The influence of computer navigation in total knee arthroplasty gap balancing

Abstract

Current Advances in Total Knee Arthroplasty The influence of computer navigation in total knee arthroplasty gap balancingTrent Stevens, John Harkess & William M MihalkoTrent StevensTrent Stevens received his degree in chemistry from the University of North Carolina at Chapel Hill (USA) in 2010, and is currently an MD candidate at the University of Tennessee Health Science Center (USA). He began work in 2012 as a research intern under the direction of William M Mihalko, studying polyethylene wear in total knee arthroplasty related to laxity and surgical alignment.Search for more papers by this author, John HarkessJohn Harkess received his medical degree from the University of Tennessee in 2011. He is currently completing his orthopedic surgery residency at the Campbell Clinic in Memphis (TN, USA). He plans to pursue fellowship training in joint replacement following completion of his residency.Search for more papers by this author & William M MihalkoJohn Harkess received his medical degree from the University of Tennessee in 2011. He is currently completing his orthopedic surgery residency at the Campbell Clinic in Memphis (TN, USA). He plans to pursue fellowship training in joint replacement following completion of his residency.Search for more papers by this authorPublished Online:6 Feb 2014https://doi.org/10.2217/fmeb2013.13.251AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit View chapterAbstract: The expanding number of total knee arthroplasty procedures expected to be needed in the coming decades underscores the need for surgical techniques that avoid malalignment and instability, which can lead to costly early revision. The use of computer-assisted surgical navigation techniques has provided surgeons with objective intra-operative data that can lead to more consistent alignment and stability (Figure 3.1). References1 Whiteside LA . Cementless total knee replacement. Nine- to 11-year results and 10-year survivorhsip analysis . Clin. Orthop. Relat. Res. 309 , 185 – 192 (1994) . Medline, Google Scholar2 Weinstein AM , Rome BN , Reichman WM et al. Estimating the burden of total knee replacement in the United States . J. Bone Joint Surg. Am. 95 (5) , 385 – 392 (2013) . Crossref, Medline, Google Scholar3 Lavernia C , Lee DJ , Hernandez VH . The increasing financial burden of knee revision surgery in the United States . Clin. Orthop. Relat. Res. 446 , 221 – 226 (2006) . Crossref, Medline, Google Scholar4 Kurtz S , Ong K , Lau E , Mowat F et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 . J. Bone Joint Surg. Am. 89 , 780 – 785 (2007) . Crossref, Medline, Google Scholar5 Ritter MA , Carr KD , Keating EM et al. Revision total joint arthroplasty: does Medicare reimbursement justify time spent? Orthopedics 19 , 137 – 139 (1996) . Crossref, Medline, CAS, Google Scholar6 Partington PF , Sawhney J , Rorabeck CH et al. Joint line restoration after revision total knee arthroplasty . Clin. Orthop. Relat. Res. 367 , 165 – 171 (1999) . Crossref, Medline, Google Scholar7 Martin JW , Whiteside LA . The influence of joint line position on knee stability after condylar knee arthroplasty . Clin. Orthop. Relat. Res. 259 , 146 – 156 (1990) . Medline, Google Scholar8 Wallace AL , Harris ML , Walsh WR et al. Intraoperative assessment of tibiofemoral contact stresses in total knee arthroplasty . J. Arthroplasty 13 , 923 – 927 (1998) . Crossref, Medline, CAS, Google Scholar9 Mihalko WH . Arthroplasty of the knee. In: Campbell‘s Operative Orthopaedics (12th Edition). Canale ST, Beaty JH (Eds). Elsevier Publishing Company, PA, USA , 376 – 444 (2013) . Crossref, Google Scholar10 Lombardi AV , Berend KR , Ng VY . Neutral mechanical alignment: a requirement for successful TKA: affirms . Orthopedics 34 (9) , 504 – 506 (2011) . Google Scholar11 Sharkey PF , Hozack WJ , Rothman RH et al. Insall award paper. Why are total knee arthroplasties failing today? Clin. Orthop. Relat. Res. 404 , 7 – 13 (2002) . Crossref, Medline, Google Scholar12 Azzam K , Parvizi J , Kaufman D et al. Revision of the unstable total knee arthroplasty: outcome predictors . J. Arthroplasty 26 (8) , 1139 – 1144 (2011) . Crossref, Medline, Google Scholar13 Griffin FM , Insall JN , Scuderi GR . Accuracy of soft tissue balancing in total knee arthroplasty . J. Arthroplasty 15 , 970 – 973 (2000) . Crossref, Medline, CAS, Google Scholar14 Poilvache PL , Insall JN , Scuderi GR , Font-Rodriguez DE . Rotational landmarks and sizing of the distal femur in total knee arthroplasty . Clin. Orthop. Relat. Res. 33 , 35 – 46 (1996) . Crossref, Google Scholar15 Nagamine R , White SE , McCarthy DS et al. Effect of rotational malposition of the femoral component on knee stability kinematics after total knee arthroplasty . J. Arthroplasty 10 (3) , 265 – 270 (1995) . Crossref, Medline, CAS, Google Scholar16 Whiteside LA , Arima J . The anterioposterior axis for femoral rotational alignment in valgus total knee arthroplasty . Clin. Orthop. Relat. Res. 321 , 168 – 172 (1995) . Medline, Google Scholar17 Sabbioni G , Rani N , Del Piccolo N et al. Gap balancing versus measured resection technique using a mobile-bearing prosthesis in computer-assisted surgery . Musculoskelet. Surg. 95 (1) , 25 – 30 (2011) . Crossref, Medline, CAS, Google Scholar18 Moon YW , Kim JG , Woo KJ et al. Analysis of medial flexion gap after medial release for varus deformity by navigation-guided TKA . Orthopedics 34 (5) , 355 (2011) . Medline, Google Scholar19 Matziolis G , Pfiel S , Wassilew G et al. Kinematic analysis of the flexion axis for correct femoral component placement . Knee Surg. Sports Traumatol. Arthrosc. 19 (9) , 1504 – 1509 (2011) . Crossref, Medline, Google Scholar20 Lee DH , Padhy D , Park JH et al. The impact of a rectangular or trapezoidal flexion gap on the femoral component rotation in TKA . Knee Surg. Sports Traumatol. Arthrosc. 19 (7) , 1141 – 1147 (2011) . Crossref, Medline, Google Scholar21 Zhang GQ , Chen JY , Chai W et al. Comparison between computer-assisted-navigation and conventional total knee arthroplasties in patients undergoing simultaneous bilateral procedures: a randomized clinical trial . J. Bone Joint Surg. Am. 93 (13) , 1190 – 1196 (2011) . Crossref, Medline, Google Scholar22 Ensini A , Catani F , Leardini A et al. Alignments and clinical results in conventional and navigated total knee arthroplasty . Clin. Orthop. Relat. Res. 457 , 156 – 162 (2007) . Crossref, Medline, CAS, Google Scholar23 Matziolis G , Krocker D , Weiss U et al. A prospective, randomized study of computer assisted and conventional total knee arthroplasty. Three-dimensional evaluation of implant alignment and rotation . J. Bone Joint Surg. Am. 89 (2) , 236 – 243 (2007) . Crossref, Medline, Google Scholar24 Mihalko WM , Rakebrand E , Stock T et al. Variability of eipcondylar axis registration in navigated TKA. Presented at: the 75th Annual Meeting of American Academy of Orthopaedic Surgeons. San Francisco, CA, USA, 5 March 2008 . Google Scholar25 Mihalko WM , Krackow KA . Differences between extramedullary, intramedullary, and computer-aided surgery tibial alignment techniques for total knee arthroplasty . J. Knee Surg. 19 (1) , 33 – 36 (2006) . Medline, Google Scholar26 Mihalko WM , Clark L , Boyle J , Krackow KA . The variability of intramedullary