Cutting and implanting errors in minimally invasive total knee arthroplasty using a navigation system

被引:18
作者
Hasegawa, Masahiro [1 ]
Yoshida, Kakunoshin [1 ]
Wakabayashi, Hiroki [1 ]
Sudo, Akihiro [1 ]
机构
[1] Mie Univ, Grad Sch Med, Dept Orthopaed Surg, Tsu, Mie 5148507, Japan
关键词
COMPUTER-ASSISTED SURGERY; ALIGNMENT; METAANALYSIS; REPLACEMENT; COMPONENT;
D O I
10.1007/s00264-012-1688-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The purpose of this study was to evaluate the accuracy of bone cutting and implantation in minimally invasive total knee arthroplasty with image-free navigation. The alignment of the tibial and femoral bone resection was measured in 40 knees during surgery. The alignment measurement was repeated after cementing the tibial and femoral components. We evaluated the cutting error and the implanting error. The mean tibial cutting errors were 0.5 and 0.7A degrees in the frontal and sagittal planes, respectively. The mean femoral cutting errors were 0.5 and 0.9A degrees in the frontal and sagittal planes, respectively. The mean tibial implanting errors were 1.0 and 0.9A degrees in the frontal and sagittal planes, respectively. The mean femoral implanting error was 0.7A degrees in the frontal plane. Computer-assisted navigation was useful in checking the alignment of both bone cut and cementation.
引用
收藏
页码:27 / 30
页数:4
相关论文
共 18 条
[1]   Alignment in total knee arthroplasty -: A comparison of computer-assisted surgery with the conventional technique [J].
Bäthis, H ;
Perlick, L ;
Tingart, M ;
Lüring, C ;
Zurakowski, D ;
Grifka, J .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (05) :682-687
[2]   Navigated total knee replacement - A meta-analysis [J].
Bauwens, Kai ;
Matthes, Gerrit ;
Wich, Michael ;
Gebhard, Florian ;
Hanson, Beate ;
Ekkernkamp, Axel ;
Stengel, Dirk .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (02) :261-269
[3]   Mechanical accuracy of navigated minimally invasive total knee arthroplasty (MIS TKA) [J].
Biasca, Nicola ;
Wirth, Stephan ;
Bungartz, Matthias .
KNEE, 2009, 16 (01) :22-29
[4]   Imageless computer assisted versus conventional total knee replacement. A Bayesian meta-analysis of 23 comparative studies [J].
Brin, Yaron S. ;
Nikolaou, Vassilios S. ;
Joseph, Lawrence ;
Zukor, David J. ;
Antoniou, John .
INTERNATIONAL ORTHOPAEDICS, 2011, 35 (03) :331-339
[5]   Alignment deviation between bone resection and final implant positioning in computer-navigated total knee arthroplasty [J].
Catani, Fabio ;
Biasca, Nicola ;
Ensini, Andrea ;
Leardini, Alberto ;
Bianchi, Luca ;
Digennaro, Vitantonio ;
Giannini, Sandro .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (04) :765-771
[6]   Plain Radiograph Fails to Reflect the Alignment and Advantages of Navigation in Total Knee Arthroplasty [J].
Choi, Won Chul ;
Lee, Sahnghoon ;
An, Joon Hwan ;
Kim, Dongwook ;
Seong, Sang Cheol ;
Lee, Myung Chul .
JOURNAL OF ARTHROPLASTY, 2011, 26 (05) :756-764
[7]   Combining different rotational alignment axes with navigation may reduce the need for lateral retinacular release in total knee arthroplasty [J].
Cinotti, Gianluca ;
Ripani, Francesca R. ;
Sessa, Pasquale ;
Giannicola, Giuseppe .
INTERNATIONAL ORTHOPAEDICS, 2012, 36 (08) :1595-1600
[8]   Mini-incision total knee arthroplasty can increase risk of component malalignment [J].
Dalury, DF ;
Dennis, DA .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (440) :77-81
[9]   Minimally invasive total knee arthroplasty: comparison of jig-based technique versus computer navigation for clinical and alignment outcome [J].
Hasegawa, Masahiro ;
Yoshida, Kakunoshin ;
Wakabayashi, Hiroki ;
Sudo, Akihiro .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2011, 19 (06) :904-910
[10]   Does computer navigation in total knee arthroplasty improve patient outcome at midterm follow-up? [J].
Kamat, Yogeesh D. ;
Aurakzai, Kamran M. ;
Adhikari, Ajeya R. ;
Matthews, Daniel ;
Kalairajah, Yegappan ;
Field, Richard E. .
INTERNATIONAL ORTHOPAEDICS, 2009, 33 (06) :1567-1570