A Comparison of Early Clinical Outcome in Computer Assisted Surgery and Conventional Technique in Minimally Invasive Total Knee Arthroplasty
Pruk Chaiyakit MD*, Natthapong Hongku MD*, Surapoj Meknavin MD*
Affiliation : * Department of Orthopaedic Surgery, Faculty of Medicine, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand
Objective : To compare the clinical outcomes of minimally invasive total knee arthroplasty (MIS TKA) with
and without computer assisted surgery (CAS).
Material and Method: From September 2007 to February 2008, 64 patients (70 knees) underwent MIS TKA
were included. Clinical data such as operative time, pain score, total blood loss and Radiographic data were
recorded and compared.
Results : There were no significant different in clinical outcome of both groups but range of motion of MIS
group was better than CAS group. However, the percentage of outlier of bone cut in CAS group was 6.5% on
both femur and tibia while percentage of outlier in MIS group was 16.6% on femur and 25% on tibia.
Discussion: Combining CAS with MIS TKA showed improvement of accuracy in coronal bone cut without
increase of operative time or complications. The difference of ROM may be due to different prosthesis design in
each group.
Keywords : Computer assisted surgery, Minimally invasive total knee arthroplasty
