Deviation between navigated and final 3-dimensional implant position in mini-invasive unicompartmental knee arthroplasty

Abstract

Background and purpose Unicompartmental knee arthroplasty (UKA) is an established method of treating isolated gonartrosis. Modern techniques such as computer-assisted surgery (CAS) and minimally invasive surgery (MIS) are attractive complementary methods to UKA. However, the positioning of the components remains a concern. Thus, we performed a prospective study to assess whether there was deviation between the navigated implant position and the final implant position.

Patients and methods We performed UKA with MIS and CAS in 13 patients. By comparing intraoperative navigation data with postoperative computed tomography (CT) measurements, we calculated the deviation between the computer-assisted implant position and the final 3-D implant position of the femoral and tibial components.

Results The computer-assisted placement of the femoral and tibial component showed adequate position and consistent results regarding flexion-extension and varus-valgus. However, regarding rotation there was a large variation and 6 of 10 patients were outside the target range for both the femoral component and the tibial component.

Interpretation Difficulties in assessing anatomical landmarks with the CAS in combination with MIS might be a reason for the poor rotational alignment of the components.

NM-C: writing of the manuscript; JC: writing of CT method and CT measurements; LW and MH: study design and performance of all surgeries. All authors: data analysis and review of the manuscript.

We thank Depuy, Johnson and Johnson, Sweden for financial support that enabled us to perform the CT measurements.

No competing interests declared.