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

4 pages•Published: January 5, 2026

François Boux de Casson, Laurent Angibaud and Omar Naji

Abstract

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.

Keyphrases: ligament balancing, navigation, tensioning device, tibia first, tka

In: Joshua William Giles and Aziliz Guezou-Philippe (editors). Proceedings of The 25th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 8, pages 55-58.

Links:	https://easychair.org/publications/paper/4rZd
	https://doi.org/10.29007/kx3m

BibTeX entry

@inproceedings{CAOS2025:Navigated_Tibia_First_Total,
  author    = {François Boux de Casson and Laurent Angibaud and Omar Naji},
  title     = {Navigated Tibia First Total Knee Arthroplasty Using a Ligament Tensioning Device, Clinical Results at 1Y Follow-up},
  booktitle = {Proceedings of The 25th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Joshua William Giles and Aziliz Guezou-Philippe},
  series    = {EPiC Series in Health Sciences},
  volume    = {8},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/4rZd},
  doi       = {10.29007/kx3m},
  pages     = {55-58},
  year      = {2026}}

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