Survivorship and relative risk of revision in computer-navigated versus conventional total knee replacement at 8-year follow-up.

Abstract:

:Background and purpose - The long-term effects of computer-assisted surgery in total knee replacement (CAS) compared to conventionally operated knee replacement (CON) are still not clear. We compared survivorship and relative risk of revision in CAS and CON based on data from the Norwegian Arthroplasty Register. Patients and methods - We assessed primary total knee replacements without patellar resurfacing reported to the Norwegian Arthroplasty Register from 2005 through 2014. The 5 most used implants and the 3 most common navigation systems were included. The groups (CAS, n = 3,665; CON, n = 20,019) were compared using a Cox regression analysis adjusted for age, sex, ASA category, prosthesis brand, fixation method, previous surgery, and diagnosis with the risk of revision for any reason as endpoint. Secondary outcomes were reasons for revision and effects of prosthesis brand, fixation method, age (± 65 years), and hospital volume. Results - Prosthesis survival and risk of revision were similar for CAS and CON. CAS had significantly fewer revisions due to malalignment. Otherwise, no statistically significant difference was found between the groups in analyses of secondary outcomes. Mean operating time was 13 minutes longer in CAS. Interpretation - At 8 years of follow-up, CAS and CON had similar rates of overall revision, but CAS had fewer revisions due to malalignment. According to our findings, the benefits of CAS at medium-term follow-up are limited. Further research may identify subgroups that benefit from CAS, and it should also emphasize patient-reported outcomes.

journal_name

Acta Orthop

journal_title

Acta orthopaedica

authors

Dyrhovden GS,Fenstad AM,Furnes O,Gøthesen Ø

doi

10.1080/17453674.2016.1244884

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

592-599

issue

6

eissn

1745-3674

issn

1745-3682

journal_volume

87

pub_type

杂志文章,多中心研究
  • Effective radiation dose in radiostereometric analysis of the hip.

    abstract::Background and purpose - Radiostereometric analysis (RSA) is the gold standard to study micromotion of joint replacements. RSA requires the acquisition of additional radiographs increasing the radiation dose of patients included in RSA studies. It is important to keep this dose as low as possible. Effective radiation ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1767443

    authors: Blom IF,Koster LA,Brinke BT,Mathijssen NMC

    更新日期:2020-08-01 00:00:00

  • How do EQ-5D-3L and EQ-5D-5L compare in a Swedish total hip replacement population?

    abstract::Background and purpose - To better detect small changes in postoperative outcome following total hip replacement (THR), the Swedish Hip Arthroplasty Register (SHAR) has decided to change from the EQ-5D-3L (3L) to the EQ-5D-5L (5L). To enable comparison of results obtained with use of the 2 versions of EQ-5D, transfera...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1746124

    authors: Eneqvist T,Nemes S,Kärrholm J,Burström K,Rolfson O

    更新日期:2020-06-01 00:00:00

  • Posterior approach compared to direct lateral approach resulted in better patient-reported outcome after hemiarthroplasty for femoral neck fracture.

    abstract::Background and purpose - Hemiarthroplasty (HA) is the most common treatment for displaced femoral neck fractures in many countries. In Norway, there has been a tradition of using the direct lateral surgical approach, but worldwide a posterior approach is more often used. Based on data from the Norwegian Hip Fracture R...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/17453674.2016.1250480

    authors: Kristensen TB,Vinje T,Havelin LI,Engesæter LB,Gjertsen JE

    更新日期:2017-02-01 00:00:00

  • Registration rate in the Norwegian Cruciate Ligament Register: large-volume hospitals perform better.

    abstract:BACKGROUND AND PURPOSE:The Norwegian Cruciate Ligament Register (NCLR) was founded in 2004. The purpose of the NCLR is to provide representative and reliable data for future research. In this study we evaluated the development of the registration rate in the NCLR. METHODS:The Norwegian Patient Register (NPR) and the e...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2012.678800

    authors: Ytterstad K,Granan LP,Ytterstad B,Steindal K,Fjeldsgaard KA,Furnes O,Engebretsen L

