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.