Advertisement

Computer-Assisted Surgery: Coronal and Sagittal Alignment

  • J. Victor

Summary

Computer-assisted total knee surgery has spread rapidly in the orthopedic community over the past 5 years. This technology has the potential to position the components of the total knee arthroplasty exactly in the desired position, hence avoiding outliers in postoperative alignment. This paper describes the currently available systems and their respective advantages and flaws. Accuracy and differential clinical outcomes are discussed, based upon the available literature.

Keywords

Total Knee Arthroplasty Total Knee Replacement Mechanical Axis Conventional Group Coronal Alignment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Agglietti P, et al (1988) Posteriorly stabilised total condylar knee replacement: three to eight years follow-up on 85 knees. J Bone Joint Surg [Br] 70: 211–216Google Scholar
  2. 2.
    Bargren JH, et al (1983) Alignment in total knee arthroplasty. Clin Orthop 173:178–183PubMedGoogle Scholar
  3. 3.
    Bartel DL, et al (1982) Performance of the tibial component in total knee replacement. J Bone Joint Surg [Am] 64:1026PubMedGoogle Scholar
  4. 4.
    Bäthis H, et al (2003) Results of the Brainlab CT-free navigation system in total knee arthroplasty. In: Langlotz FL, Davies BL, Bauer A (eds) Computer-assisted orthopedic surgery: third annual meeting of CAOS international proceedings. Steinkopff Verlag, Darmstadt, pp 20–21Google Scholar
  5. 5.
    Bellemans J, et al (2002) Influence of posterior condylar offset. Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty. J Bone Joint Surg [Br] 84:50–53CrossRefGoogle Scholar
  6. 6.
    Brilhaut J, et al (2003) Prothèse totale de genou et grandes déviations axiales. Ann Orthop l’Ouest 35:253–288Google Scholar
  7. 7.
    Gibbs AN, et al (1979) A comparison of the Freeman-Swanson (ICLH) and Walldius prostheses in total knee replacement. J Bone Joint Surg [Br] 61:358Google Scholar
  8. 8.
    Green GV, et al (2002) The effects of varus tibial alignment on proximal tibial surface strain in total knee arthroplasty. J Arthroplasty 17:1033–1039CrossRefPubMedGoogle Scholar
  9. 9.
    Hamilton LR (1982) UCI total knee replacement: a follow-up study. J Bone Joint Surg [Am] 64:740–744PubMedGoogle Scholar
  10. 10.
    Hofmann S, et al (2003) Rotational malalignment of the components may cause chronic pain or early failure in total knee arthroplasty. Orthopade 32:469–476PubMedGoogle Scholar
  11. 11.
    Hsu HP et al (1989) Effect of knee component alignment on tibial load distribution with clinical correlation. Clin Orthop 248:135–144PubMedGoogle Scholar
  12. 12.
    Insall JI, et al (1979) The total condylar knee prosthesis: a report on two hundred and twenty cases. J Bone Joint Surg [Am] 61:173–180PubMedGoogle Scholar
  13. 13.
    Jeffery RS, et al (1991) Coronal alignment after total knee replacement. J Bone Joint Surg [Br] 73:709–14Google Scholar
  14. 14.
    Jenny JY, et al (2001) Computer-assisted implantation of a total knee arthroplasty: a case-controlled study in comparison with classical instrumentation. Rev Chir Orthop Reparatrice Appar Mot 87:645–652PubMedGoogle Scholar
  15. 15.
    Jessup DE, et al (1997) Restoration of limb alignment in total knee arthroplasty: evaluation and methods. J South Orthop Assoc 6:37–47PubMedGoogle Scholar
  16. 16.
    Kumar PJ, et al (1997) Severe malalignment and soft-tissue imbalance in total knee arthroplasty. Am J Knee Surg 10:36–41PubMedGoogle Scholar
  17. 17.
    Laskin RS (1990) Total condylar knee replacement in patients who have rheumatoid arthritis. A ten-year follow-up study. J Bone Joint Surg [Am] 72:529–535PubMedGoogle Scholar
  18. 18.
    Lotke PA, et al (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg [Am] 59:77–79PubMedGoogle Scholar
  19. 19.
    Mielke RK, et al (2001) Navigation in knee endoprosthesis implantation — preliminary experience and prospective comparative study in comparison with conventional technique. Z Orthop Ihre Grenzgeb 139:109–116CrossRefPubMedGoogle Scholar
  20. 20.
    Moreland JR, et al (1987) Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg [Am] 69:745–749PubMedGoogle Scholar
  21. 21.
    Ritter MA, et al (1994) Postoperative alignment of total knee replacement. Clin Orthop 299:153–156PubMedGoogle Scholar
  22. 22.
    Saragaglia D, et al (2001) Computer assisted knee arthroplasty: comparison with a conventional procedure. Results of 50 cases in a prospective randomized study. Rev Chir Orthop Reparatrice Appar Mot 87:18–28PubMedGoogle Scholar
  23. 23.
    Sharkey PF, et al (2002) Why are total knee arthroplasties failing today? Clin Orthop 404:7–13PubMedGoogle Scholar
  24. 24.
    Sparmann M, et al (2003) Positioning of total knee arthroplasty with and without navigation support. A prospective, randomised study. J Bone Joint Surg [Br] 85:830–835PubMedGoogle Scholar
  25. 25.
    Stulberg SD, et al (2002) Computer-assisted navigation in total knee replacement: results of an initial experience in thirty-five patients. J Bone Joint Surg [Am] 84:90–98PubMedGoogle Scholar
  26. 26.
    Tew M, et al (1985) Tibiofemoral alignment and the results of knee replacement. J Bone Joint Surg [Br] 67:551–556Google Scholar
  27. 27.
    Victor J, et al (2004) Image-based computer-assisted total knee arthroplasty leads to lower variability in coronal alignment. Clin Orthop 428:131–139CrossRefPubMedGoogle Scholar
  28. 28.
    Victor J, et al (1994) Femoral intramedullary instrumentation in total knee arthroplasty: the role of preoperative X-ray analysis. Knee 1:123–125CrossRefGoogle Scholar
  29. 29.
    Windsor RE, et al (1989) Mechanisms of failure of the femoral and tibial components in total knee arthroplasty. Clin Orthop 248:15–19PubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2005

Authors and Affiliations

  • J. Victor

There are no affiliations available

Personalised recommendations