The aim of this study was to assess the value of navigation in achieving correct positioning of the implants and soft-tissue balance in total knee arthroplasty. We compared the axis alignment achieved in 72 LCS TKA's performed with navigation assistance to a historical cohort of 62 LCS TKA's implanted with the conventional instrumentation. The position of the tibial and femoral implants and the post-operative mechanical axes of the lower limbs were compared in the two series: there was a highly significant improvement in the alignment accuracy in the navigated series (p < 0.
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