Total Knee Replacement Using Computer Navigation in Severe Extremity Deformities

Abstract


Experience in cement total knee arthroplasty using computer navigation is presented. There were 42 patients with severe deformities of knee, condyles as well as tibia and femur diaphyses. Five patients out of them had prior implanted hip endoprostheses on ipsilateral side in whom use of routine arthroplasty technique with guide was impossible. In such cases computer navigation allowed to achieve high-precise insertion of implant with provision of correct ligament balance and maintenance of all axes and angles. The terms of rehabilitation and functional results were similar to common cases of primary knee joint replacement using computer navigation.

References

  1. Кавалерский Г.М., Мурылев В.Ю., Елизаров П.М. и др. Оценка ближайших результатов тотального эндопротезирования коленного сустава с применением компьютерной навигации //Вестн. травматол. ортопед. - 2009. - N 1. - С. 29-33.
  2. Anderson K.C., Buehler K.C., Markel D.S. Computer assisted navigation in total knee artroplasty: comparison with conventional methods //J. Arthroplasty. - 2005. - Vol. 20, N 7, Suppl. 3. - P. 132-138.
  3. Barrack R.L., Schrader T., Bertot A.J. et al. Component rotation and anterior knee pain after total knee artro-plasty //Clin. Orthop. - 2001. - N 392. - P. 46-55.
  4. Brys D.A., Lombardi A.V., Mallory T.H., Vaughn B.K. A comparison of intramedullary and extramedullary alignment systems for tibial component placement in total knee artroplasty //Clin. Orthop. - 1991. - N 263. - P. 175-179.
  5. Chiu K.Y., Yau W.P., Tang W.M. The accuracy of extramedullary guides for tibial component placement in total knee arthroplasty //Int. Orthop. - 2008. - Vol. 32, N 4. - P. 467-471.
  6. Deckyng R., Markmann Y., Fuchs J., Puhl W. Leg axis after computer navigated total knee artroplasty: a prospective randomyzered trial comparing computer- navigated and manual implantation //J. Arthroplasty. - 2005. - Vol. 20. - P. 282-288.
  7. Klein G.R., Austin M.S., Smith E.B., Hozzack W.J. Total knee artroplasty using computer assisted navigation in patients with deformities of femur and tibia //J. Arthroplasty. - 2006. - Vol. 21. - P. 284-288.
  8. Maestro A., Harwin S.F., Sandoval M.G. et al. Influence of intramedullary versus extramedullary alignment guides on final total knee artroplasty component position. A radiographic analysis //J. Arthroplasty. - 1998. -Vol. 13. - P. 552-558.
  9. Mizu-uchi H., Matsuda S., Miura H. et al. The evaluation of post - operative alignment in total knee replacement using a CT-based navigation system //J. Bone Jt Surg. - 2008. - Vol. 90B. - P. 1025-1031.
  10. Sparmann M., Wolke B., Czupalla H. et al. Positioning of total knee artroplasty with and without navigation support. A prospective, randomized study //J. Bone Jt Surg. - 2003. - Vol. 85B. - P. 830-835.
  11. Unitt L., Sambatakakis A., Johnstone D. et al. Short-term outcome in total knee replacement after soft- tissue in total knee replacement release and balancing //J. Bone Jt Surg. - 2008. - Vol. 90B. - P. 159-165.

Statistics

Views

Abstract - 21

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2010 Kavalerskiy G.M., Murylev V.Y., Elizarov P.M., Zhuchkov A.G., Yakimov L.A., Rukin Y.A., Terent'ev D.I.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies