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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2008

01-05-2008 | Knee

Intra-operative tibial fracture during computer assisted total knee replacement: a case report

Authors: A. Manzotti, N. Confalonieri, C. Pullen

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2008

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Abstract

Recently computer-assisted joint replacement surgery has been introduced to improve implant alignment. To date no intra-operative fractures have been reported related to the insertion of the navigation trackers used in this technique. The authors present the case of a 76-year-old man who sustained an intra-operative tibial fracture at the site of insertion of the navigation tracker during computer assisted total knee replacement.
Literature
1.
go back to reference Alan RK, Shin MS, Tria AJ Jr (2007) Initial experience with electromagnetic navigation in total knee arthroplasty: a radiographic comparative study. J Knee Surg 20(2):152–157PubMed Alan RK, Shin MS, Tria AJ Jr (2007) Initial experience with electromagnetic navigation in total knee arthroplasty: a radiographic comparative study. J Knee Surg 20(2):152–157PubMed
2.
go back to reference Bathis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J (2004) Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. J Bone Joint Surg Br 86:682–687PubMedCrossRef Bathis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J (2004) Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. J Bone Joint Surg Br 86:682–687PubMedCrossRef
3.
go back to reference Berend ME, Ritter MA, Meding JB, Faris PM, Keating EM, Redelman R et al (2004) Tibial component failure mechanisms in total knee arthroplasty. Clin Orthop Relat Res 428:26–34PubMedCrossRef Berend ME, Ritter MA, Meding JB, Faris PM, Keating EM, Redelman R et al (2004) Tibial component failure mechanisms in total knee arthroplasty. Clin Orthop Relat Res 428:26–34PubMedCrossRef
4.
go back to reference Brooks DB, Burstein AH, Frankel VH (1970) The biomechanics of torsional fractures: the stress concentration effect of a drill hole. J Bone Joint Surg 52-A:507–514 Brooks DB, Burstein AH, Frankel VH (1970) The biomechanics of torsional fractures: the stress concentration effect of a drill hole. J Bone Joint Surg 52-A:507–514
5.
go back to reference Caillouette JT, Anzel SH (1990) Fat embolism syndrome following the intramedullary alignment guide in total knee arthroplasty. Clin Orthop Relat Res 251:198–199PubMed Caillouette JT, Anzel SH (1990) Fat embolism syndrome following the intramedullary alignment guide in total knee arthroplasty. Clin Orthop Relat Res 251:198–199PubMed
6.
go back to reference Callaghan JJ, Liu SS, Warth LC (2006) Computer-assisted surgery: a wine before its time: in the affirmative. J Arthroplasty 21(4 Suppl 1):27–28PubMedCrossRef Callaghan JJ, Liu SS, Warth LC (2006) Computer-assisted surgery: a wine before its time: in the affirmative. J Arthroplasty 21(4 Suppl 1):27–28PubMedCrossRef
7.
go back to reference Chauhan SK, Scott RG, Breidahl W, Beaver RJ (2004) Computer-assisted knee arthroplasty versus a conventional jig-based technique. A randomised, prospective trial. J Bone Joint Surg Br 86:372–377PubMedCrossRef Chauhan SK, Scott RG, Breidahl W, Beaver RJ (2004) Computer-assisted knee arthroplasty versus a conventional jig-based technique. A randomised, prospective trial. J Bone Joint Surg Br 86:372–377PubMedCrossRef
8.
go back to reference Chin PL, Yang KY, Yeo SJ, Lo NN (2005) Randomized control trial comparing radiographic total knee arthroplasty implant placement using computer navigation versus conventional technique. J Arthroplasty 20:618–626PubMedCrossRef Chin PL, Yang KY, Yeo SJ, Lo NN (2005) Randomized control trial comparing radiographic total knee arthroplasty implant placement using computer navigation versus conventional technique. J Arthroplasty 20:618–626PubMedCrossRef
9.
go back to reference Church JS, Scadden JE, Gupta RR, Cokis C, Williams KA, Janes GC (2007) Embolic phenomena during computer-assisted and conventional total knee replacement. J Bone Joint Surg Br 89(4):481–485PubMedCrossRef Church JS, Scadden JE, Gupta RR, Cokis C, Williams KA, Janes GC (2007) Embolic phenomena during computer-assisted and conventional total knee replacement. J Bone Joint Surg Br 89(4):481–485PubMedCrossRef
10.
go back to reference Clemens U, Miehlke RK (2005) Advanced navigation planning including soft tissue management. Orthopedics 28(10 Suppl):s1259–s1262. (Review)PubMed Clemens U, Miehlke RK (2005) Advanced navigation planning including soft tissue management. Orthopedics 28(10 Suppl):s1259–s1262. (Review)PubMed
11.
go back to reference Confalonieri N, Manzotti A, Pullen C, Ragone V (2005) Computer-assisted technique versus intramedullary and extramedullary alignment systems in total knee replacement: a radiological comparison. Acta Orthop Belg 71:703–709PubMed Confalonieri N, Manzotti A, Pullen C, Ragone V (2005) Computer-assisted technique versus intramedullary and extramedullary alignment systems in total knee replacement: a radiological comparison. Acta Orthop Belg 71:703–709PubMed
12.
go back to reference Hemigou P, Deschamps G (2004) Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res 423:161–165CrossRef Hemigou P, Deschamps G (2004) Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res 423:161–165CrossRef
13.
go back to reference Hernandez-Vaquero D, Suarez-Vazquez A (2007) Complications of fixed infrared emitters in computer-assisted total knee arthroplasties. BMC Musculoskelet Disord 8:71PubMedCrossRef Hernandez-Vaquero D, Suarez-Vazquez A (2007) Complications of fixed infrared emitters in computer-assisted total knee arthroplasties. BMC Musculoskelet Disord 8:71PubMedCrossRef
14.
go back to reference Hozack WJ (2007) Computer-assisted surgery. Orthopedics 30(2):109–110PubMed Hozack WJ (2007) Computer-assisted surgery. Orthopedics 30(2):109–110PubMed
15.
go back to reference Jamal SA, Bauer DC, Ensured KE, Cauley JA, Hochberg M, Ishani A, Cummings SR (2007) Alendonate treatment in women with normal to severely impaired renal function: an analysis of the fracture intervention trial. J Bone Miner Res 22(4):503–508PubMedCrossRef Jamal SA, Bauer DC, Ensured KE, Cauley JA, Hochberg M, Ishani A, Cummings SR (2007) Alendonate treatment in women with normal to severely impaired renal function: an analysis of the fracture intervention trial. J Bone Miner Res 22(4):503–508PubMedCrossRef
16.
go back to reference Jamal SA, Hayden JA, Beyene J (2007) Low bone mineral density and fractures in long-term hemodialysis patients: meta analysis. Am J Kidney Dis 49(5):674–681PubMedCrossRef Jamal SA, Hayden JA, Beyene J (2007) Low bone mineral density and fractures in long-term hemodialysis patients: meta analysis. Am J Kidney Dis 49(5):674–681PubMedCrossRef
17.
go back to reference Jenny JY,.Boeri C. (2001) Computer-assisted implantation of a total knee arthroplasty: a case-controlled study in comparison with classical instrumentation. Rev Chir Orthop Reparative Appar Mot 87:645–652 Jenny JY,.Boeri C. (2001) Computer-assisted implantation of a total knee arthroplasty: a case-controlled study in comparison with classical instrumentation. Rev Chir Orthop Reparative Appar Mot 87:645–652
18.
go back to reference Kalairajah Y, Cossey AJ, Verrall GM, Ludbrook G, Spriggins AJ (2006) Are systemic emboli reduced in computer-assisted knee surgery?: a prospective, randomised, clinical trial. J Bone Joint Surg Br 88(2):198–202PubMedCrossRef Kalairajah Y, Cossey AJ, Verrall GM, Ludbrook G, Spriggins AJ (2006) Are systemic emboli reduced in computer-assisted knee surgery?: a prospective, randomised, clinical trial. J Bone Joint Surg Br 88(2):198–202PubMedCrossRef
19.
go back to reference Kalairajah Y, Simpson D, Cossey AJ, Verrall GM, Spriggins AJ (2005) Blood loss after total knee replacement: effects of computer-assisted surgery. J Bone Joint Surg Br 87:1480–1482PubMedCrossRef Kalairajah Y, Simpson D, Cossey AJ, Verrall GM, Spriggins AJ (2005) Blood loss after total knee replacement: effects of computer-assisted surgery. J Bone Joint Surg Br 87:1480–1482PubMedCrossRef
20.
go back to reference Kim SJ, MacDonald M, Hernandez J, Wixson RL (2005) Computer assisted navigation in total knee arthroplasty: improved coronal alignment. J Arthroplasty 20:123–131PubMedCrossRef Kim SJ, MacDonald M, Hernandez J, Wixson RL (2005) Computer assisted navigation in total knee arthroplasty: improved coronal alignment. J Arthroplasty 20:123–131PubMedCrossRef
21.
go back to reference Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am 59:77–79PubMed Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am 59:77–79PubMed
22.
go back to reference Mihalko WM, Duquin T, Axelrod JR, Bayers-Thering M, Krackow KA (2006) Effect of one- and two-pin reference anchoring systems on marker stability during total knee arthroplasty computer navigation. Comput Aided Surg 11(2):93–98PubMedCrossRef Mihalko WM, Duquin T, Axelrod JR, Bayers-Thering M, Krackow KA (2006) Effect of one- and two-pin reference anchoring systems on marker stability during total knee arthroplasty computer navigation. Comput Aided Surg 11(2):93–98PubMedCrossRef
23.
go back to reference Mihalko WM, Duquin T, Axelrod JR, Fisher L (2007) Location and number of cortical fixation points and the effect on reference base stability during computer-navigated total knee arthroplasty. J Arthroplasty 22(4):605–608PubMedCrossRef Mihalko WM, Duquin T, Axelrod JR, Fisher L (2007) Location and number of cortical fixation points and the effect on reference base stability during computer-navigated total knee arthroplasty. J Arthroplasty 22(4):605–608PubMedCrossRef
24.
go back to reference Monto RR, Garcia J, Callaghan JJ (1990) Fatal fat embolism following total condylar knee arthroplasty. J Arthroplasty 5(4):291–299PubMedCrossRef Monto RR, Garcia J, Callaghan JJ (1990) Fatal fat embolism following total condylar knee arthroplasty. J Arthroplasty 5(4):291–299PubMedCrossRef
25.
go back to reference Ossendorf C, Fuchs B, Koch P (2006) Femoral stress fracture after computer navigated total knee arthroplasty. Knee 13:397–399PubMedCrossRef Ossendorf C, Fuchs B, Koch P (2006) Femoral stress fracture after computer navigated total knee arthroplasty. Knee 13:397–399PubMedCrossRef
26.
go back to reference Ritter MA, Faris PM, Keating EM, Meding JB (1994) Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop Relat Res 299:153–156PubMed Ritter MA, Faris PM, Keating EM, Meding JB (1994) Postoperative alignment of total knee replacement. Its effect on survival. Clin Orthop Relat Res 299:153–156PubMed
27.
go back to reference Sikorski JM, Blythe MC (2005) Learning the vagaries of computer-assisted total knee replacement. J Bone Joint Surg Br 87(7):903–910PubMedCrossRef Sikorski JM, Blythe MC (2005) Learning the vagaries of computer-assisted total knee replacement. J Bone Joint Surg Br 87(7):903–910PubMedCrossRef
28.
go back to reference Sparmann M, Wolke B, Czupalla H, Banzer D, Zink A (2003) Positioning of total knee arthroplasty with and without navigation support. A prospective, randomised study. J Bone Joint Surg Br 85:830–835PubMed Sparmann M, Wolke B, Czupalla H, Banzer D, Zink A (2003) Positioning of total knee arthroplasty with and without navigation support. A prospective, randomised study. J Bone Joint Surg Br 85:830–835PubMed
29.
go back to reference Yau WP, Ng TP, Chiu KY (2001) Unusual complication associated with femoral intramedullary alignment guide in total knee arthroplasty. J Arthroplasty 16(2):247–249PubMedCrossRef Yau WP, Ng TP, Chiu KY (2001) Unusual complication associated with femoral intramedullary alignment guide in total knee arthroplasty. J Arthroplasty 16(2):247–249PubMedCrossRef
Metadata
Title
Intra-operative tibial fracture during computer assisted total knee replacement: a case report
Authors
A. Manzotti
N. Confalonieri
C. Pullen
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2008
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0485-2

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