Abstract
This chapter describes the basic rationale and surgical technique with uni-, bi-, or tricompartmental patientspecific knee arthroplasty using the second generation of ConforMIS™ implants. The patient-specific implants and instruments are designed and manufactured based on data from preoperative computed tomography (CT). The disposable patient-specific cutting jigs are fabricated with consideration of the anatomical and biomechanical axes of the knee, thereby resulting in efficient prenavigation of bony cuts without the need for an additional navigation system. For all types of resurfacing implants, the surgical technique comprises cartilage removal, knee balancing for determination of the optimal tibial resection, femoral and tibial preparation, trialing, and cementing of the implants. The use of personalized three-dimensional image-derived resurfacing implants, as well as individualized single-use instrumentation, has the potential to restore almost normal knee anatomy and kinematics and might therefore change the common surgical practice of knee arthroplasty.
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Steinert, A., Nöth, U., Rudert, M. (2013). The Individual-Template System Combined with Individual Endoprosthesis: ConforMIS™ iUni G2, iDuo G2, and iTotal G2. 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_6
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DOI: https://doi.org/10.1007/978-3-642-29728-1_6
Publisher Name: Springer, Berlin, Heidelberg
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