi, and O.-R. Kwon, “Computer-assisted surgical navigation does not improve the alignment and orientation of the components in total knee arthroplasty,” The Journal of Bone & Joint Surgery—American Volume, vol. 91, no. 1, pp. 14–19, 2009. View at Publisher · View at Google Scholar · View at Scopus
  27. Y.-H. Kim, J.-W. Park, and J.-S. Kim, “Computer-navigated versus conventional total knee arthroplasty: a prospective randomized trial,” The Journal of Bone & Joint Surgery—American Volume, vol. 94, no. 22, pp. 2017–2024, 2012. View at Publisher · View at Google Scholar · View at Scopus
  28. J. B. Mason, T. K. Fehring, R. Estok, D. Banel, and K. Fahrbach, “Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery,” The Journal of Arthroplasty, vol. 22, no. 8, pp. 1097–1106, 2007. View at Publisher · View at Google Scholar
  29. J. B. Mason, T. K. Fehring, R. Estok, D. Banel, and K. Fahrbach, “Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery,” The Journal of Arthroplasty, vol. 22, no. 8, pp. 1097–1106, 2007. View at Publisher · View at Google Scholar · View at Scopus
  30. M. F. Meijer, I. H. F. Reininga, A. L. Boerboom, S. K. Bulstra, and M. Stevens, “Does imageless computer-assisted TKA lead to improved rotational alignment or fewer outliers? A systematic review,” Clinical Orthopaedics and Related Research, vol. 472, no. 10, pp. 3124–3133, 2014. View at Publisher · View at Google Scholar · View at Scopus
  31. M. Roche, L. Elson, and C. Anderson, “Dynamic soft tissue balancing in total knee arthroplasty,” Orthopedic Clinics of North America, vol. 45, no. 2, pp. 157–165, 2014. View at Publisher · View at Google Scholar · View at Scopus
  32. C. Disco and B. van der Meulen, Getting New Technologies Together, Walter de Gruyter, New York, NY, USA, 1998. View at Publisher · View at Google Scholar
  33. C. Schnurr, U. Münnich, P. Eysel, and D. P. König, “Computer-assisted joint replacement surgery,” Versicherungsmedizin, vol. 62, no. 1, pp. 16–19, 2010. View at Google Scholar · View at Scopus
  34. M. Yaffe, M. Luo, N. Goyal et al., “Clinical, functional, and radiographic outcomes following total knee arthroplasty with patient-specific instrumentation, computer-assisted surgery, and manual instrumentation: a short-term follow-up study,” International Journal of Computer Assisted Radiology and Surgery, vol. 9, no. 5, pp. 837–844, 2013. View at Publisher · View at Google Scholar · View at Scopus
  35. L. A. Zamora, K. J. Humphreys, A. M. Watt, D. Forel, and A. L. Cameron, “Systematic review of computer-navigated total knee arthroplasty,” ANZ Journal of Surgery, vol. 83, no. 1-2, pp. 22–30, 2013. View at Publisher · View at Google Scholar · View at Scopus
  36. B. M. Hetaimish, M. M. Khan, N. Simunovic, H. H. Al-Harbi, M. Bhandari, and P. K. Zalzal, “Meta-analysis of navigation vs conventional total knee arthroplasty,” The Journal of Arthroplasty, vol. 27, no. 6, pp. 1177–1182, 2012. View at Publisher · View at Google Scholar · View at Scopus
  37. S. H. Ajwani, M. Jones, J. W. Jarratt, G. J. Shepard, and W. G. Ryan, “Computer assisted versus conventional total knee replacement: a comparison of tourniquet time, blood loss and length of stay,” Knee, vol. 19, no. 5, pp. 606–610, 2012. View at Publisher · View at Google Scholar · View at Scopus
  38. Ø. Gøthesen, B. Espehaug, L. Havelin, G. Petursson, and O. Furnes, “Short-term outcome of 1,465 computer-navigated primary total knee replacements 2005–2008,” Acta Orthopaedica, vol. 82, no. 3, pp. 293–300, 2011. View at Publisher · View at Google Scholar · View at Scopus
  39. S. Hakki, K. J. Saleh, A. G. Potty, V. Bilotta, and D. Oliveira, “Columbus navigated TKA system: clinical and radiological results at a minimum of 5 years with survivorship analysis,” Orthopedics, vol. 36, no. 3, pp. e308–e318, 2013. View at Publisher · View at Google Scholar · View at Scopus