    更新日期:2012-04-01 00:00:00

  • Unexpected varus deformity and concomitant metal ion release and MRI findings of modular-neck hip stems: descriptive RSA study in 75 hips with 8 years' follow-up.

    abstract::Background and purpose - Modular-neck hip stems have been identified with corrosion-related problems from the neck-stem junction. We report an ongoing varus deformity of modular-neck hip stems with simultaneous metal ion release observed during a study comparing the migration of modular vs. standard hip stems. Patient...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1853387

    authors: Kiernan S,Kaptein B,Flivik C,Sundberg M,Flivik G

    更新日期:2020-12-10 00:00:00

  • The incidence of pelvic fractures and related surgery in the Finnish adult population: a nationwide study of 33,469 patients between 1997 and 2014.

    abstract::Background and purpose - Information on the epidemiological trends of pelvic fractures and fracture surgery in the general population is limited. We therefore determined the incidence of pelvic fractures in the Finnish adult population between 1997 and 2014 and assessed the incidence and trends of fracture surgery.Pat...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1771827

    authors: Rinne PP,Laitinen MK,Kannus P,Mattila VM

    更新日期:2020-10-01 00:00:00

  • Patient-reported outcome and muscle-tendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia.

    abstract::Background and purpose - Larger prospective studies investigating periacetabular osteotomy (PAO) with patient-reported outcome measures developed for young patients are lacking. We investigated changes in patient-reported outcome (PRO), changes in muscle-tendon pain, and any associations between them from before to 1 ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2018.1555637

    authors: Jacobsen JS,Søballe K,Thorborg K,Bolvig L,Storgaard Jakobsen S,Hölmich P,Mechlenburg I

    更新日期:2019-02-01 00:00:00

  • A single topical dose of erythropoietin applied on a collagen carrier enhances calvarial bone healing in pigs.

    abstract:BACKGROUND AND PURPOSE:The osteogenic potency of erythropoietin (EPO) has been documented. However, its efficacy in a large-animal model has not yet been investigated; nor has a clinically safe dosage. The purpose of this study was to overcome such limitations of previous studies and thereby pave the way for possible c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.889981

    authors: Rölfing JH,Jensen J,Jensen JN,Greve AS,Lysdahl H,Chen M,Rejnmark L,Bünger C

    更新日期:2014-04-01 00:00:00

  • Early stabilization of the uncemented Symax hip stem in a 2-year RSA study.

    abstract::Background and purpose - The uncemented Symax hip stem has shown early proximal ingrowth as result of the BONIT-hydroxyapatite (HA) coating and the distal DOTIZE surface treatment. We evaluated 2-year postoperative radiostereometric analysis (RSA) migration of the Symax hip stem in THA patients. We also investigated t...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453674.2019.1709956

    authors: Kruijntjens DSMG,Koster L,Kaptein BL,Jutten LMC,Arts JJ,Ten Broeke RHM

    更新日期:2020-04-01 00:00:00

  • Walking pattern in 9 women with hip dysplasia 18 months after periacetabular osteotomy.

    abstract:BACKGROUND:Periacetabular osteotomy improves radiographic predictors of osteoarthrosis and diminishes pain and functional impairment. No changes in function quantified by gait analysis have yet been documented. We evaluated the functional outcome of periacetabular osteotomy in relation to gait. METHODS:The gait patter...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610045920

    authors: Pedersen EN,Alkjaer T,Søballe K,Simonsen EB

    更新日期:2006-04-01 00:00:00

  • Revision in previously satisfied knee arthroplasty patients is the result of their call on the physician, not on pre-planned follow-up: a retrospective study of 181 patients who underwent revision within 2 years.

