Evaluation of Total Knee Arthroplasty Performed With and Without Computer Navigation: A Bilateral Total Knee Arthroplasty Study

Sequential bilateral total knee arthroplasty performed on 54 patients utilizing navigation (CAS-TKA) in one knee and traditional instrumentation (T-TKA) in the contralateral knee was reviewed at a mean follow-up duration of 2.5 years. There were no differences with regard to KSS, ROM, postoperative anatomic alignment, mechanical axis, or tibial angle. There was a statistically significant decrease in outliers for the CAS-TKA group with respect to anatomic alignment (3.7% vs. 17.0%, P = 0.024), mechanical axis (6.1 vs. 20.4%, P = 0.037) and tibial component alignment (0% vs. 7.5%, P = 0.042). There is no apparent benefit of CAS-TKA with regards to KSS, ROM, or alignment in the hands of fellowship-trained total joint specialists. The clinical relevance of reduced outliers in the CAS-TKA group is unknown with the current follow-up interval.