A comparison on the clinical outcomes of using intraoperative load sensors versus manual balancing in total knee arthroplasty: a systematic review and meta-analysis.
Epub Ahead of Print
J Orthop Surg Res. 2025 01-Nov:. 10.1186/s13018-025-06394-8Study Summary
Four RCTs including 667 knees undergoing primary total knee arthroplasty (TKA) for osteoarthritis were included in this systematic review and meta-analysis comparing sensor-guided soft tissue balancing versus manual balancing techniques. Pooled outcomes of interest included functional scores, range of motion (ROM), and total complications. The meta-analysis demonstrated no statistically significant differences between sensor-assisted and manual balancing in functional outcomes, complication rates, or postoperative ROM. Overall, sensor-guided balancing did not show a meaningful superior benefit over conventional techniques, suggesting limited short-term benefit in improving intraoperative soft tissue balance.
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