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. 2012 Sep 5;471(1):264–276. doi: 10.1007/s11999-012-2528-8

Table 1.

Recent randomized clinical and radiographic studies comparing navigated TKA with conventional TKA

Authors Year Journal Study design Number Followup duration Results
Harvie et al. [42] 2011 J Arthroplasty Alignment, rotation, function, satisfaction 71 5 years Improved coronal, sagittal, axial alignment; no clinical, functional or satisfaction difference
Blakeney et al. [16] 2011 J Bone Joint Surg Am Alignment, rotation, complications, function 107 3 months Improved coronal, sagittal alignment; no axial rotation, clinical, functional or satisfaction differences
Schmitt et al. [103] 2011 BMC Musculoskelet Disord Clinical, alignment, CT scan 90 3 years worse clinical results (KSS); improved femoral coronal alignment only
Zhang et al. [127] 2011 J Bone Joint Surg Am Simultaneous bilateral TKA, alignment, rotation, function 64 6 months Improved coronal, sagittal alignment; no axial rotation, clinical, functional differences
Choi et al. [28] 2011 J Arthroplasty Radiographic alignment in frontal plane 160 6 months improved frontal femoral alignment; mechanical axis and frontal tibial alignment similar; 20% outliers on postoperative radiographs despite no intraoperative outliers
Barrett et al. [6] 2011 J Arthroplasty Multicenter, radiographic coronal and sagittal, clinical (KSS, WOMAC) 208 1 year Only improved coronal tibial alignment
Hiscox et al. [47] 2011 J Arthroplasty Alignment, rotation, function, satisfaction 141 1.2 year No improvement in any study variable
Lutzner et al. [70] 2010 Knee Surg Sports Trauma Arthrosc Functional outcomes (KSS, EQ5D) and rotation 73 20 months Improvement in knee society knee score only; no other differences
Kim et al. [61] 2009 J Bone Joint Surg Am Simultaneous bilateral TKA, alignment, rotation, function 320 3.4 years No improvement in any variable
Lutzner et al. [71] 2008 J Bone Joint Surg Br CT and radiographic alignment and rotation 80 1 year No difference in axial, sagittal, or coronal alignment
Matziolis et al. [80] 2007 J Bone Joint Surg Am Three-dimensional CT alignment, rotation, ROM, KSS 60 6 month Improved coronal and sagittal alignment; no rotation or clinical difference (KSS, WOMAC)
Mombert et al. [85] 2007 Acta Orthop Belg CT coronal, sagittal, rotational 42 3 months Improved range of outliers but no significant differences
Seon et al. [106] 2007 Comput Aided Surg Bilateral TKA comparing navigation versus conventional; alignment, clinical 42 1 year No differences at 1 year
Kim et al. [63] 2007 J Bone Joint Surg Br Simultaneous bilateral TKA, alignment, function 200 2.3 years No improvement in alignment or function
Seon and Song [105] 2006 J Arthroplasty MIS-TKA with navigation versus conventional TKA, pain scores, ROM 102 2 weeks No differences in clinical or alignment outcomes
Victor and Hoste [120] 2004 Clin Orthop Relat Res Alignment in the coronal, sagittal plane, patella, clinical 100 3 months Improved alignment in the coronal plane not sagittal; no differences clinical or patella tracking
Chin et al. [27] 2005 J Arthroplasty Alignment coronal and sagittal 90 Immediate postoperative Improved alignment coronal and sagittal; no clinical results
Decking et al. [33] 2005 J Arthroplasty Alignment coronal and sagittal, function, 50 3 months Improved coronal and sagittal alignment, no clinical difference (KSS, WOMAC)
Sparmann et al. [112] 2003 J Bone Joint Surg Br alignment sagittal and coronal; no functional outcomes 240 2 months Improved mechanical axis and frontal femoral and tibial axes; no clinical outcomes reported

KSS = Knee Society score; MIS = minimally invasive surgery.