Email this article Experience of use of the individual cutting block «5 in 1» using total knee arthroplasty
- Authors: Filippova A.V.1, Khurtsilava O.G.1, Ptashnikov D.A.1,2
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Russian Scientific Research Institute of Travmatology and Orthopedics named after R.R. Vreden
- Issue: Vol 30, No 2 (2023)
- Pages: 199-208
- Section: Clinical case reports
- URL: https://journals.eco-vector.com/0869-8678/article/view/321627
- DOI: https://doi.org/10.17816/vto321627
- ID: 321627
Cite item
Open Access
Access granted
Abstract
BACKGROUND: Total knee arthroplasty is the most progressively developing direction in the modern orthopaedic world. With the new visualization technologies, a whole new field of computer-assisted orthopaedic surgery has emerged. Generally, three groups can be distinguished in computer-assisted orthopedic surgery. The 1st group — the use of individual resection blocks, templates or guides — remains the most relevant today. However, the use of currently existing individual resection blocks, according to the literature, has contradictory results.
CLINICAL CASES DESCRIPTION: This work presents the author's developed technique of a new preoperative 3D modeling for total knee arthroplasty using individual resection blocks. The paper presents a clinical case demonstrating the effectiveness of the new technique.
CONCLUSION: The strategy CT+MRI, in our opinion, is the optimal solution not only for competent preoperative planning of total knee arthroplasty, but also for designing individual resection blocks. Our individual resection blocks allowed us to improve the accuracy of total knee arthroplasty.
Full Text
About the authors
Anastasia V. Filippova
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: dr.anastasia3d@gmail.com
ORCID iD: 0000-0001-9417-9563
SPIN-code: 7419-3814
Assistant to the President of the University; Traumatologist-Orthopedist; Specialist in 3D Technologies
Russian Federation, St. PetersburgOtari G. Khurtsilava
North-Western State Medical University named after I.I. Mechnikov
Email: rectorat@szgmu.ru
ORCID iD: 0000-0002-7199-671X
MD, Dr. Sci. (Med.), Professor, the President of the University
Russian Federation, St. PetersburgDmitrii A. Ptashnikov
North-Western State Medical University named after I.I. Mechnikov; Russian Scientific Research Institute of Travmatology and Orthopedics named after R.R. Vreden
Email: drptashnikov@yandex.ru
ORCID iD: 0000-0001-5765-3158
SPIN-code: 7678-6542
MD, Dr. Sci. (Med.), Professor; Head of the Department of Traumatology, Orthopedics and Military Surgery
Russian Federation, St. Petersburg; St. PetersburgReferences
- Docquier PL, Paul L, TranDuy K. Surgical navigation in paediatric orthopaedics. EFORT Open Rev. 2017;1(5):152–159. doi: 10.1302/2058-5241.1.000009
- Sugano N. Computer-assisted orthopedic surgery. J Orthop Sci. 2003;8(3):442–8. doi: 10.1007/s10776-002-0623-6
- Kubicek J, Tomanec F, Cerny M, Vilimek D, Kalova M, Oczka D. Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review. Sensors (Basel). 2019;19(23):5199. doi: 10.3390/s19235199
- Wang Z, Jiang M, Gu H. Understanding and analysis of CAOS development in context: the case of China. Int J Med Robot. 2008;4(3):252–7. doi: 10.1002/rcs.204
- DiGioia AM 3rd, Nolte LP. The challenges for CAOS: what is the role of CAOS in orthopaedics? Comput Aided Surg. 2002;7(3):127–8. doi: 10.1002/igs.10043
- Nolte LP, Beutler T. Basic principles of CAOS. Injury. 2004;35(1):16. doi: 10.1016/j.injury.2004.05.005
- Langlotz F. Potential pitfalls of computer aided orthopedic surgery. Injury. 2004;35(1):23. doi: 10.1016/j.injury.2004.05.006
- Schmucki D, Gebhard F, Grützner PA, Hüfner T, Langlotz F, Zheng G. Computer aided reduction and imaging. Injury. 2004;35(1):104. doi: 10.1016/j.injury.2004.05.017
- Gebhard F, Krettek C, Hüfner T. Computer aided orthopedic surgery (CAOS) — a rapidly evolving technology. Injury. 2004;35(1):S–A1. doi: 10.1016/j.injury.2004.05.003
- Zheng G, Nolte LP. Computer-Aided Orthopaedic Surgery: State-of-the-Art and Future Perspectives. Adv Exp Med Biol. 2018;(1093):1–20. doi: 10.1007/978-981-13-1396-7_1
- Jenny JY. The history and development of computer assisted orthopaedic surgery. Orthopade. 2006;35(10):1038–42. doi: 10.1007/s00132-006-0994-y
- Hampp EL, Sodhi N, Scholl L, et al. Less iatrogenic soft-tissue damage utilizing robotic-assisted total knee arthroplasty when compared with a manual approach: A blinded assessment. Bone Joint Res. 2019;8(10):495–501. doi: 10.1302/2046-3758.810.BJR-2019-0129.R1
- Hepinstall MS, Sodhi N, Ehiorobo JO, Hushmendy S, Mont MA. Robotic-arm assisted total hip arthroplasty. Ann Transl Med. 2018;6(22):433. doi: 10.21037/atm.2018.10.37
- Sultan AA, Piuzzi N, Khlopas A, Chughtai M, Sodhi N, Mont MA. Utilization of robotic-arm assisted total knee arthroplasty for soft tissue protection. Expert Rev Med Devices. 2017;14(12):925–927. doi: 10.1080/17434440.2017.1392237
- Kulyaba TA. Pervichnoye total’noye endoprotezirovaniye kolennogo sustava [Primary total knee arthroplasty]. Kiev: Osnova; 2019. 166–170 p. (in Russ).
- Mattei L, Pellegrino P, Calò M, Bistolfi A, Castoldi F. Patient specific instrumentation in total knee arthroplasty: a state of the art. Ann Transl Med. 2016;4(7):126. doi: 10.21037/atm.2016.03.33
- Birnbaum K, Schkommodau E, Decker N, Prescher A, Klapper U, Radermacher K. Computer-assisted orthopedic surgery with individual templates and comparison to conventional operation method. Spine. 2001;26(4):365–70. doi: 10.1097/00007632-200102150-00012
- Radermacher K, Portheine F, Anton M, Zimolong A, Kaspers G, Rau G, Staudte HW. Computer assisted orthopaedic surgery with image based individual templates. Clin Orthop Relat Res. 1998;(354):28–38. doi: 10.1097/00003086-199809000-00005
- Wautier D, Thienpont E. Changes in anteroposterior stability and proprioception after different types of knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2017;25(6):1792–1800. doi: 10.1007/s00167-016-4038-9
- Harold RE, Macleod J, Butler BA, et al. Single-Use Custom Instrumentation in Total Knee Arthroplasty: Effect on In-Hospital Complications, Length of Stay, and Discharge Disposition. Orthopedics. 2019;42(5):299–303. doi: 10.3928/01477447-20190403-03
- Voleti PB, Hamula MJ, Baldwin KD, Lee GC. Current data do not support routine use of patient-specific instrumentation in total knee arthroplasty. J Arthroplasty. 2014;29(9):1709–12. doi: 10.1016/j.arth.2014.01.039
- Filippova AV, Khurtsilava OG, Ptashnikov DA. Virtual protocol in preoperative planning of total knee arthroplasty. Modern problems of science and education. Surgery. 2023;(3). Available from: https://science-education.ru/ru/article/view?id=32658. (in Russ). doi: 10.17513/spno.32658
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).