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Computer-Assisted Compared with Conventional Total Knee Replacement: A Multicenter Parallel-Group Randomized
Gunnar Petursson1,2, Anne Marie Fenstad2, Øystein Gøthesen2,3,4
1Lovisenberg Diaconal Hospital, Oslo, Norway.
Computer-assisted total knee replacement significantly improved pain and function compared to conventional surgery at two years. This technique led to more high responders, demonstrating better patient outcomes in total knee replacement procedures.
Area of Science:
- Orthopedic Surgery
- Medical Technology
- Clinical Trials
Background:
- Previous short-term results of computer-assisted vs. conventional total knee replacement (TKR) were reported.
- This study presents the 2-year clinical outcomes from the same randomized controlled trial (RCT).
Purpose of the Study:
- To compare the 2-year clinical outcomes of computer-assisted TKR versus conventional TKR.
- To evaluate patient-reported outcome measures (PROMs) and responder rates at 2 years post-surgery.
Main Methods:
- 190 patients were randomized to computer-assisted or conventional TKR.
- 172 patients completed 2-year follow-up, with 167 providing complete PROMs (KOOS, WOMAC, KSS, VAS, EQ-5D).
- Patients and evaluators were blinded; outcomes assessed using OMERACT-OARSI criteria.
Main Results:
- Computer-assisted TKR showed significantly greater improvement in KOOS symptom and sport/recreation scores, and WOMAC stiffness scores.
- The computer-assisted group had a higher rate of high responders (82.8% vs. 68.8%, p=0.03).
- Number needed to treat was 8 for computer-assisted TKR.
Conclusions:
- Computer navigation in TKR offers superior pain relief and functional restoration at 2 years compared to conventional techniques.
- This suggests computer-assisted surgery is a more effective approach for TKR patients seeking improved outcomes.
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