  40. J. Lützner, J. Dexel, and S. Kirschner, “No difference between computer-assisted and conventional total knee arthroplasty: five-year results of a prospective randomised study,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 21, no. 10, pp. 2241–2247, 2013. View at Publisher · View at Google Scholar · View at Scopus
  41. N. Nakano, T. Matsumoto, K. Ishida, N. Tsumura, R. Kuroda, and M. Kurosaka, “Long-term subjective outcomes of computer-assisted total knee arthroplasty,” International Orthopaedics, vol. 37, no. 10, pp. 1911–1915, 2013. View at Publisher · View at Google Scholar · View at Scopus
  42. C. Schnurr, I. Güdden, P. Eysel, and D. P. König, “Influence of computer navigation on TKA revision rates,” International Orthopaedics, vol. 36, no. 11, pp. 2255–2260, 2012. View at Publisher · View at Google Scholar · View at Scopus
  43. C. Xie, K. Liu, L. Xiao, and R. Tang, “Clinical outcomes after computer-assisted versus conventional total knee arthroplasty,” Orthopedics, vol. 35, no. 5, pp. e647–e653, 2012. View at Publisher · View at Google Scholar · View at Scopus
  44. M. Yaffe, P. Chan, N. Goyal, M. Luo, M. Cayo, and S. D. Stulberg, “Computer-assisted versus manual TKA: no difference in clinical or functional outcomes at 5-year follow-up,” Orthopedics, vol. 36, no. 5, pp. 627–632, 2013. View at Publisher · View at Google Scholar · View at Scopus
  45. R. N. de Steiger, Y. L. Liu, and S. E. Graces, “Computer navigation for total knee arthroplasty reduces the revision rate in patients less than sixty-five years of age,” The Journal of Bone & Joint Surgery—American Volume, vol. 97, no. 8, pp. 635–642, 2015. View at Google Scholar
  46. Ø. Gøthesen, J. Slover, L. Havelin, J. E. Askildsen, H. Malchau, and O. Furnes, “An economic model to evaluate cost-effectiveness of computer assisted knee replacement surgery in Norway,” BMC Musculoskeletal Disorders, vol. 14, article 202, 2013. View at Publisher · View at Google Scholar · View at Scopus
  47. E. J. Novak, M. D. Silverstein, and K. J. Bozic, “The cost-effectiveness of computer-assisted navigation in total knee arthroplasty,” The Journal of Bone & Joint Surgery—American Volume, vol. 89, no. 11, pp. 2389–2397, 2007. View at Publisher · View at Google Scholar · View at Scopus
  48. J. D. Slover, A. N. A. Tosteson, K. J. Bozic, H. E. Rubash, and H. Malchau, “Impact of hospital volume on the economic value of computer navigation for total knee replacement,” The Journal of Bone and Joint Surgery—American Volume, vol. 90, no. 7, pp. 1492–1500, 2008. View at Publisher · View at Google Scholar · View at Scopus
  49. D. C. Beringer, J. J. Patel, and K. J. Bozic, “An overview of economic issues in computer-assisted total joint arthroplasty,” Clinical Orthopaedics and Related Research, no. 463, pp. 26–30, 2007. View at Publisher · View at Google Scholar · View at Scopus
  50. S. Barke, E. Musanhu, C. Busch, G. Stafford, and R. Field, “Patient-matched total knee arthroplasty: does it offer any clinical advantages?” Acta Orthopaedica Belgica, vol. 79, no. 3, pp. 307–311, 2013. View at Google Scholar · View at Scopus
  51. S. M. Howell, K. Kuznik, M. L. Hull, and R. A. Siston, “Results of an initial experience with custom-fit positioning total knee arthroplasty in a series of 48 patients,” Orthopedics, vol. 31, no. 9, pp. 857–864, 2008. View at Publisher · View at Google Scholar · View at Scopus
  52. P. F. Lachiewicz and R. A. Henderson, “Patient-specific instruments for total knee arthroplasty,” Journal of the American Academy of Orthopaedic Surgeons, vol. 21, no. 9, pp. 513–518, 2013. View at Publisher · View at Google Scholar · View at Scopus
  53. M. P. Ast, D. Nam, and S. B. Haas, “Patient-specific instrumentation for total knee arthroplasty: a review,” Orthopedic Clinics of North America, vol. 43, no. 5, pp. e17–e22, 2012. View at Publisher · View at Google Scholar