    abstract:BACKGROUND:Degree of satisfaction with a knee arthroplasty is said to be correlated to reduced pain and better function. During a validation of the Swedish Knee Arthroplasty Register in 1997, previously operated patients were asked how satisfied they were with their knee. A subgroup of "satisfied" patients was identifi...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670510045372

    authors: Bremander AB,Dunbar M,Knutson K,Petersson IF,Robertsson O

    更新日期:2005-12-01 00:00:00

  • Enhanced recovery program for hip and knee replacement reduces death rate.

    abstract:BACKGROUND AND PURPOSE:Multimodal techniques can aid early rehabilitation and discharge of patients following primary joint replacement. We hypothesized that this not only reduces the economic burden of joint replacement by reducing length of stay, but also helps in reduction of early complications. PATIENTS AND METHO...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2011.618911

    authors: Malviya A,Martin K,Harper I,Muller SD,Emmerson KP,Partington PF,Reed MR

    更新日期:2011-10-01 00:00:00

  • The rate of screw misplacement in segmental pedicle screw fixation in adolescent idiopathic scoliosis.

    abstract:BACKGROUND AND PURPOSE:There are no reports in the literature on the influence of learning on the pedicle screw insertion. We studied the effect of learning on the rate of screw misplacement in patients with adolescent idiopathic scoliosis treated with segmental pedicle screw fixation. METHOD:We retrospectively evalua...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2010.548032

    authors: Abul-Kasim K,Ohlin A

    更新日期:2011-02-01 00:00:00

  • Comparison of optical coherence tomography and histopathology in quantitative assessment of goat talus articular cartilage.

    abstract:BACKGROUND AND PURPOSE:Optical coherence tomography (OCT) is a light-based imaging technique suitable for depiction of thin tissue layers such as articular cartilage. Quantification of results and direct comparison with a reference standard is needed to confirm the role of OCT in cartilage evaluation. MATERIALS AND ME...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.979312

    authors: Cernohorsky P,Kok AC,Bruin DM,Brandt MJ,Faber DJ,Tuijthof GJ,Kerkhoffs GM,Strackee SD,van Leeuwen TG

    更新日期:2015-04-01 00:00:00

  • Revision of metal-on-metal hip arthroplasty in a tertiary center: a prospective study of 39 hips with between 1 and 4 years of follow-up.

    abstract:BACKGROUND AND PURPOSE:Operative findings during revision of metal-on-metal hip arthroplasty (MOMHA) vary widely and can involve massive soft tissue and bone disruption. As a result, planning of theater time and resources is difficult, surgery is challenging, and outcomes are often poor. We describe our experience with...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2013.797313

    authors: Liddle AD,Satchithananda K,Henckel J,Sabah SA,Vipulendran KV,Lewis A,Skinner JA,Mitchell AW,Hart AJ

    更新日期:2013-06-01 00:00:00

  • No association between serum metal ions and implant fixation in large-head metal-on-metal total hip arthroplasty.

    abstract:BACKGROUND:The mechanism of failure of metal-on-metal (MoM) total hip arthroplasty (THA) has been related to a high rate of metal wear debris, which is partly generated from the head-trunnion interface. However, it is not known whether implant fixation is affected by metal wear debris. PATIENTS AND METHODS:49 cases of...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.922731

    authors: Hjorth MH,Søballe K,Jakobsen SS,Lorenzen ND,Mechlenburg I,Stilling M

    更新日期:2014-08-01 00:00:00

  • Knee replacement: epidemiology, outcomes, and trends in Southern California: 17,080 replacements from 1995 through 2004.

    abstract:BACKGROUND AND PURPOSE:There are limited population-based data on utilization, outcomes, and trends in total knee arthroplasty (TKA). The purpose of this study was to examine TKA utilization and short-term outcomes in a pre-paid health maintenance organization (HMO), and to determine whether rates and revision burden c...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670810016902

    authors: Khatod M,Inacio M,Paxton EW,Bini SA,Namba RS,Burchette RJ,Fithian DC

    更新日期:2008-12-01 00:00:00

  • Mid-term results of hindfoot arthrodesis with a retrograde intra-medullary nail in 24 patients with diabetic Charcot neuroarthropathy.

