Abstract
Purpose
The purpose of this study was to compare joint line changes between posterior-stabilized (PS) and cruciate-retaining (CR) computer navigated total knee arthroplasties (TKA) and to evaluate the impact on functional outcome.
Background
Restoration of the native joint line has been a common goal in all TKA designs. Computer-navigated TKA in increasingly being favoured by many surgeons, due to increased precision and lesser complications. Few studies have reported the effect of computer navigated TKA on joint line restoration. It remains to be seen if the greater precision offered by computer-navigated TKA in restoration of joint line translates to improvement in functional outcome.
Methods
This study assessed joint line changes following computer-assisted navigated total knee arthroplasty (TKA). A total of 195 patients were followed up for a period of 2 years following primary surgery. The change in the joint line was calculated based on the verified bony resections and the final thickness of the insert. The patients were stratified into two groups: the CR group and the PS group. The joint line changes of both groups were then compared using the Student t-test. Multivariate analysis and regression modelling were then utilized to analyze the functional outcomes of both groups at 6 months and 2 years of follow-up.
Results
A total of 112 CR knees and 83 PS knees were analyzed. PS knees had a significantly greater joint line change as compared to CR knees with a p-value of 0.04 (Figure 1). Although the knee, function and oxford knee questionnaire scores were significantly better in the CR group at the 6-month follow-up, this did not translate into any significant difference in functional scores at the 2-year follow-up. It was also found that the PS group had significantly better final range of motion.
Conclusion
CR knees are associated with significantly less joint line changes than PS knees in computer navigated TKA. PS knees have a greater range of motion at 2 years of follow-up. No significant difference in outcome was noted at 2 years follow-up.