  54. R. L. Barrack, E. L. Ruh, B. M. Williams, A. D. Ford, K. Foreman, and R. M. Nunley, “Patient specific cutting blocks are currently of no proven value,” The Journal of Bone and Joint Surgery—British Volume, vol. 94, no. 11, pp. 95–99, 2012. View at Publisher · View at Google Scholar · View at Scopus
  55. H. Fu, J. Wang, S. Zhou et al., “No difference in mechanical alignment and femoral component placement between patient-specific instrumentation and conventional instrumentation in TKA,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 23, no. 11, pp. 3288–3295, 2015. View at Publisher · View at Google Scholar · View at Scopus
  56. S. J. MacDessi, B. Jang, I. A. Harris, E. Wheatley, C. Bryant, and D. B. Chen, “A comparison of alignment using patient specific guides, computer navigation and conventional instrumentation in total knee arthroplasty,” The Knee, vol. 21, no. 2, pp. 406–409, 2014. View at Publisher · View at Google Scholar · View at Scopus
  57. J. W. Noble, C. A. Moore, and N. Liu, “The value of patient-matched instrumentation in total knee arthroplasty,” Journal of Arthroplasty, vol. 27, no. 1, pp. 153–155, 2012. View at Publisher · View at Google Scholar · View at Scopus
  58. S. H. Kim, H.-J. Lee, H.-J. Jung, J. S. Lee, and K. S. Kim, “Less femoral lift-off and better femoral alignment in TKA using computer-assisted surgery,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 21, no. 10, pp. 2255–2262, 2013. View at Publisher · View at Google Scholar · View at Scopus
  59. T. S. Watters, R. C. Mather III, J. A. Browne, K. R. Berend, A. V. Lombardi Jr., and M. P. Bolognesi, “Analysis of procedure-related costs and proposed benefits of using patient-specific approach in total knee arthroplasty,” Journal of Surgical Orthopaedic Advances, vol. 20, no. 2, pp. 112–116, 2011. View at Google Scholar · View at Scopus
  60. A. M. DeHaan, J. R. Adams, M. L. DeHart, and T. W. Huff, “Patient-specific versus conventional instrumentation for total knee arthroplasty: peri-operative and cost differences,” The Journal of Arthroplasty, vol. 29, no. 11, pp. 2065–2069, 2014. View at Publisher · View at Google Scholar · View at Scopus
  61. J. Y. Chen, S. J. Yeo, A. K. S. Yew et al., “The radiological outcomes of patient-specific instrumentation versus conventional total knee arthroplasty,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, no. 3, pp. 630–635, 2014. View at Publisher · View at Google Scholar · View at Scopus
  62. B. M. Stronach, C. E. Pelt, J. A. Erickson, and C. L. Peters, “Patient-specific instrumentation in total knee arthroplasty provides no improvement in component alignment,” Journal of Arthroplasty, vol. 29, no. 9, pp. 1705–1708, 2014. View at Publisher · View at Google Scholar · View at Scopus
  63. J. Victor, J. Dujardin, H. Vandenneucker, N. Arnout, and J. Bellemans, “Patient-specific guides do not improve accuracy in total knee arthroplasty: a prospective randomized controlled trial,” Clinical Orthopaedics and Related Research, vol. 472, no. 1, pp. 263–271, 2014. View at Publisher · View at Google Scholar · View at Scopus
  64. W. Barrett, D. Hoeffel, D. Dalury, J. B. Mason, J. Murphy, and S. Himden, “In-vivo alignment comparing patient specific instrumentation with both conventional and computer assisted surgery (CAS) instrumentation in total knee arthroplasty,” Journal of Arthroplasty, vol. 29, no. 2, pp. 343–347, 2014. View at Publisher · View at Google Scholar · View at Scopus
  65. B. Boonen, M. G. M. Schotanus, B. Kerens, W. van der Weegen, R. A. M. van Drumpt, and N. P. Kort, “Intra-operative results and radiological outcome of conventional and patient-specific surgery in total knee arthroplasty: a multicentre, randomised controlled trial,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 21, no. 10, pp. 2206–2212, 2013. View at Publisher · View at Google Scholar · View at Scopus
