Download Computer and Template Assisted Orthopedic Surgery by Prof. Dr. Rolf Haaker (auth.), Prof. Dr. med. Rolf Haaker, PDF

By Prof. Dr. Rolf Haaker (auth.), Prof. Dr. med. Rolf Haaker, Prof. Dr. med. Werner Konermann (eds.)

Computer-assisted surgical procedure is a becoming sub-discipline of orthopaedic surgical procedure. This publication bargains a complete presentation of clinical paintings and medical event together with new applied sciences like person templating in unicompartmental and overall knee arthoplasty in line with computer-assisted layout expertise. Computer-assisted surgical procedure contains not just overall knee and overall hip arthroplasty, but additionally trauma, activities and revision surgical procedure. during this version we have now extra sections on 3D fluoroscopy-based spinal surgical procedure in addition to 3D fluoroscopy-based trauma surgical procedure. Even in overall hip surgical procedure, navigation structures supply interesting new facets, and the scientific good thing about navigation in overall knee arthroplasties has now been confirmed. We think that this textbook may be of curiosity to these new to this particular box, whereas additionally delivering an replace for skilled clients. An additional benefit is the foreign personality of this textbook, together with stories from Switzerland, Israel, the us and the German-speaking countries.

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5 · Planning placement of the implants. The impact of this should be evaluated on a patient-by-patient basis. For example, a deformation of the anterior trochlea can make the femoral anteroposterior (AP) axis unreliable as a rotation reference, but it does not impact other rotation references. Severely degenerated tibia plateaus can compromise placement of the tibial guide. Secondly, intra-articular deformations, such as large osteophytes within the contact area of the PSI guide on the bone, can compromise the contact surface between the bone/cartilage and the Zimmer£ PSI guide so that it is impossible to produce a set of PSI guides according to the standard PSI design that guarantees a sufficient and stable bone/cartilage contact.

Both anteromedial pins are compatible with the conventional tibial cutting block, in case additional proximal tibial resection is needed. After the tibial cut has been made, the pins are placed into the predrilled holes on the bone surface (. Fig. 5). The size-specific tibial instrument for stem preparation is slipped onto the predrilled . Fig. 5 The tibial bone cut is made. Note the drill/pin holes on the bone surface that will receive size-specific instruments . Fig. 6 The size-specific tibial instrument for stem preparation is slipped onto the predrilled pins.

In 24 cases (18%), the size of the tibial component was changed during operation (6 smaller, 18 larger than planned). There was no need to 3 change the rotation (neither tibial nor femoral) or the tibial slope. The radiological and clinical outcome of these patients is currently being evaluated. 5 Clinical Results So far, there are only sparse reports in the literature on the clinical or radiological outcome of TKA using patient-specific instrumentation. Nunley and colleagues reported that conventional instrumentation and patient-specific instrumentation based on whole-leg MRI data and aiming for the mechanical axis (Signature, Biomet) achieved similar percentages of outliers from a straight leg axis (40% and 32%) (Nunley et al.

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