Navigated Tibia First Total Knee Arthroplasty Using a Ligament Tensioning Device, Clinical Results at 1Y Follow-up

The purpose of this descriptive study was to evaluate patient reported outcome at one year follow-up when performing TKA using a tibia 1st surgical workflow and a navigation system coupled to a ligament tensioning device, allowing taking knee laxities into consideration when doing the intraoperative femoral cut planning. Results suggest that the navigation allows more precision in bone cuts, saving the bone stock as much as possible, while intraoperative planning ensured medio-lateral gap balancing. Clinical results at one year were similar to those of equivalent studies, and patient satisfaction was very high.