Abstract
The current outcome of total knee replacement is acceptable, but many attempts have been made to improve the results. The demand for improvement is high, as many goals need to be realized. Good clinical function and longevity are based on correct positioning of the components in coronal, sagittal, and axial planes as well as on soft tissue balancing in flexion and extension, joint line reconstruction, and correct patella tracking. Computer-assisted navigation has resulted in improved alignment but has neither eliminated outliers nor improved the clinical outcome.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bellemans J, Colyn W, Vandenneucker H, Victor J (2012) The Chitranjan Ranawat award: is neutral mechanical alignment normal for all patients? The concept of constitutional varus. Clin Orthop Relat Res 470:45–53
Chan KY, Teo YH (2012) Patient-specific instrumentation for total knee replacement verified by computer navigation: a case report. J Orthop Surg (Hong Kong) 20:111–114
Dossett HG, Swartz GJ, Estrada NA, Lefevre GW, Kwasman BG (2012) Kinematically versus mechanically aligned total knee arthroplasty. Orthopedics 35:160–169
Matziolis G, Krocker D, Weiss U, Tohtz S, Perka C (2007) A prospective, randomized study of computer-assisted and conventional total knee arthroplasty: three-dimensional evaluation of implant alignment and rotation. J Bone Joint Surg Am 89:236–243
Mayer SW, Hug KT, Hansen BJ, Bolognesi MP (2012) Total knee arthroplasty in osteopetrosis using patient-specific instrumentation. J Arthroplasty 27 [Epub ahead of print]
Ng VY, DeClaire JH, Berend KR, Gulick BC, Lombardi AV Jr. (2012) Improved accuracy of alignment with patientspecific positioning guides compared with manual instrumentation in TKA. Clin Orthop Relat Res 470:99–107
Nunley RM, Ellison BS, Zhu J, Ruh EL, Howell SM, Barrack RL (2012b) Do patient-specific guides improve coronal alignment in total knee arthroplasty? Clin Orthop Relat Res 470:895–902
Nunley RM, Ellison BS, Ruh EL, Williams BM, Foreman K, Ford AD, Barrack RL (2012a) Are patient-specific cutting blocks cost-effective for total knee arthroplasty? Clin Orthop Relat Res 470:889–894
Parratte S, Pagnano MW, Trousdale RT, Berry DJ (2010) Effect of postoperative mechanical axis alignment on the fifteenyear survival of modern, cemented total knee replacements. J Bone Joint Surg Am 92:2143–2149
Sikorski JM (2008) Alignment in total knee replacement. J Bone Joint Surg Br 90:1121–1127
Watters TS, Mather RC 3rd, Browne JA, Berend KR, Lombardi AV Jr, Bolognesi MP (2011) Analysis of procedure-related costs and proposed benefits of using patient-specific approach in total knee arthroplasty. J Surg Orthop Adv 20:112–116
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Köster, G. (2013). Zimmer® Patient-Specific Instruments for Total and Unicompartmental Knee Replacement. In: Haaker, R., Konermann, W. (eds) Computer and Template Assisted Orthopedic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29728-1_5
Download citation
DOI: https://doi.org/10.1007/978-3-642-29728-1_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-29727-4
Online ISBN: 978-3-642-29728-1
eBook Packages: MedicineMedicine (R0)