Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1013
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dc.contributor.authorFeller, Julian-
dc.contributor.otherMcClelland, Jodie-
dc.contributor.otherWebster, Kate-
dc.contributor.otherRamteke, Alankar-
dc.date.accessioned2017-03-10T02:16:43Z-
dc.date.available2017-03-10T02:16:43Z-
dc.date.issued2017-02-
dc.identifier.citationKnee. 2017 Feb 20.en_US
dc.identifier.issn0968-0160en_US
dc.identifier.urihttp://hdl.handle.net/11434/1013-
dc.description.abstractBACKGROUND: Computer-assisted navigation in total knee arthroplasty (TKA) reduces variability and may improve accuracy in the postoperative static alignment. The effect of navigation on alignment and biomechanics during more dynamic movements has not been investigated. METHODS: This study compared knee biomechanics during level walking of 121 participants: 39 with conventional TKA, 42 with computer-assisted navigation TKA and 40 unimpaired control participants. RESULTS: Standing lower-limb alignment was significantly closer to ideal in participants with navigation TKA. During gait, when differences in walking speed were accounted for, participants with conventional TKA had less knee flexion during stance and swing than controls (P<0.01), but there were no differences between participants with navigation TKA and controls for the same variables. Both groups of participants with TKA had lower knee adduction moments than controls (P<0.01). CONCLUSIONS: In summary, there were fewer differences in the biomechanics of computer-assisted navigation TKA patients compared to controls than for patients with conventional TKA. Computer-assisted navigation TKA may restore biomechanics during walking that are closer to normal than conventional TKA.en_US
dc.publisherElsevieren_US
dc.subjectTotal Knee Arthroplastyen_US
dc.subjectTKAen_US
dc.subjectKnee Replacementen_US
dc.subjectKnee Alignmenten_US
dc.subjectComputer-Assisted Navigationen_US
dc.subjectBiomechanicsen_US
dc.subjectPostoperative Static Alignmenten_US
dc.subjectDynamic Alignmenten_US
dc.subjectKinematicsen_US
dc.subjectOsteoarthritisen_US
dc.subjectGaiten_US
dc.subjectMusculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia-
dc.titleTotal knee arthroplasty with computer-assisted navigation more closely replicates normal knee biomechanics than conventional surgery.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1016/j.knee.2016.12.009en_US
dc.identifier.journaltitleThe Kneeen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/28233605en_US
dc.description.affiliatesSchool of Allied Health, La Trobe University, Bundoora, Australia.en_US
dc.description.affiliatesArthritis & Joint Replacement Clinic and Alexis Hospital, Nagpur, India.en_US
dc.type.studyortrialComparative Studyen_US
dc.type.contenttypeTexten_US
Appears in Collections:Musculoskeletal

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