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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2016

01-11-2016 | Knee

Current state of the art in total knee arthroplasty computer navigation

Authors: Frederic Picard, Kamal Deep, Jean Yves Jenny

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2016

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Abstract

Purpose

Computer-assisted surgery in orthopaedics is passing through the initial adapter phase of technology adoption. It started more than 20 years ago, but the uptake of technology is still not widespread. The purpose of this article is to introduce the reader to the basic technology and familiarize with the terminology used in the computer navigation.

Methods

During this time, the technology has matured and we have the evidence to prove its benefits for patients. Not only does it help placing the prosthetic components in correct orientation, it also helps with other parameters like blood loss and fat embolism reduction. In addition to being a teaching and training tool, it has also opened new areas of research which now question the traditional practices. Since it is not in commonly used, the basic aspects of computer navigation are not very well known.

Results

This paper outlines some important definitions and restates the classification of navigation within the spectrum of computer-assisted technologies; it then elaborates on the key principles behind navigation in knee arthroplasty and goes through some of the differences between navigation systems. Finally, it describes in some detail the surgical steps with an image-free knee navigation system.

Conclusions

Computer-assisted navigation is not mainstream yet, but this article should help readers unfamiliar with the technology to understand the basic terms and how it actually works.

Level of Evidence

III.
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Metadata
Title
Current state of the art in total knee arthroplasty computer navigation
Authors
Frederic Picard
Kamal Deep
Jean Yves Jenny
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4337-1

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