medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 1

<< Back Next >>

Acta Ortop Mex 2021; 35 (1)

Computer-assisted total bilateral knee arthroplasty in one surgical time

Romero-Medina A, Ortiz-Aguilar L, García-Linage R, Saucedo-Moreno E

Language: Spanish
References: 25
Page: 23-27
PDF size: 231.29 Kb.


ABSTRACT

Introduction: Total navigated knee replacement uses a computer-guided system, which provides immediate information on pre-cut trans-operative conditions of the knee, in relation to pelvic limb alignment. Material and methods: Observational, descriptive study conducted from March 2003 to February 2019. Total bilateral knee replacement was performed at the same time surgically by a surgeon, evaluating function and pain on the WOMAC, EVA, and range of motion scores of both knees. Two groups of patients were studied: the first represents presurgical and the second post-surgical. Student's t-test and χ2 were applied for statistical analysis. Results: 31 patients (62 prostheses), 83.9% of the female sex and 16.1% male, average age 67.32 years, average follow-up 6.55 years (± 3.8) were studied. It was identified that 100% of the patients in both knees have a deviation between 0o and 2o measured in the mechanical axis. The WOMAC scale showed an average of 22.71 ± 3.34 presurgical and 4.16 ± 1.84) post-surgical, with statistically significant differences. The average analog visual scale was 9.06 ± 0.814 presurgical and 2.35 ± 1.427 post-surgical. Conclusions: This technique is reliable, safe and satisfactory. Excellent clinical and radiographic results were evident regarding the positioning of prosthetic components.


REFERENCES

  1. Spencer JM, Chauhan SK, Sloan K, Taylor A, Beaver RJ. Computer navigation versus conventional total knee replacement. No difference in functional results at two years. J Bone Joint Surg Br. 2007; 89-B(4): 477-80.

  2. Inui H, Taketomi S, Nakamura K, Takei S, Takeda H, Tanaka S, et al. Influence of navigation system updates on total knee arthroplasty. BMC Sports Sci, Med Rehabil. 2013, 5: 10.

  3. Zanasi S. Innovations in total knee replacement: new trends in operative treatment and changes in perioperative management. Eur Orthop Traumatol. 2011; 2: 21-31.

  4. Manfrin FG, Maestu R. Artroplastía total de rodilla con asistencia de navegación. Nuestra experiencia. Rev Asoc Argent Ortop Traumatol. 2010; 74: 341-6.

  5. Stulberg SD, Picard F, Saragaglia D. Computer-assisted total knee replacement arthroplasty. Operative Techniques in Orthopaedics. 2000; (10): 25-39.

  6. Rick W Wright1, MARS Group. Osteoarthritis classification scales: interobserver reliability and arthroscopic correlation. J Bone Joint Surg Am. 2014; 96(14): 1145-51.

  7. Escobar A, Vrotsou K, Bilbao A, Quintana JMA, García PL, Herrera-Espiñeira C. Validación de una escala reducida de capacidad funcional del cuestionario WOMAC. Gac Sanit. 2011; 25(6): 513-8.

  8. Siston RA, Giori NJ, Goodman SB, Delp SL. Surgical navigation for total knee arthroplasty: a perspective. J Biomech. 2007; 40(4): 728-35.

  9. Saucedo-Moreno EM, Rodríguez F. Estadística en cirugía, como entender y aplicar conceptos básicos. Cir Cir. 2019; 87: 692-7.

  10. Saragaglia D, Picard F. Computer-assisted implantation of total knee endoprothesis with no peroperative imagin: the kinematic model. Navigation and robotics in total joint and spine surgery. Springer-Verlag Berlin Heidelberg. 2004; 32: 226-233.

  11. Ochoa R. Cuadra Castillo M. Artroplastía total de rodilla navegada. ¿Por qué utilizarla? Acta Ortop Mex. 2013; 27(3): 205-10.

  12. Confalonieri N, Biazzo A. Computer-assisted surgery in total knee replacement: advantages, surgical procedure and review of the literature. Acta Biomed. 2019; 90(1): 16-23.

  13. Ren Y, Cao S, Wu J, Weng X, Feng B. Efficacy and reliability of active robotic-assisted total knee arthroplasty compared with conventional total knee arthroplasty: a systematic review and metaanalysis. Postgrad Med J. 2019; 95(1121): 125-33.

  14. Hetaimish BM, Moin Khan M, Simunovic N, Al-Harbi HH, Bhandari M, Zalzal PK. Meta-analysis of navigation vs conventional total knee arthroplasty. J Arthroplasty. 2012; 27(6): 1177-82.

  15. Hernández-Vaquero D, Noriega-Fernandez A, Roncero-Gonzalez S, Perez-Coto I, Sierra-Pereira AA, Sandoval-Garcia MA. Agreement in component size between preoperative measurement, navigation and final implant in total knee replacement. J Orthop Translat. 2018; 18: 84-91.

  16. Hernández-Vaquero D, Suarez-Vazquez A, Sandoval-Garcia MA, Noriega-Fernandez A. Computer assistance increases precision of component placement in total knee arthroplasty with articular deformity. Clin Orthop Relat Res. 2010; 468: 1237-41.

  17. Kurtz SM, Lau E, Schmier J, Ong KL, Zhao K, Parvizi J. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty. 2008; 23(7): 984-91.

  18. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing and predisposing factors. Clin Orthop Relat Res. 2008; 466: 1710-5.

  19. Vélez-de Lachica JC, Santos-Briones JI, Inzunza-Sánchez JM. Aplicación profiláctica de sulfato de calcio medicado en prótesis total de cadera no cementada. Acta Ortop Mex. 2019; 33(2): 67-72.

  20. Urban MK. Anestesia para la cirugía ortopédica. En: Miller RD. editors. Miller's anesthesia. Philadelphia: Elsevier Churchill Livingstone, 2010.

  21. Bierbaum B, Callaghan JJ, Galante JO, Rubash HE, Tooms RE, Welch RB. An analysis of blood management in patients having a total hip or knee arthroplasty. J Bone Joint Surg Am. 1999; 81(1): 2-10.

  22. Qi Y, Tie K, Wang H, Pan Z, Zhao X, Chen H, et al. Perioperative comparison of blood loss and complications between simultaneous bilateral and unilateral total knee arthroplasty for knee osteoarthritis. Knee. 2017; 24(6): 1422-7.

  23. Lynch NM, Trousdale RT, Ilstrup DM. Complications after concomitant bilateral total knee arthroplasty in elderly patients. Mayo Clin Proc. 1997; 72: 799-805.

  24. Yoon HS, Han CD, Yang IH Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications. J Arthroplasty. 2010; 25(2): 179-85.

  25. Lane GJ, Hozack WJ, Shah S, Rothman RH, Booth RE Jr, Eng K, et al. Simultaneous bilateral versus unilateral total knee arthroplasty. Outcomes analysis. Clin Orthop Relat Res. 1997; (345): 106-12.



EVIDENCE LEVEL

IV




2020     |     www.medigraphic.com