Electromagnetic navigated versus conventional total knee arthroplasty—a five-year follow-up of a single-blind randomized control trial

Clark, A. N., Hounat, A., O'Donnell, S., May, P., Doonan, J. , Rowe, P., Jones, B. G. and Blyth, M. J.G. (2021) Electromagnetic navigated versus conventional total knee arthroplasty—a five-year follow-up of a single-blind randomized control trial. Journal of Arthroplasty, 36(10), pp. 3451-3455. (doi: 10.1016/j.arth.2021.06.007) (PMID:34226082)

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Abstract

Background: The objective of this study is to provide the 5-year follow-up results of a randomized study comparing conventional versus electromagnetic computer navigated total knee arthroplasty. Methods: Analysis of 127 patients (66 navigated and 61 conventional surgeries) was performed from a prospective, single-blinded, randomized controlled trial. Patient-reported outcome measures were collected at 5 years after surgery and compared with previously published 1-year clinical outcomes. Five-year surgical revision rates were collated and compared between intervention groups. Results: Overall, there have been continued improvements in the clinical scores of patients in both groups when compared with clinical data at 1 year; however, at 5 years, there is no statistical difference in any of the patient-reported outcome measures between conventional and navigated surgery. Interestingly, improved implant survivorship was observed in the navigated (0% revision rate) compared with the conventional group (4.9% all-cause revision rate). Conclusion: Electromagnetic computer navigated technology produces similar clinical outcomes compared with traditional surgery. Further work is required to monitor implant survivorship, and clinical outcomes with long-term follow-up, to determine the cost effectiveness of this technology.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Jones, Mr Bryn and Blyth, Mr Mark and Doonan, Dr James
Authors: Clark, A. N., Hounat, A., O'Donnell, S., May, P., Doonan, J., Rowe, P., Jones, B. G., and Blyth, M. J.G.
College/School:College of Medical Veterinary and Life Sciences > School of Infection & Immunity
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Arthroplasty
Publisher:Elsevier
ISSN:0883-5403
ISSN (Online):1532-8406
Published Online:12 June 2021
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