Computer-Assisted Total Knee Arthroplasty Using Patient-Specific Templates: the Custom-made Cutting Guides

  • M. A. Hafez
  • K. L. Chelule
  • B. B. Seedhom
  • K. P. Sherman


Total Knee Arthroplasty Rapid Prototype Bone Cutting Concordance Coefficient Computer Assist Orthopaedic Surgery 
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  1. 1.
    Brouwer RW, Jakma TS, Bierma-Zeinstra SM, Ginai AZ, Verhaar JA (2003) The whole leg radiograph: standing versus supine for determining axial alignment. Acta Orthrop Scand 74: 565–568CrossRefGoogle Scholar
  2. 2.
    Brown GA, Firoozbakhsh K, DeCoster TA, Reyna JR Jr, Moneim M (2003) Rapid prototyping: The future of trauma surgery? J Bone Joint Surg Am 85(Suppl 4): 49–55PubMedGoogle Scholar
  3. 3.
    Chauhan SK, Scott RG, Breidahl W, Beaver RJ (2004) Computerassisted knee arthroplasty versus a conventional jig-based technique. A randomised, prospective trial. J Bone Joint Surg Br 86: 372–377PubMedCrossRefGoogle Scholar
  4. 4.
    Delp SL, Stulberg SD, Davies B, Picard F, Leitner F (1998) Computerassisted knee replacement. Clin Orthop Relat Res 354: 49–56PubMedCrossRefGoogle Scholar
  5. 5.
    Dennis DA, Channer M, Susman MH, Stringer EA (1993) Intramedullary versus extramedullary tibial alignment systems in total knee arthroplasty. J Arthroplasty 8: 43–47PubMedCrossRefGoogle Scholar
  6. 6.
    DiGioia AM III, Jaramaz B, Colgan BD (1998) Computer assisted orthopaedic surgery; image guided and robotic assistive technologies. Clin Orthop Relat Res 354: 8–16PubMedCrossRefGoogle Scholar
  7. 7.
    Ecker ML, Lotke PA, Sindsor RE, Cella JP (1987) Long-term results after total condylar knee arthroplasty. Significance of radiolucent lines. Clin Orthop Relat Res 216: 151–158PubMedGoogle Scholar
  8. 8.
    Fehring TK, Odum S, Griffin WL, Mason JB, Nadaud M (2001) Early failure in total knee arthroplasty. Clin Orthop Relat Res 392: 315–318PubMedCrossRefGoogle Scholar
  9. 9.
    Haaker, RG, Stockheim M, Kamp M, et al. (2005) »Computer-assisted navigation increases precision of component placement in total knee arthroplasty.« Clin Orthop Relat Res 433: 152–159.PubMedCrossRefGoogle Scholar
  10. 10.
    Hafez MA (2006) Computer-assisted total knee arthroplasty using patient-specific templates. MD thesis, Medical School, The University of LeedsGoogle Scholar
  11. 11.
    Hafez MA, Chelule K, Seedhom BB, Sherman KP (2006) Computerassisted total knee arthroplasty using patient-specific templating. Clin Orthop Relat Res 444: 184–192PubMedCrossRefGoogle Scholar
  12. 12.
    Hafez MA, Chelule K, Seedhom BB, Sherman KP, Jaramaz B, DiGioia AM III (2005) Patient-specific instrumentation for TKA: Testing the reliability using a navigation system. In: Symposium on Less and Minimally Invasive Surgery for Joint Arthroplasty: Fact and Fiction (MIS Meets CAOS). San Diego, CA, USA, pp 585–590Google Scholar
  13. 13.
    Harris J, Rimell J (2002) Can rapid prototyping ever become a routine feature in general dental practice? Dent Update 29: 482–486PubMedGoogle Scholar
  14. 14.
    Ilahi OA, Kadakia NR, Huo MH (2001) Inter-and intraobserver variability of radiographic measurements of knee alignment. Am J Knee Surg 14: 238–242PubMedGoogle Scholar
  15. 15.
    Incavo SJ, Coughlin KM, Beynnon BD (2004) Femoral component sizing in total knee arthroplasty: size matched resection versus flexion space balancing. J Arthroplasty 19: 493–497PubMedCrossRefGoogle Scholar
  16. 16.
    Jakopec M, Harris SJ et al. (2001) The first clinical application of a »hands-on« robotic knee surgery system. Comp Aided Surg 6: 329–339CrossRefGoogle Scholar
  17. 17.
    Jazrawi LM, Birdzell L, Kummer FJ, Di Cesare PE (2000) The accuracy of computed tomography for determining femoral and tibial total knee arthroplasty component rotation. J Arthroplasty 15: 761–766PubMedCrossRefGoogle Scholar
  18. 18.
    Jenny JY, Boeri C (2004) Low reproducibility of the intra-operative measurement of the transepicondylar axis during total knee replacement. Acta Orthrop Scand 75: 74–77CrossRefGoogle Scholar
  19. 19.
    Kalairajah Y, Simpson D, Cossey AJ, Verral GM, Spriggins AJ (2005) Blood loss after total knee replacement: Effects of computer-assisted surgery. J Bone Joint Surg Br 87: 1480–1482PubMedCrossRefGoogle Scholar
