Randomized Control Trial Comparing Radiographic Total Knee Arthroplasty Implant Placement Using Computer Navigation Versus Conventional Technique

The aim of this study is to assess the radiological outcome of conventional techniques versus computer-navigated surgery for total knee arthroplasty. Ninety patients with knee arthritis were prospectively randomized into 3 groups: conventional technique: extramedullary (EM) and intramedullary (IM) tibia guide versus computer navigation surgery (CAS). Two surgeons performed all procedures. Standardized long leg coronal and sagittal x-rays were evaluated by a blinded assessor. Our results showed that CAS had greater consistency and accuracy in implant placement. In the coronal view, 93.3% in the CAS group had better outcomes compared with EM (73.4%) and IM (60.0%). In the sagittal axis, 90.0% CAS also had better outcomes compared with EM (63.3%) and IM (76.7%). Computer-navigated total knee arthroplasty helps increase accuracy and reduce “outliers” for implant placement.