alignment of the femoral component during total kne arthroplasty . J. Arthoplasty 20 (1) , 25 – 28 (2005) . Crossref, Medline, Google Scholar27 Krackow KA , Mihalko WM , Phillips MJ . Cutting edge in orthopaedics: computer-assisted total knee arthroplasty: navigation in TKA . Orthopedics 26 (10) , 1017 – 1023 (2003) . Crossref, Medline, Google Scholar28 Mont MA , Urquhart MA , Hungerford DS et al. Intramedullary goniometer can improve alignment in knee arthroplasty surgery . J. Arthoplasty 12 (3) , 332 – 336 (1997) . Crossref, Medline, CAS, Google Scholar29 Clarke HD . Limb alignment improves with computer-assisted navigation in total knee replacement, but questions remain . J. Bone Joint Surg. Am. 93 (13) , 77 (2011) . Crossref, Google Scholar30 Harvie P , Sloan K , Beaver RJ . Computer navigated total knee arthroplasty: aspects of a single unit‘s experience of 777 cases . Comput. Aided Surg. 16 (4) , 188 – 195 (2011) . Crossref, Medline, CAS, Google Scholar31 Bauwens K , Matthes G , Wich M et al. Navigated total knee replacement. A meta-analysis . J. Bone Joint Surg. Am. 89 (2) , 261 – 269 (2007) . Crossref, Medline, Google Scholar32 Molli RG , Anderson KC , Buehler KC et al. Computer-assisted navigation software advancements improve the accuracy of total knee arthroplasty . J. Arthroplasty 26 (3) , 432 – 438 (2011) . Crossref, Medline, Google Scholar33 Hoffart HE , Langenstein E , Vasak N . A prospective study comparing the functional outcome of computer-assisted and conventional total knee replacement . J. Bone Joint Surg. Br. 94 (2) , 194 – 199 (2012) . Crossref, Medline, Google Scholar34 Schnurr C , Güdden I , Eysel P et al. Influence of computer assisted navigation on TKA revision rates . Int. Orthop. 36 (11) , 2255 – 2260 (2012) . Crossref, Medline, Google Scholar35 Burnett SJ , Barrack RL . Computer-assisted total knee arthroplasty is currently of no proven clinical benefit: a systematic review . Clin. Orthop. Relat. Res. 471 (1) , 264 – 276 (2013) . Crossref, Medline, Google Scholar36 Yaffe M , Chan P , Goyal N et al. Computer-assisted versus manual TKA: no difference in clincal or functional outcomes at 5-year follow-up . Orthopedics 36 (5) , e627 – e632 (2013) . Medline, Google Scholar37 Pang HN , Yeo SJ , Chong HC et al. Computer-assisted gap balancing technique improves outcome in total knee arthroplasty, compared with conventional measured resection technique . Knee Surg. Sports Traumatol. Arthrosc. 19 (9) , 1496 – 14503 (2011) . Crossref, Medline, Google Scholar38 Hetaimish BM , Khan MM , Simunovic N et al. Meta-analysis of navigation vs conventional total knee arthroplasty . J. Arthroplasty 27 (6) , 1177 – 1182 (2012) . Crossref, Medline, Google Scholar39 Huang TW , Hsu WH , Peng KT et al. Total knee arthroplasty with use of computer-assisted navigation compared with conventional guiding systems in the same patient: radiographic results in Asian patients . J. Bone Joint Surg. Am. 93 (13) , 1197 – 1202 (2011) . Crossref, Medline, Google Scholar40 Chou WY , Siu KK , Ko JY et al. Preoperative templating and computer-assisted total knee arthroplasty for arthritic valgus knee . J. Arthoplasty 28 (10) , 1781 – 1787 (2013) . Crossref, Medline, Google Scholar41 Soares LF , Nunes TA , de Andrade MA et al. The effect of computerized navigation on component alignment in total knee arthroplasty . Acta Orthop. Traumatol. Turc. 47 (1) , 8 – 13 (2013) . Crossref, Medline, Google ScholarFiguresReferencesRelatedDetails Current Advances in Total Knee ArthroplastyMetrics Downloaded 10 times History Published online 6 February 2014 Published in print February 2014 Information© Future Medicine Ltd© Future Medicine LtdPDF download