Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (6): 75-81.doi: 10.6040/j.issn.1671-7554.0.2021.1467

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Comparison of portable accelerometer-based navigation versus conventional instrumentation for total knee arthroplasty in 20 patients: the outcomes at early follow-up

MA Liang, ZHANG Yuankai, JIANG Shuwei   

  1. Department of Orthopedic Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-06-17

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Abstract: Objective To explore the differences in operation time, mechanical axis of the lower limb, mechanical lateral distal femoral angle(mlDFA)and functional outcomes between portable accelerometer-based navigation device(PAD)and conventional instrument in total knee arthroplasty(TKA). Methods A total of 20 patients undergoing TKA at our hospital during May 2018 and Dec. 2018 were involved, including 5 males and 15 females, aged 56-79 years, mean(67.85±6.53)years. Based on the different surgical methods, they were divided into the navigation group(n=10)and conventional group(n=10). The differences in preoperative general data, operation time, deviation of hip-knee-ankle(HKA)angle, mlDFA and Knee Society Scoring System(KSS score)were compared between the two groups. Results The mean follow-up was(39.58±1.86)months. There were no significant differences in gender, age, body mass index(BMI), KSS score and preoperative deviation of HKA angle between the PAD group and conventional group(P>0.05), no significant differences in mean operation time［(111.50±12.70)min vs(109.00±15.42)min, t=0.40, P=0.70］, total blood loss［(644.56±231.40)mL vs(604.67±250.44)mL, t=0.37, P=0.72］, mlDFA［(89.50±0.80)° vs(89.62±1.34)°, t=-0.24, P=0.81］, deviation of HKA angle［(1.96±0.93)° vs(1.83±1.03)°, t=0.28, P=0.79］, and KSS score［(94.68±3.63)vs(87.54±10.01), t=2.01, P=0.07］ between the two groups. After surgery, the deviation of HKA angle［navigation group:(9.85±4.53)° vs(1.96±0.93)°, t=5.85, P<0.001; conventional group(8.83±4.14)° vs(1.84±1.03)°, t=5.40, P<0.001］ and KSS score［navigation group:(47.22±22.34)vs(94.68±3.63), t=-6.14, P<0.001; conventional group:(47.22±20.17)vs(87.54±10.01), t=-8.19, P<0.001］ were significantly improved. Conclusion There are no significant differences between the navigation group and conventional group in terms of mechanical axis, total blood loss and functional outcomes of the knee. PAD has advantage of technical simplicity without prolonging the operation time.

Key words: Arthroplasty, Portable accelerometer-based navigation device, Osteoarthritis, Conventional instrument, Knee

CLC Number: 

  • R684.3
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