The use of navigation to achieve planned coronal alignment during cemented revision total knee arthroplasty: a technical note and case series.
(2025) European Journal of Orthopaedic Surgery & Traumatology — Vol. 35, n° 1, p. 345 [1-7] (2025)
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- Abstract
- Although navigation technologies have been widely adopted over the past two decades in primary total knee arthroplasty (TKA), their application in revision total knee arthroplasty (R-TKA) remains scarcely documented. This technical note outlines a surgical protocol designed to achieve targeted coronal alignment using off-label, image-free, optical navigation during R-TKA. This technique is suitable for all image-free optical navigation systems. We report 8 cases utilizing this method. Based on postoperative long-leg radiograph measures, the mean absolute deviation from the surgical plan was 1.5° ± 1.3° (range 0.2°-3.8°) for the femur (lateral distal femoral angle) and 1.3° ± 1.5° (range 0°-4.7°) for the tibia (medial proximal tibial angle). Navigation assistance during R-TKA appears as a useful tool, particularly in cases where conventional instrumentation proves inadequate (shaft deformation, femoral canal obstruction).
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Citations
Horteur, C., Van Den Wyngaert, T., Massé, V., & Kiss, M.-O. (2025). The use of navigation to achieve planned coronal alignment during cemented revision total knee arthroplasty: a technical note and case series. European Journal of Orthopaedic Surgery & Traumatology, 35(1), 345 [1-7]. https://doi.org/10.1007/s00590-025-04471-6 (Original work published 2025)