    abstract::Background and purpose - Hindfoot arthrodesis using retrograde intramedullary nailing assumes a critical role in limb salvage for patients with diabetic Charcot neuro-arthropathy (CN). However, this procedure is compelling and fraught with complications in diabetic patients. We report the mid-term clinical and radiolo...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2020.1746605

    authors: Ersin M,Demirel M,Chodza M,Bilgili F,Kiliçoglu OI

    更新日期:2020-06-01 00:00:00

  • Limited range of motion of hip resurfacing arthroplasty due to unfavorable ratio of prosthetic head size and femoral neck diameter.

    abstract:BACKGROUND AND PURPOSE:Hip resurfacing arthroplasty is being used more and more frequently. The small ratio in size between the resurfaced femoral head and the relatively thick femoral neck raises the question of whether the range of motion is sufficient, particularly with regard to the high mobility required by younge...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670810016803

    authors: Kluess D,Zietz C,Lindner T,Mittelmeier W,Schmitz KP,Bader R

    更新日期:2008-12-01 00:00:00

  • Survival and revision causes of hip resurfacing arthroplasty and the Mitch proximal epiphyseal replacement: results from the Danish Hip Arthroplasty Register.

    abstract::Background and purpose - The Mitch proximal epiphyseal replacement (PER) was developed to preserve proximal femoral bone and minimize femoral neck fracture associated with hip resurfacing arthroplasty (HRA). We studied the survival and risk of revision of HRA compared with cementless metal-on-polyethylene (MoP) total ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1646201

    authors: Tang-Jensen M,Kjærsgaard-Andersen P,Poulsen TK,Overgaard S,Varnum C

    更新日期:2019-12-01 00:00:00

  • The biceps tendon footprint.

    abstract:BACKGROUND:By arthroscopy, we observed a phenomenon that, according to our knowledge not previously described, we call the "biceps tendon footprint" (BTF)--an area of chondromalacia beside the bicipital groove. PATIENTS AND METHODS:We studied 118 shoulder arthroscopies prospectively. We documented whether a BTF could ...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/00016470510030634

    authors: Sistermann R

    更新日期:2005-04-01 00:00:00

  • Increasing incidence of club foot with higher population density: incidence and geographical variation in Denmark over a 16-year period--an epidemiological study of 936,525 births.

    abstract:BACKGROUND:The occurrence of club foot (CF) varies between countries and populations, and may be related to endogenous and exogenous factors. We analyzed the occurrence of CF in a whole country over a long period of time (16 years). METHODS:Patients born in Denmark with a foot deformity 1978-93 were identified from th...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610013114

    authors: Krogsgaard MR,Jensen PK,Kjaer I,Husted H,Lorentzen J,Hvass-Christensen B,Christensen SB,Larsen K,Sonne-Holm S

    更新日期:2006-12-01 00:00:00

  • New Zealand Joint Registry data underestimates the rate of prosthetic joint infection.

    abstract::Background and purpose - Recent studies have revealed deficiencies in the accuracy of data from joint registries when reoperations for prosthetic joint infections (PJIs) are reported, particularly when no components are changed. We compared the accuracy of data from the New Zealand Joint Registry (NZJR) to a multicent...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,多中心研究

    doi:10.3109/17453674.2016.1171639

    authors: Zhu M,Ravi S,Frampton C,Luey C,Young S

    更新日期:2016-08-01 00:00:00

  • Patient-reported outcome and risk of revision after shoulder replacement for osteoarthritis. 1,209 cases from the Danish Shoulder Arthroplasty Registry, 2006-2010.

