Radiological results of image-based and non-image-based computer-assisted total knee arthroplasty

Restoration of the mechanical limb axis and accurate component orientation are two major factors affecting the long-term results after total knee replacement (TKR). Different navigation systems are available to improve the outcome. Image-based systems require pre-operative CT scans, while non-image-based systems gain all necessary information intra-operatively during a registration process. We studied 130 patients who received a TKR either using the CT-based (Knee 1.1) or the CT-free module (CT-free Knee 1.0) of the BrainLAB Vector-Vision Navigation System. Post-operative leg alignment and component orientation was determined on long-leg coronal and lateral X-rays. Sixty of 65 patients in the CT-based group and 63/65 patients in the CT-free group had a post-operative leg axis between 3 degrees varus/valgus. No significant differences were found for varus/valgus orientation of the femoral and tibial components.