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Short-term functional outcomes of computer assisted navigated high tibial osteotomy.

ABSTRACT: Purpose:High tibial osteotomy (HTO) is a surgical procedure performed on patients with knee osteoarthritis (OA). Computer assisted navigated high tibial osteotomy (CAN-HTO) may result in improved outcomes for patients undergoing this procedure. Methods:Retrospective study involving patients undergoing CAN-HTO. Results:Surveyed thirty-three patients. Average follow-up: 2.3 years. 97% patients reported they would have this procedure performed again, if indicated. Re-operation rate: 6.1% and complication rate: 12.1%. Patients had decreased KOOS for symptoms when compared to non-navigation based HTO (p?=?0.000). Conclusion:There may be merit with the use of CAN-HTO, with demonstrated patient-reported benefits at 2-year follow-up.

SUBMITTER: Sardana V

PROVIDER: S-EPMC6402292 | biostudies-literature | 2019 Mar-Apr

REPOSITORIES: biostudies-literature

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Short-term functional outcomes of computer assisted navigated high tibial osteotomy.

Sardana Vandit V Burzynski Joanna M JM Stone Nicholas N Weening Brad S BS Zalzal Paul K PK

Journal of orthopaedics 20190228 2

<h4>Purpose</h4>High tibial osteotomy (HTO) is a surgical procedure performed on patients with knee osteoarthritis (OA). Computer assisted navigated high tibial osteotomy (CAN-HTO) may result in improved outcomes for patients undergoing this procedure.<h4>Methods</h4>Retrospective study involving patients undergoing CAN-HTO.<h4>Results</h4>Surveyed thirty-three patients. Average follow-up: 2.3 years. 97% patients reported they would have this procedure performed again, if indicated. Re-operation ...[more]

PMID: 30886465

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Arthroscopic and computer-assisted high tibial osteotomy using standard total knee arthroplasty navigation software.

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Navigated versus Conventional Technique in High Tibial Osteotomy: A Meta-Analysis Focusing on Weight Bearing Effect.

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| S-EPMC6561673 | biostudies-literature

The coronal plane high tibial osteotomy. Part 1: a clinical and radiographic analysis of intermediate term outcomes.

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Does postoperative quantitative bone scintigraphy reflect outcomes following medial open-wedge high tibial osteotomy?

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| S-EPMC8439459 | biostudies-literature

Clinical course and outcomes of simultaneous-versus staged-bilateral medial opening wedge high tibial osteotomy.

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Computer-Assisted Rotational Acetabular Osteotomy for Patients with Acetabular Dysplasia.

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Autologous Osteophyte Grafting for Open-Wedge High Tibial Osteotomy.

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| S-EPMC5124027 | biostudies-literature

Trends in Operative Time and Short-Term Outcomes After Conventional and Navigated Total Knee Arthroplasty.

Project description:BackgroundAdoption of navigated total knee arthroplasty (Nav-TKA) is increasing. However, it has been suggested that a perceived decrease in surgical efficiency and a lack of proven superior functional outcomes associated with Nav-TKA have hindered its widespread adoption.MethodsThe American College of Surgeons National Surgical Quality Improvement Program was queried to identify patients who had undergone TKA with or without navigation between 2012 and 2018. Patients were further subclassified based on the type of navigation used, image-guided or imageless. Multivariate logistic regression was used to compare operative time and 30-day complication rates between conventional TKA (Conv-TKA) and Nav-TKA with and without image guidance.ResultsA total of 316,210 Conv-TKAs and 8554 Nav-TKAs (8270 imageless, 284 image-guided) were identified. Across the study period, the use of Nav-TKA was associated with a 1.5-minute increase in operative time. However, the overall time burden decreased over the study period, and by 2018, the mean operative time for Nav-TKA was 2.4 minutes less than that of Conv-TKA. Compared with Conv-TKA, Nav-TKA was associated with decreased rates of postoperative transfusion and surgical site complications but a similar incidence of systemic thromboembolism.ConclusionsThis is the first large-scale database study to examine the differences in operative time between Conv-TKA and Nav-TKA. The time burden associated with Nav-TKA decreased over the study period and even reversed by 2018. Nav-TKA was associated with lower rates of postoperative transfusion and surgical site complications. Further studies are needed to evaluate the long-term and functional outcomes between conventional and navigated knee arthroplasty techniques.

| S-EPMC8050795 | biostudies-literature

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