    abstract:PURPOSE:We used patient-reported outcome and risk of revision to compare hemiarthroplasty (HA) with total shoulder arthroplasty (TSA) and stemmed hemiarthroplasty (SHA) with resurfacing hemiarthroplasty (RHA) in patients with glenohumeral osteoarthritis. PATIENTS AND METHODS:We included all patients reported to the Da...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2014.893497

    authors: Rasmussen JV,Polk A,Brorson S,Sørensen AK,Olsen BS

    更新日期:2014-04-01 00:00:00

  • Cognitive impairment influences the risk of reoperation after hip fracture surgery: results of 87,573 operations reported to the Norwegian Hip Fracture Register.

    abstract::Background and purpose - About one-fourth of hip fracture patients have cognitive impairment. We investigated whether patients' cognitive function affects surgical treatment, risk of reoperation, and mortality after hip fracture, based on data in the Norwegian Hip Fracture Register (NHFR).Patients and methods - This p...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453674.2019.1709712

    authors: Kristoffersen MH,Dybvik E,Steihaug OM,Kristensen TB,Engesaeter LB,Ranhoff AH,Gjertsen JE

    更新日期:2020-04-01 00:00:00

  • Treatment of 2- and 3-part fractures of the proximal humerus using external fixation: a retrospective evaluation of 62 patients.

    abstract:BACKGROUND:Treatment of fractures of the humeral head remains controversial. We reviewed the outcome of our treatment of 2- and 3-part fractures of the proximal humerus using external fixation as a way of preventing damage to the vascularity of the humeral head and of reducing the risk of infection associated with open...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670610046028

    authors: Martin C,Guillen M,Lopez G

    更新日期:2006-04-01 00:00:00

  • Good short-term outcome of primary total hip arthroplasty with cementless bioactive glass ceramic bottom-coated implants: 109 hips followed for 3–9 years.

    abstract:BACKGROUND AND PURPOSE:Cementless total hip arthroplasty is currently favored by many orthopedic surgeons. The design of the porous surface is critically important for long-term fixation. We examined the clinical and radiographic outcome of the cementless titanium hip implant with a bottom coating of apatite-wollastoni...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.3109/17453674.2012.736173

    authors: So K,Kanatani KT,Kuroda Y,Nakamura T,Matsuda S,Akiyama H

    更新日期:2012-12-01 00:00:00

  • External fixation of fractures of the distal radius: a randomized comparison of the Hoffman compact II non-bridging fixator and the Dynawrist fixator in 75 patients followed for 1 year.

    abstract:BACKGROUND AND PURPOSE:External fixators allowing movement during fracture healing are commonly used for treatment of unstable distal radius fractures. The dynamic Dynawrist fixator with the distal pins in metacarpal bone may avoid fixation problems in comminuted fractures and may reduce the risk of nerve injury. We co...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/17453670902807433

    authors: Krukhaug Y,Ugland S,Lie SA,Hove LM

    更新日期:2009-02-01 00:00:00

  • Mechanical evaluation of a new minimally invasive device for stabilization of proximal humeral fractures in elderly patients: a cadaver study.

    abstract:BACKGROUND:Treatment of proximal humerus fractures in elderly patients is challenging because of reduced bone quality. We determined the in vitro characteristics of a new implant developed to target the remaining bone stock, and compared it with an implant in clinical use. METHODS:Following osteotomy, left and right h...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710014031

    authors: Duda GN,Epari DR,Babst R,Lambert SM,Matthys R,Südkamp NP

    更新日期:2007-06-01 00:00:00

  • Functional outcome of femoral peri prosthetic fracture and revision hip arthroplasty: a matched-pair study from the New Zealand Registry.

    abstract:BACKGROUND AND PURPOSE:The number of periprosthetic fractures following total hip arthroplasty (THA) is increasing. There is, however, limited data on the functional outcome following these injuries. We analyzed functional outcome for revision THA following periprosthetic fracture, and compared this to the outcome of e...

    journal_title:Acta orthopaedica

    pub_type: 杂志文章

    doi:10.1080/17453670710015463

    authors: Young SW,Walker CG,Pitto RP

    更新日期:2008-08-01 00:00:00