Does computer navigation system really improve early clinical outcomes after anterior cruciate ligament reconstruction? A meta-analysis and systematic review of randomized controlled trials.
Inaccurate tunnel placement is an important cause of failure in conventional anterior cruciate ligament (ACL) reconstruction. Controversy currently exists over the usefulness of computer-assisted navigation systems in addressing this problem. Five randomized or quasi-randomized, controlled trials co...
| Publicado en: | Knee (0968-0160) Vol. 19; no. 2; pp. 73 - 78 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104508469&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104508469 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09680160 JLZ jtl: Knee (0968-0160) issn: 09680160 maglogo: N pubinfo: dt: Mar2012 vid: 19 iid: 2 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104508469 NLM21458274 2011443482 10.1016/j.knee.2011.02.011 NLM21458274 104508469 ppf: 73 ppct: 5 formats: tig: atl: Does computer navigation system really improve early clinical outcomes after anterior cruciate ligament reconstruction? A meta-analysis and systematic review of randomized controlled trials. aug: au: Cheng T Zhang GY Zhang XL Cheng, Tao Zhang, Guo-You Zhang, Xian-Long affil: Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, 600 Yisan Road, Shanghai 200233, People's Republic of China sug: subj: Anterior Cruciate Ligament Reconstruction Randomized Controlled Trials Therapy, Computer Assisted Adolescence Adult Anterior Cruciate Ligament Injuries Clinical Assessment Tools Female Human Joint Instability Etiology Knee Joint Physiopathology Knee Joint Surgery Male Meta Analysis Middle Age Postoperative Complications Prevention and Control Recovery Systematic Review Time Factors Treatment Outcomes Young Adult Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Inaccurate tunnel placement is an important cause of failure in conventional anterior cruciate ligament (ACL) reconstruction. Controversy currently exists over the usefulness of computer-assisted navigation systems in addressing this problem. Five randomized or quasi-randomized, controlled trials comparing computer-navigated versus conventional technique in ACL reconstructions until December 1, 2009 were identified through a systematical database search. The clinical outcomes of the trials were analyzed by Lachman test, pivot-shift test, International Knee Documentation Committee knee score, Lysholm score, and Tegner score. Mean difference or risk ratio with 95% confidence interval was calculated using a fixed-effects or random-effects model. Heterogeneity across the studies was also assessed. We found that the use of computer-assisted navigation systems led to additional operative time (8-17min). No significant differences between computer-navigated and conventional groups were found in terms of knee stability and functional assessment during short-term follow-up. The role of computer-assisted navigation systems on clinical performance and longevity needs further investigation in large sample, long-term randomized trials. pubtype: Academic Journal doctype: meta analysis research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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