  66. K. Daniilidis and C. O. Tibesku, “A comparison of conventional and patient-specific instruments in total knee arthroplasty,” International Orthopaedics, vol. 38, no. 3, pp. 503–508, 2014. View at Publisher · View at Google Scholar · View at Scopus
  67. W. G. Hamilton, N. L. Parks, and A. Saxena, “Patient-specific instrumentation does not shorten surgical time: a prospective, randomized trial,” Journal of Arthroplasty, vol. 28, no. 8, pp. 96–100, 2013. View at Publisher · View at Google Scholar · View at Scopus
  68. A. Kotela and I. Kotela, “Patient-specific computed tomography based instrumentation in total knee arthroplasty: a prospective randomized controlled study,” International Orthopaedics, vol. 38, no. 10, pp. 2099–2107, 2014. View at Publisher · View at Google Scholar · View at Scopus
  69. S. Parratte, G. Blanc, T. Boussemart, M. Ollivier, T. Le Corroller, and J.-N. Argenson, “Rotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 21, no. 10, pp. 2213–2219, 2013. View at Publisher · View at Google Scholar · View at Scopus
  70. R. Russell, T. Brown, M. Huo, and R. Jones, “Patient-specific instrumentation does not improve alignment in total knee arthroplasty,” Journal of Knee Surgery, vol. 27, no. 06, pp. 501–504, 2014. View at Publisher · View at Google Scholar
  71. E. Thienpont, P. E. Schwab, and P. Fennema, “A systematic review and meta-analysis of patient-specific instrumentation for improving alignment of the components in total knee replacement,” Bone and Joint Journal B, vol. 96, no. 8, pp. 1052–1061, 2014. View at Publisher · View at Google Scholar · View at Scopus
  72. P. B. Voleti, M. J. Hamula, K. D. Baldwin, and G.-C. Lee, “Current data do not support routine use of patient-specific instrumentation in total knee arthroplasty,” Journal of Arthroplasty, vol. 29, no. 9, pp. 1709–1712, 2014. View at Publisher · View at Google Scholar · View at Scopus
  73. B. J. Vundelinckx, L. Bruckers, K. De Mulder, J. De Schepper, and G. Van Esbroeck, “Functional and radiographic short-term outcome evaluation of the visionaire system, a patient-matched instrumentation system for total knee arthroplasty,” Journal of Arthroplasty, vol. 28, no. 6, pp. 964–970, 2013. View at Publisher · View at Google Scholar · View at Scopus
  74. M. Pietsch, O. Djahani, M. Hochegger, F. Plattner, and S. Hofmann, “Patient-specific total knee arthroplasty: the importance of planning by the surgeon,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 21, no. 10, pp. 2220–2226, 2013. View at Publisher · View at Google Scholar · View at Scopus
  75. A. Sassoon, D. Nam, R. Nunley, and R. Barrak, “Systematic review of patient-specific instrumentation in total knee arthroplasty: new but not improved,” Clinical Orthopaedics and Related Research, vol. 473, no. 1, pp. 151–158, 2015. View at Publisher · View at Google Scholar
  76. C. Scholes, V. Sahni, S. Lustig, D. A. Parker, and M. R. J. Coolican, “Patient-specific instrumentation for total knee arthroplasty does not match the pre-operative plan as assessed by intra-operative computer-assisted navigation,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, no. 3, pp. 660–665, 2014. View at Publisher · View at Google Scholar · View at Scopus
  77. M. P. Abdel, S. Parratte, G. Blanc et al., “No benefit of patient-specific instrumentation in TKA on functional and gait outcomes: a randomized clinical trial,” Clinical Orthopaedics and Related Research, vol. 472, no. 8, pp. 2468–2476, 2014. View at Publisher · View at Google Scholar · View at Scopus
  78. B. A. Rebal, O. M. Babatunde, J. H. Lee, J. A. Geller, D. A. Patrick, and W. Macaulay, “Imageless computer navigation in total knee arthroplasty provides superior short term functional outcomes: a meta-analysis,” Journal of Arthroplasty, vol. 29, no. 5, pp. 938–944, 2014. View at Publisher · View at Google Scholar · View at Scopus