  20. 20.
    Kim YH (2001) Incidence of fat embolism syndrome after cemented or cementless bilateral simultaneous and unilateral total knee arthroplasty. J Arthroplasty 16: 730–739PubMedCrossRefGoogle Scholar
  21. 21.
    Kinzel V, Scaddan M, Bradley B et al. (2004) Varus/valgus alignmen of the femur in total knee arthroplasty. Can accuracy be improved by pre-operative CT scanning? Knee 11: 197–201PubMedCrossRefGoogle Scholar
  22. 22.
    Koshino T, Takeyama M, Jiang LS, Yoshida T, Saito T (2002) Underestimation of varus angulation in knees with flexion deformity. Knee 9: 275–279PubMedCrossRefGoogle Scholar
  23. 23.
    Laskin RS (2003) Instrumentation pitfalls: you just can’t go on autopilot! J Arthroplasty 18 (Suppl 1): 18–22PubMedCrossRefGoogle Scholar
  24. 24.
    Liow RYL, Murray DW (1997) Which primary total knee replacement? A review of currently available TKR in the United Kingdom. Ann R Coll Surg Engl 79: 335–340PubMedGoogle Scholar
  25. 25.
    Lonner JH, Laird MT, Stuchin SA (1996) Effect of rotation and knee flexion on radiographic alignment in total knee arthroplasties. Clin Orthop Relat Res 331: 102–106PubMedCrossRefGoogle Scholar
  26. 26.
    McPherson E, Roidis N, Song M et al. (2002) Location of positive culture in treatment of infected TKA. SICOT/SIROT XXII World Congress, San Diego, CA, p 407Google Scholar
  27. 27.
    McPherson EJ, Patzakis MJ, Gross JE, Holtom PD, Song M, Dorr LD (1997) Two-stage reimplantation with a gastrocnemius rotational flap. Clin Orthop Relat Res 341: 73–81PubMedCrossRefGoogle Scholar
  28. 28.
    MDA (2002) Evaluation of image guided surgery systems. Official report of the »Medicines and Healthcare Products Regulatory Agency« MDA 01025. Department of Health, UKGoogle Scholar
  29. 29.
    Moreland JR, Bassett LW, Hanker GJ (1987) Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg Am 69: 745–749PubMedGoogle Scholar
  30. 30.
    Nabeyama R, Matsuda S, Miura H, Mawatari T, Kawano T, Iwamoto Y (2003) The accuracy of image guided knee replacement based on computed tomography. J Bone Joint Surg Br 86: 366–371CrossRefGoogle Scholar
  31. 31.
    Perlick L, Bathis H, Tingart M et al. (2004) Navigation in total-knee arthroplasty: CT-based implantation compared with the conventional technique. Acta Orthrop Scand 75: 464–470CrossRefGoogle Scholar
  32. 32.
    Portheine F, Ohnsorge JA, Schkommodau E et al. (2004) CT-Based planning and individual template navigation in TKA. In: Stiehl JB, Konermann WH, Haaker RG (eds) Navigation and robotics in total joint and spine surgery. Springer, Berlin Heidelberg New York Tokyo, pp 336–342Google Scholar
  33. 33.
    Radermacher K, Portheine F, Anton M, Zimolong A, Kaspers G, Rau G, Staudte H-W (1998) Computer assisted orthopaedic surgery with image-based individual templates. Clin Orthop 354: 28–38PubMedCrossRefGoogle Scholar
  34. 34.
    Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM (2002) Insall Award paper. Why are knee replacements failing today? Clin Orthop Relat Res 404: 7–13PubMedCrossRefGoogle Scholar
  35. 35.
    Siebert W, Mai S, Kober R, Heeckt PF (2002) Technique and first clinical results of robot-assisted total knee replacement. Knee 9: 173–180PubMedCrossRefGoogle Scholar
  36. 36.
    Stulberg SD (2003) How accurate is current TKR instrumentation? Clin Orthop Relat Res 416: 177–184PubMedCrossRefGoogle Scholar
  37. 37.
    Teter KE, Bergman D, Colwell CW (1995) Accuracy of intramedullary versus extramedullary tibial alignment cutting systems in total knee arthroplasty. Clin Orthop Relat Res 321: 106–110PubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2007

Authors and Affiliations

  • M. A. Hafez
    • 1
    • 2
  • K. L. Chelule
    • 3
  • B. B. Seedhom
    • 3
  • K. P. Sherman
    • 4
  1. 1.The Institute for Computer Assisted Orthopaedic SurgeryPittsburghUSA
  2. 2.Western Pennsylvania HospitalPittsburghUSA
  3. 3.Academic Unit of Musculoskeletal and Rehabilitation MedicineUniversity of LeedsLeedsUnited Kingdom
  4. 4.Castle Hill HospitalHullUK

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