The Journal of Bone and Joint Surgery (American). 2006;88:47-54.
doi:10.2106/JBJS.F.00698
© 2006 The Journal of Bone and Joint Surgery, Inc.
Computer-Assisted Surgery versus Manual Total Knee Arthroplasty: A Case-Controlled Study
S. David Stulberg, MD,
Mark A. Yaffe, BS and
Samuel S. Koo, MD
Corresponding author: S. David Stulberg, MD 680 North Lake Shore Drive,
Suite 1028, Chicago, IL 60611. E-mail
address: jointsurg@northwestern.edu
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Introduction
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The use of computer-assisted surgery by orthopaedists experienced in the
performance of total knee arthroplasty results in better overall limb and
implant alignment and fewer outliers as compared with the findings after
manual total knee
arthroplasty1-8.
However, we are not aware of any studies that have established whether these
improvements in alignment accuracy are associated with superior clinical and
patient-perceived functional results.
In addition, we are not aware of any studies that have examined the
potential training effects that occur when experienced surgeons use these
techniques. Computer-assisted surgery may offer experienced surgeons the
potential to improve their technique and their ability to perform total knee
arthroplasty manually through intraoperative training effects provided by
working with computer-assisted surgery. For example, in severely obese
patients, proper limb alignment may not be readily apparent on initial
visualization or with use of a standard mechanical alignment system. However,
through the use of a . . . [Full Text of this Article]

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