  79. T. Cheng, S. Zhao, X. Peng, and X. Zhang, “Does computer-assisted surgery improve postoperative leg alignment and implant positioning following total knee arthroplasty? A meta-analysis of randomized controlled trials?” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 20, no. 7, pp. 1307–1322, 2012. View at Publisher · View at Google Scholar · View at Scopus
  80. D. Hernández-Vaquero, A. Suarez-Vazquez, and S. Iglesias-Fernandez, “Can computer assistance improve the clinical and functional scores in total knee arthroplasty?” Clinical Orthopaedics and Related Research, vol. 469, no. 12, pp. 3436–3442, 2011. View at Publisher · View at Google Scholar · View at Scopus
  81. K. Ishida, T. Matsumoto, N. Tsumura et al., “Mid-term outcomes of computer-assisted total knee arthroplasty,” Knee Surgery, Sports Traumatology, Arthroscopy, vol. 19, no. 7, pp. 1107–1112, 2011. View at Publisher · View at Google Scholar · View at Scopus
  82. J. M. Spencer, K. Sloan, R. J. Beaver, S. K. Chauhan, and A. Taylor, “Computer navigation versus conventional total knee replacement: no difference in functional results at two years,” Journal of Bone & Joint Surgery—British Volume, vol. 89, no. 4, pp. 477–480, 2007. View at Publisher · View at Google Scholar · View at Scopus
  83. G. Matziolis, D. Krocker, U. Weiss, S. Tohtz, and C. Perka, “A prospective, randomized study of computer-assisted and conventional total knee arthroplasty. Three-dimensional evaluation of implant alignment and rotation,” The Journal of Bone & Joint Surgery—American Volume, vol. 89, no. 2, pp. 236–243, 2007. View at Publisher · View at Google Scholar · View at Scopus
  84. R. Decking, Y. Markmann, T. Mattes, W. Puhl, and H. P. Scharf, “On the outcome of computer-assisted total knee replacement,” Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, vol. 74, no. 3, pp. 171–174, 2007. View at Google Scholar
  85. D. R. Lionberger, C. L. Crocker, and V. Chen, “Patient specific instrumentation,” The Journal of Arthroplasty, vol. 39, no. 9, pp. 1699–1704, 2014. View at Publisher · View at Google Scholar · View at Scopus
  86. C. O. Tibesku, P. Hofer, W. Portegies, C. J. M. Ruys, and P. Fennema, “Benefits of using customized instrumentation in total knee arthroplasty: results from an activity-based costing model,” Archives of Orthopaedic and Trauma Surgery, vol. 133, no. 3, pp. 405–411, 2013. View at Publisher · View at Google Scholar · View at Scopus
  87. J. J. Jauregui, J. J. Cherian, B. H. Kapadia et al., “Patient-specific instrumentation in total knee arthroplasty,” Journal of Knee Surgery, vol. 27, no. 3, pp. 177–183, 2014. View at Publisher · View at Google Scholar · View at Scopus
  88. J. D. Slover, H. E. Rubash, H. Malchau, and J. A. Bosco, “Cost-effectiveness analysis of custom total knee cutting blocks,” The Journal of Arthroplasty, vol. 27, no. 2, pp. 180–185, 2012. View at Publisher · View at Google Scholar · View at Scopus
  89. R. M. Nunley, B. S. Ellison, E. L. Ruh et al., “Are patient-specific cutting blocks cost-effective for total knee arthroplasty?” Clinical Orthopaedics and Related Research, vol. 470, no. 3, pp. 889–894, 2012. View at Publisher · View at Google Scholar · View at Scopus
  90. R. C. Wasielewski, D. D. Galat, and R. D. Komistek, “Correlation of compartment pressure data from an intraoperative sensing device with post-operative fluoroscopic kinematic results in TKA patients,” Journal of Biomechanics, vol. 38, no. 2, pp. 333–339, 2005. View at Publisher · View at Google Scholar · View at Scopus
  91. M. W. Roche, L. C. Elson, and C. R. Anderson, “A novel technique using sensor-based technology to evaluate tibial tray rotation,” Orthopedics, vol. 38, no. 3, pp. e217–e222, 2015. View at Publisher · View at Google Scholar
