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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 6, 830-835.
doi: 10.1302/0301-620X.85B6.13722  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Positioning of total knee arthroplasty with and without navigation support

A PROSPECTIVE, RANDOMISED STUDY

M. Sparmann, MD, Professor of Orthopaedics; and B. Wolke, MD, Senior Surgeon

Orthopaedic Department, Immanuel Hospital, Free University of Berlin, Königstrasse 63, 14109 Berlin, Germany.

H. Czupalla, MD, Consultant; and D. Banzer, MD, Head of Radiology Department

Behring Hospital, Free University of Berlin, Gimpelsteig 14, 14165 Berlin, Germany.

A. Zink, PhD, Consultant Lecturer in Epidemiology

Epidemiology Unit, German Rheumatism Research Centre, Schumannstrasse 21/22, D-10117 Berlin, Germany.

Correspondence should be sent to Professor M. Sparmann.

We conducted this prospective randomised and externally evaluated study to investigate whether the use of a navigation system during total knee arthroplasty leads to significantly better results than the hand-guided technique. A total of 240 patients was included in the study. All patients received a condylar knee prosthesis. Two surgeons performed all the operations using the Stryker knee navigation system. Exclusion criteria included the necessity for the primary use of constrained implants.

The results revealed a highly significant difference between the two groups in favour of navigation with regard to the mechanical axis, the frontal and sagittal femoral axis and the frontal tibial axis (p < 0.0001). The use of a navigation system was therefore shown to improve the alignment of the implant.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General