Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Computer Navigated Unicompartmental Knee Arthroplasty is Reimbursed Less than Conventional Methods While Improving Component Alignment.

Journal of surgical orthopaedic advances·2025
Same author

Modern Plasma Medicine and Orthopaedic Surgery: A Brief History and Outlook.

Surgical technology international·2024
Same author

Smoking cessation prior to elective total joint arthroplasty results in sustained abstinence postoperatively.

World journal of orthopedics·2024
Same author

Subsequent total joint arthroplasty: Are we learning from the first stage?

World journal of orthopedics·2024
Same author

Pes Planovalgus Is Associated with Increased Comorbidities and Poor Outcomes After Total Knee Arthroplasty.

Journal of surgical orthopaedic advances·2024
Same author

Impact of Certificate of Need on Lumbar Discectomy Reimbursement and Utilization.

Journal of surgical orthopaedic advances·2023

Related Experiment Video

Updated: Mar 31, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

4.0K

Computer-Navigated Total Knee Arthroplasty Utilization.

Abiram Bala1, Colin Thomas Penrose1, Thorsten Markus Seyler2

  • 1School of Medicine, Duke University School of Medicine, Durham, North Carolina.

The Journal of Knee Surgery
|October 20, 2015
PubMed
Summary
This summary is machine-generated.

Computer-navigated total knee arthroplasty (CN-TKA) utilization increased significantly among Medicare patients from 2005-2012, despite higher costs and mixed evidence on benefits. This trend occurred while overall total knee arthroplasty (TKA) use slightly declined.

More Related Videos

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
06:17

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head

Published on: April 12, 2022

4.4K
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

3.9K

Related Experiment Videos

Last Updated: Mar 31, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

4.0K
Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
06:17

Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head

Published on: April 12, 2022

4.4K
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

3.9K

Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Medical Technology Assessment

Background:

  • Computer-navigated total knee arthroplasty (CN-TKA) aims to enhance component alignment in knee replacements.
  • Evidence regarding superior long-term clinical outcomes for CN-TKA compared to standard TKA remains inconclusive.
  • CN-TKA is associated with increased procedural costs and operative time.

Purpose of the Study:

  • To investigate the utilization trends of CN-TKA relative to standard total knee arthroplasty (TKA) within the US Medicare population.
  • To test the hypothesis that CN-TKA utilization would decrease due to economic factors and uncertain clinical benefits.

Main Methods:

  • Analysis of 1,914,514 primary TKAs from the Medicare database (2005-2012).
  • Identification and separation of CN-TKAs using Current Procedural Terminology (CPT) and ICD-9-CM codes.
  • Evaluation of utilization trends by year, gender, and geographic region, calculating average annual change and compound annual growth rate (CAGR).

Main Results:

  • CN-TKA utilization increased annually (CAGR 23.58%), rising from 0.37% to 2.32% of all TKAs.
  • Overall TKA utilization experienced a slight decrease during the study period (CAGR -1.69%).
  • CN-TKA growth was comparable between genders and varied regionally, with the South showing the highest growth (28.76%) and the Midwest the lowest (15.51%).

Conclusions:

  • Despite higher costs and uncertain clinical advantages, CN-TKA adoption is rising among Medicare beneficiaries.
  • Factors contributing to increased CN-TKA use may include patient demand, marketing, accurate procedural coding, and greater patient access to information.