  92. K. Gustke, “Use of smart trials for soft-tissue balancing in total knee replacement surgery,” The Journal of Bone & Joint Surgery—British Volume, vol. 94, no. 11, pp. 147–150, 2012. View at Publisher · View at Google Scholar · View at Scopus
  93. A. Anastasiadis, E. Magnissalis, and A. Tsakonas, “A novel intraoperative sensor for soft tissue balancing in total knee arthroplasty,” Journal of Medical Engineering and Technology, vol. 34, no. 7-8, pp. 448–454, 2010. View at Publisher · View at Google Scholar · View at Scopus
  94. R. C. Wasielewski, D. D. Galat, and R. D. Komistek, “An intraoperative pressure-measuring device used in total knee arthroplasties and its kinematics correlations,” Clinical Orthopaedics and Related Research, no. 427, pp. 171–178, 2004. View at Publisher · View at Google Scholar · View at Scopus
  95. D. D. D'Lima, S. Patil, N. Steklov, and C. W. Colwell, “Dynamic intraoperative ligament balancing for total knee arthroplasty,” Clinical Orthopaedics and Related Research, no. 463, pp. 208–212, 2007. View at Publisher · View at Google Scholar · View at Scopus
  96. K. A. Gustke, G. J. Golladay, M. W. Roche, L. C. Elson, and C. R. Anderson, “A new method for defining balance: promising short-term clinical outcomes of sensor-guided TKA,” Journal of Arthroplasty, vol. 29, no. 5, pp. 955–960, 2014. View at Publisher · View at Google Scholar · View at Scopus
  97. K. A. Gustke, G. J. Golladay, M. W. Roche, G. J. Jerry, L. C. Elson, and C. R. Anderson, “Increased satisfaction after total knee replacement using sensor-guided technology,” Bone and Joint Journal, vol. 96B, no. 10, pp. 1333–1338, 2014. View at Publisher · View at Google Scholar · View at Scopus
  98. G. Golladay, G. Jerry, K. Gustke, M. Roche, L. Elson, and C. Anderson, “Post-operative weight gain after total knee arthroplasty: prevalence and its possible attenuation using intraoperative sensors,” Reconstructive Review, vol. 4, no. 1, pp. 38–41, 2014. View at Publisher · View at Google Scholar
  99. K. A. Gustke, “Soft tissue and alignment correction; The use of smart trials in total knee replacement,” The Bone & Joint Journal, vol. 96, no. 11, supplement, pp. 1–6, 2014. View at Publisher · View at Google Scholar
  100. K. A. Gustke, G. J. Golladay, M. W. Roche, L. C. Elson, and C. R. Anderson, “Primary TKA patients with quantifiably balanced soft-tissue achieve significant clinical gains sooner than unbalanced patients,” Advances in Orthopedics, vol. 2014, Article ID 628695, 6 pages, 2014. View at Publisher · View at Google Scholar
  101. W. Anderl, L. Pauzenberger, R. Kölblinger et al., “Patient-specific instrumentation improved mechanical alignment, while early clinical outcome was comparable to conventional instrumentation in TKA,” Knee Surgery, Sports Traumatology, Arthroscopy, 2014. View at Publisher · View at Google Scholar
  102. T. Cheng, G. Zhang, and X. Zhang, “Imageless navigation system does not improve component rotational alignment in total knee arthroplasty,” Journal of Surgical Research, vol. 171, no. 2, pp. 590–600, 2011. View at Publisher · View at Google Scholar · View at Scopus
  103. T. van Strien, E. van der Linden-van der Zwaag, B. Kaptein, A. van Erkel, E. valstar, and R. Nelissen, “Computer assisted versus conventional cemented total knee prostheses alignment accuracy and micromotion of the tibial component,” International Orthopaedics, vol. 33, no. 5, pp. 1255–1261, 2009. View at Publisher · View at Google Scholar · View at Scopus
  104. B. M. Stronach, C. E. Pelt, J. Erickson, and C. L. Peters, “Patient-specific total knee arthroplasty required frequent surgeon-directed changes,” Clinical Orthopaedics and Related Research, vol. 471, no. 1, pp. 169–174, 2013. View at Publisher · View at Google Scholar · View at Scopus